Active NPI
Olena Igorivna Klindukhova, MD
- Endocrinology, Diabetes & Metabolism Physician
- Milwaukee, WI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Endocrinology, Diabetes & Metabolism Physician
- License
- 83846
- Practice address
- 9200 W Wisconsin Ave
Milwaukee, WI 53226-3522 - Phone
- (414) 805-6550
- Fax
- (414) 805-6565
- NPI assigned
- Mar 23, 2009
- Last updated
- Aug 1, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 66515 | GA | |
| Internal Medicine Physician | 207R00000X | 01085352A | IN | |
| Endocrinology, Diabetes & Metabolism Physician | 207RE0101X | 01085352A | IN | |
| Endocrinology, Diabetes & Metabolism Physician | 207RE0101X | 83846 | WI | Primary |
Addresses
Primary practice location
9200 W Wisconsin Ave
Milwaukee, WI 53226-3522
Mailing address
9200 W Wisconsin Ave
Milwaukee, WI 53226-3522
Phone (414) 805-6550
Other practice location 1
720 Eskenazi Ave
Indianapolis, IN 46202-5187
Phone (317) 880-0000
Other practice location 2
512 S Houston Lake Rd
Warner Robins, GA 31088-6308
Phone (478) 254-2644
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100280890 | Medicaid | WI |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | oklindu1@direct.iuhealth.org | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN, WI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Endocrinology
- Education
- Other, 2001
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
8701 W Watertown Plank
Milwaukee, WI 53226-3548
Phone (414) 805-3666
8701 Watertown Plank Rd
Room 4041 MFRC
Milwaukee, WI 53226-3548
Phone (414) 805-3666
W129N7055 Northfield Dr
Menomonee Falls, WI 53051-0538
Phone (262) 253-5400
W168N11237 Western Ave
Germantown, WI 53022-3239
Phone (262) 253-5060
Hospital & facility affiliations
- Froedtert Memorial Lutheran Hospital
- Community Memorial Hospital
- St Josephs Community Hospital West Bend
Merit-based Incentive Payment System (MIPS)
- Final score
- 87.99 of 100
- Quality
- 82.81
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 77.15
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 66515 | GA | MD | Specialist |
| 83846 | WI | MD | Endocrinology, Diabetes & Metabolism Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Froedtert &the Medical College of Wisconsin Community Physicians, Inc. | Internal Medicine | Current | Accepting new patients |
| University Medical Diagnostic Associates, Inc. | Internal Medicine | Current | Accepting new patients |
| The Medical College of Wisconsin, Inc. | Internal Medicine | Current | Accepting new patients |
| Froedtert &the Medical College of Wisconsin Community Physicians, Inc. | Current | Accepting new patients | |
| The Medical College of Wisconsin Inc | Past | Accepting new patients | |
| Major Hospital | Past | Accepting new patients | |
| Hospital Authority of the City of Bainbridge and Decatur County | Past | Accepting new patients |
Locations
7301 Solutions Ctr
Chicago, IL 60677
720 Eskenazi Ave
Indianapolis, IN 46202
Phone (317) 880-0000
250 N Shadeland Ave
Ste 200
Indianapolis, IN 46219
Phone (317) 962-4836
550 University Blvd
Indianapolis, IN 46202
Phone (217) 274-5000
550 University Blvd
#2180
Indianapolis, IN 46202
Phone (317) 274-2891
250 N Shadeland Ave
Indianapolis, IN 46219
Phone (317) 948-9174
W168N11237 Western Ave
Germantown, WI 53022
Phone (262) 253-5060
N74W12501 Leatherwood Ct
Menomonee Falls, WI 53051
Phone (414) 454-4744
1155 N Mayfair Rd
Wauwatosa, WI 53226
Phone (414) 955-5990
9200 W Wisconsin Ave
Wauwatosa, WI 53226
Phone (414) 259-3000
8701 Watertown Plank Rd
Wauwatosa, WI 53226
Phone (414) 456-4100
Interoperability endpoints
- oklindukhova88435@direct.eskenazihealth.edu
- oklindukhova830914@direct.froedtert.com
Organizations & group practices 7
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.
-
- Internal Medicine Physician
- Menomonee Falls, WI
- NPI 1568787448
-
- Internal Medicine Physician
- Milwaukee, WI
- NPI 1699720086
-
- Internal Medicine Physician
- Indianapolis, IN
- NPI 1861441537
-
- Durable Medical Equipment & Medical Supplies
- Wauwatosa, WI
- NPI 1154947224
-
- Case Management Agency
- Milwaukee, WI
- NPI 1649521105
-
dba Memorial Hospital and Manor
- Multi-Specialty Clinic/Center
- Bainbridge, GA
- NPI 1053388256
-
- General Acute Care Hospital
- Shelbyville, IN
- NPI 1174555692
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Froedtert Menomonee Falls Hospital
- General Acute Care Hospital
- Menomonee Falls, WI
- NPI 1609822881
-
dba CDI-Froedtert Memorial Lutheran Hospital
- General Acute Care Hospital
- Milwaukee, WI
- NPI 1255334173
-
dba Froedtert West Bend Hospital
- General Acute Care Hospital
- West Bend, WI
- NPI 1851336044
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1237766400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1722470400000",
"number": "1427299361",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9200 W WISCONSIN AVE",
"city": "MILWAUKEE",
"state": "WI",
"postal_code": "532263522",
"telephone_number": "414-805-6550",
"fax_number": "414-805-6565"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9200 W WISCONSIN AVE",
"city": "MILWAUKEE",
"state": "WI",
"postal_code": "532263522",
"telephone_number": "414-805-6550",
"fax_number": "414-805-6565"
}
],
"practiceLocations": [
{
"address_1": "720 Eskenazi Ave",
"address_purpose": "LOCATION",
"city": "Indianapolis",
"state": "IN",
"postal_code": "462025187",
"country_code": "US",
"telephone_number": "317-880-0000",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "512 S Houston Lake Rd",
"address_purpose": "LOCATION",
"city": "Warner Robins",
"state": "GA",
"postal_code": "310886308",
"country_code": "US",
"telephone_number": "478-254-2644",
"fax_number": "478-254-4924",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KLINDUKHOVA",
"first_name": "OLENA",
"middle_name": "IGORIVNA",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-03-23",
"last_updated": "2024-08-01",
"certification_date": "2024-08-01",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "GA",
"license": "66515",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "IN",
"license": "01085352A",
"primary": false
},
{
"code": "207RE0101X",
"taxonomy_group": "",
"desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
"state": "IN",
"license": "01085352A",
"primary": false
},
{
"code": "207RE0101X",
"taxonomy_group": "",
"desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
"state": "WI",
"license": "83846",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100280890",
"state": "WI"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "oklindu1@direct.iuhealth.org",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "720 Eskenazi Ave",
"city": "Indianapolis",
"state": "IN",
"country_code": "US",
"postal_code": "462025187",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Milwaukee, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2024; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.