NPIMap

Individual provider Active NPI

Barbara L Knisely, MD

  • Diagnostic Radiology Physician
  • Dubuque, IA
National Provider Identifier
1326083874
Registry record updated Aug 2, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
36035 Issued in WI
Practice address
350 N Grandview Ave
Dubuque, IA 52001-6388
Phone
(553) 589-2491
NPI assigned
Jun 18, 2006
Last updated
Aug 2, 2016By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 2, 2016

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 36035 WI Primary
Diagnostic Radiology Physician 2085R0202X 104004 MN
Diagnostic Radiology Physician 2085R0202X 38016 IA

Addresses

Primary practice location

350 N Grandview Ave
Dubuque, IA 52001-6388

Mailing address

PO Box 1655
Dubuque, IA 52004-1655
Phone (563) 556-6895

Other identifiers 4

IdentifierTypeStateIssuer
8697OtherWIDEAN HEALTH INSURANCE
300118636OtherWIRAILROAD MEDICARE
32112000MedicaidWI
391128616IKOtherWIJOHN DEERE HEALTH PLAN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI, MN, PA3 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20060505000916 WI Practitioner - Diagnostic Radiology 0749291623 Reassigns benefits to 5 organizations
I20090113000810 MN Practitioner - Diagnostic Radiology 0749291623 Reassigns benefits to 1 organization
I20181106001542 PA Practitioner - Diagnostic Radiology 0749291623 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Pennsylvania State University College of Medicine, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Chambersburg Imaging Associates P.C.Group PAC ID 6406832211, 13 clinicians

Practice addresses (Care Compare)

144 S 8TH St
Suite 108
Chambersburg, PA 17201-2752
Phone (717) 263-1383

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
36035WIMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Tri-County Memorial Hospital, Inc. CurrentSince Jan 1, 2016 Accepting new patients
Tri-County Memorial Hospital, Inc. CurrentSince Jan 1, 2016 Accepting new patients
Chambersburg Imaging Associates P.C. CurrentSince Nov 1, 2018 Accepting new patients
Gundersen Lutheran Medical Center Inc Current Accepting new patients
Gundersen Lutheran Medical Center Inc CurrentSince Jun 1, 2013 Accepting new patients
Tri-County Memorial Hospital, Inc. Current Accepting new patients
Richland Hospital CurrentSince May 1, 2011 Accepting new patients
Prairie Du Chien Memorial Hospital Association Inc CurrentSince Aug 1, 2010 Accepting new patients
Richland Hospital CurrentSince May 1, 2011 Accepting new patients
Gundersen Lutheran Medical Center, Inc CurrentSince Jun 1, 2013 Accepting new patients
Jerjis T Alajaji Diagnostic Radiology Past Accepting new patients
Wisconsin Heart, S.C. Past Accepting new patients

Locations

112 Jefferson St
West Union, IA 52175
Phone (563) 422-3811

112 N 7th St
Chambersburg, PA 17201
Phone (717) 217-4300

144 S 8th St
Ste 108
Chambersburg, PA 17201
Phone (717) 262-2183

25 Penncraft Ave
Ste E
Chambersburg, PA 17201
Phone (717) 263-1383

711 W Adams St
Blk River Fls, WI 54615
Phone (715) 284-3604

402 W Lake St
Friendship, WI 53934
Phone (608) 339-3331

1836 South Ave
La Crosse, WI 54601
Phone (608) 788-8102

1910 South Ave
La Crosse, WI 54601
Phone (608) 775-2287

1600 Main St
Onalaska, WI 54650
Phone (608) 783-4681

37868 US Highway 18
Prairie du Chien, WI 53821
Phone (608) 357-2000

610 E Taylor St
Prairie du Chien, WI 53821
Phone (608) 326-6466

333 E 2nd St
Richland Ctr, WI 53581
Phone (608) 647-6161

18601 Lincoln St
Whitehall, WI 54773
Phone (715) 538-1712

Interoperability endpoints

  • Direct secure messaging: bknisely734263@direct.gundersenhealth.org

Organizations & group practices 13

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.

View all 13

Hospital & facility affiliations 13

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1150588800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1470096000000",
    "number": "1326083874",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1655",
            "city": "DUBUQUE",
            "state": "IA",
            "postal_code": "520041655",
            "telephone_number": "563-556-6895",
            "fax_number": "563-556-3618"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "350 N GRANDVIEW AVE",
            "city": "DUBUQUE",
            "state": "IA",
            "postal_code": "520016388",
            "telephone_number": "553-589-2491"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KNISELY",
        "first_name": "BARBARA",
        "middle_name": "L",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-18",
        "last_updated": "2016-08-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "WI",
            "license": "36035",
            "primary": true
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "MN",
            "license": "104004",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "IA",
            "license": "38016",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DEAN HEALTH INSURANCE",
            "identifier": "8697",
            "state": "WI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "300118636",
            "state": "WI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "32112000",
            "state": "WI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "JOHN DEERE HEALTH PLAN",
            "identifier": "391128616IK",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dubuque, IA

Sources for this page

Verify at the official NPI Registry.