Ira S Kastenberg, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

20342-020 Issued in WI

Practice address

237 W Seward St
Poynette, WI 53955-9584

Phone

(608) 635-4343

Fax

(608) 635-7094

NPI assigned

May 11, 2006

Last updated

May 6, 2014By the provider in NPPES

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• St. Marys Dean Ventures Inc.

  dba Poynette Family Practice

  • Durable Medical Equipment & Medical Supplies
  • Poynette, WI
  • NPI 1710921838
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1147305600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1399334400000",
    "number": "1295785483",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 97",
            "city": "POYNETTE",
            "state": "WI",
            "postal_code": "539550097",
            "telephone_number": "608-635-4343",
            "fax_number": "608-635-7094"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "237 W SEWARD ST",
            "city": "POYNETTE",
            "state": "WI",
            "postal_code": "539559584",
            "telephone_number": "608-635-4343",
            "fax_number": "608-635-7094"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KASTENBERG",
        "first_name": "IRA",
        "middle_name": "S",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-11",
        "last_updated": "2014-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WI",
            "license": "20342-020",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "30295300",
            "state": "WI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHYSICIANS PLUS",
            "identifier": "1000578",
            "state": "WI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DEAN HEALTH INSURANCE",
            "identifier": "202",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Angela Hall, D.C
• Sara J Hausser, CCC-SLP
• Curtis S Hossman, LPC
• Journey of Peace Homecare LLC
• Michelle Marie Kaschinske, OTR
• Madelyn Kleinschmidt
• Brook Landeo, LCSW
• Lou Ann Newby
• Kristine Merrill, MSW; LCSW
• Melody Marie Music-Engels

• Family Medicine Physician in Poynette, WI
• Providers in Poynette, WI by specialty
• Family Medicine Physician in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.