NPIMap

Individual provider Active NPI

Kacey Vogt Kronenfeld, MD

  • Emergency Medicine Physician
  • Indianapolis, IN
National Provider Identifier
1356788715
Registry record updated Jul 15, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
01074234A Issued in IN
Practice address
1701 N Senate Blvd
RM Dg412
Indianapolis, IN 46202-1239
Phone
(317) 962-3886
Fax
(317) 963-5492
NPI assigned
May 25, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 15, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X 11017019A IN
Emergency Medicine Physician 207P00000X 01074234A IN Primary

Addresses

Primary practice location

1701 N Senate Blvd
RM Dg412
Indianapolis, IN 46202-1239

Mailing address

250 N Shadeland Ave
Suite 130
Indianapolis, IN 46219-4959
Phone (317) 963-2514

Other identifiers 1

IdentifierTypeStateIssuer
201169400MedicaidIN

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170703001343 WI Practitioner - Emergency Medicine 0143461806 Reassigns benefits to 7 organizations

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
79.19 of 100Reported as group
Quality
74.01
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
11017019AINMDStudent in an Organized Health Care Education/Training Program

Practice roles

OrganizationSpecialtyStatusNew patients
Upland Hills Health, Inc. CurrentSince Nov 1, 2025 Accepting new patients
Lafayette County CurrentSince Feb 1, 2026 Accepting new patients
Reedsburg Area Medical Center, Inc. CurrentSince Jun 3, 2017 Accepting new patients
Upland Hills Health, Inc Emergency Medicine CurrentSince Nov 1, 2025 Accepting new patients
Madison Emergency Physicians, SC Emergency Medicine CurrentSince Jun 1, 2017 Accepting new patients
Lafayette County CurrentSince Feb 1, 2026 Accepting new patients
Lafayette County CurrentSince Feb 1, 2026 Accepting new patients
Prairie Ridge Health, Inc. CurrentSince Nov 1, 2025 Accepting new patients
Reedsburg Area Medical Center Inc CurrentSince Jun 3, 2017 Accepting new patients
Prairie Ridge Health Inc. CurrentSince Nov 1, 2025 Accepting new patients
University Medical Diagnostic Associates, Inc. Past Accepting new patients

Locations

1515 Park Ave
Columbus, WI 53925
Phone (920) 623-1200

211 Bev Anderson Dr
Darlington, WI 53530
Phone (608) 776-4466

800 Compassion Way
Dodgeville, WI 53533
Phone (608) 930-7200

3400 E Racine St
Janesville, WI 53546
Phone (608) 373-8000

700 S Park St
Madison, WI 53715
Phone (608) 260-2900

2000 N Dewey Ave
Reedsburg, WI 53959
Phone (608) 524-6487

530 Wisconsin Dells Pkwy S
Wisconsin Dells, WI 53965
Phone (608) 253-8515

Interoperability endpoints

  • Direct secure messaging: kkronenfeld261150@direct-ehr-ssmhc.com

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

NPI Registry JSON

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

{
    "created_epoch": "1369440000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1468540800000",
    "number": "1356788715",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "250 N SHADELAND AVE",
            "address_2": "SUITE 130",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462194959",
            "telephone_number": "317-963-2514"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1701 N SENATE BLVD",
            "address_2": "RM DG412",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462021239",
            "telephone_number": "317-962-3886",
            "fax_number": "317-963-5492"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRONENFELD",
        "first_name": "KACEY",
        "middle_name": "VOGT",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-05-25",
        "last_updated": "2016-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "IN",
            "license": "11017019A",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "IN",
            "license": "01074234A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "201169400",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Indianapolis, IN

Sources for this page

Verify at the official NPI Registry.