Steven Mather Kotsonis, M.D.

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

53437-20 Issued in WI

Practice address

1109 Cecelia Dr
Pewaukee, WI 53072-2524

Phone

(262) 373-6733

Fax

(262) 373-6018

NPI assigned

Mar 21, 2008

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. Confirm with the OIG exclusions search.

Credentials

Doctor of Medicine

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

{
    "created_epoch": "1206057600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1530057600000",
    "number": "1306017991",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12420 W HAMPTON AVE #89",
            "city": "BUTLER",
            "state": "WI",
            "postal_code": "530070089",
            "telephone_number": "262-373-6733",
            "fax_number": "262-373-6018"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1109 CECELIA DR",
            "city": "PEWAUKEE",
            "state": "WI",
            "postal_code": "530722524",
            "telephone_number": "262-373-6733",
            "fax_number": "262-373-6018"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOTSONIS",
        "first_name": "STEVEN",
        "middle_name": "MATHER",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-03-21",
        "last_updated": "2018-06-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "WI",
            "license": "53437-20",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100031662",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Patrick N Koenig, M.D.
• Hannah Marie Kohlmetz, LCMHCA, LPC-IT
• Maria Kohlwey, LAT
• Melissa Ann Kohnert, LCSW
• Stephanie Kosidowski, PT
• Jordan David Krause, PA
• Anita Hargarten Krier, LMT
• Teri A Krier, RD, CD
• Nicholas Kriesel, PA-C, ATC
• Samantha K Krueger, PT

• General Practice Physician in Pewaukee, WI
• Providers in Pewaukee, WI by specialty
• General Practice Physician in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; OIG LEIE.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.