Thomas E Kinney, MD

Primary specialty

Plastic Surgery PhysicianTaxonomy code 208200000X

License

27691 Issued in WI

Practice address

13800 W North Avenue
Ste 110
Brookfield, WI 53005

Phone

(262) 717-4000

Fax

(262) 641-7435

NPI assigned

Jun 13, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in WI

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.

Enrollment records 1

Specialty

Plastic and Reconstructive Surgery

Education

Medical College of Wisconsin, 1985

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Greater Milwaukee Plastic Surgeons SCGroup PAC ID 8022194893, 2 clinicians

CJ Hussussian MD SCGroup PAC ID 1456339993, 5 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Ascension SE Wisconsin Hospital Hospital, Milwaukee, WI, CCN 520136

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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

• CJ Hussussian MD SC

  • Plastic Surgery Physician
  • Waukesha, WI
  • NPI 1831260405
  Medicare reassignment Care Compare group NPD
• Greater Milwaukee Plastic Surgeons SC

  • Specialist
  • Brookfield, WI
  • NPI 1154389484
  Medicare reassignment Care Compare group NPD
• Daniel Butz M.D., S.C.

  • Plastic Surgery Physician
  • Milwaukee, WI
  • NPI 1750827556
  NPD

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

• Ascension SE Wisconsin Hospital, Inc

  • General Acute Care Hospital
  • Milwaukee, WI
  • NPI 1427007384
  Care Compare affiliation
• Ascension SE Wisconsin Hospital, Inc

  • Rehabilitation Hospital Unit
  • Brookfield, WI
  • NPI 1861417362
  Care Compare affiliation

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

{
    "created_epoch": "1118620800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1211155200000",
    "number": "1447254875",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13800 W NORTH AVE",
            "address_2": "SUITE 110",
            "city": "BROOKFIELD",
            "state": "WI",
            "postal_code": "530054977",
            "telephone_number": "262-717-4000",
            "fax_number": "262-641-7435"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13800 W NORTH AVENUE",
            "address_2": "STE 110",
            "city": "BROOKFIELD",
            "state": "WI",
            "postal_code": "53005",
            "telephone_number": "262-717-4000",
            "fax_number": "262-641-7435"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KINNEY",
        "first_name": "THOMAS",
        "middle_name": "E",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-13",
        "last_updated": "2008-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "WI",
            "license": "27691",
            "primary": false
        },
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "WI",
            "license": "27691",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "31936200",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Bobbie-Jo Marie King, PHARMD
• Kaylah King, PT
• Kevin Patrick King, D.D.S.
• Patricia King
• Lindsey Kingsley, LPC
• Bridget Kircher
• Victoria Kirk, MS, LPC-IT
• Clayton Kirks
• Ashley Michelle Kirschnik
• Sarah Kleiner

• Plastic Surgery Physician in Brookfield, WI
• Providers in Brookfield, WI by specialty
• Plastic Surgery Physician in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2008; 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.

Verify at the official NPI Registry.