Individual provider Active NPI

Mekbib Gebrekidan Onkiso, MD

  • Internal Medicine Physician
  • Milwaukee, WI
National Provider Identifier
1477013993
Registry record updated Sep 1, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
74603 Issued in WI
Practice address
945 N 12TH St
Milwaukee, WI 53233-1305
Phone
(414) 219-7427
Fax
(414) 219-6078
NPI assigned
Mar 21, 2019
Last updated
Sep 1, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 1, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 74603 WI Primary

Addresses

Primary practice location

945 N 12TH St
Milwaukee, WI 53233-1305

Mailing address

3333 Gale PL S Apt 19
Seattle, WA 98144-6940
Phone (206) 434-9184

Other identifiers 1

IdentifierTypeStateIssuer
100203560MedicaidWI

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20220615001390 WI Practitioner - Internal Medicine 4981083300 Reassigns benefits to 9 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2014
Medicare assignment
May accept Medicare assignment
Group practices
Aurora Medical Group, Inc.Group PAC ID 6709794258, 3,764 clinicians
Froedtert Manitowoc Medical Group, LLCGroup PAC ID 2365836954, 156 clinicians
Apogee Medical Group Waukesha SCGroup PAC ID 1153670054, 43 clinicians

Practice addresses (Care Compare)

13250 Washington Ave
Mount Pleasant, WI 53177-1516
Phone (262) 884-4000

1414 N Taylor Dr
Sheboygan, WI 53081-1988
Phone (920) 320-2436

2300 Western Ave
Manitowoc, WI 54220-3712
Phone (920) 320-2011

2301 N Lake Dr
Milwaukee, WI 53211-4508
Phone (414) 585-1000

3811 Spring St
Suite 102
Mount Pleasant, WI 53405-1667
Phone (262) 687-5800

725 American Ave
Waukesha, WI 53188-5031
Phone (262) 928-5400

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
74603WIMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Columbia St. Mary's Hospital Milwaukee, Inc CurrentSince Nov 19, 2024 Accepting new patients
Aspirus Riverview Hospital & Clinics, Inc. CurrentSince Oct 10, 2023 Accepting new patients
Aspirus Wausau Hospital, Inc. CurrentSince Dec 1, 2023 Accepting new patients
Baycare Aurora, LLC CurrentSince Jul 1, 2022 Accepting new patients
Aspirus Riverview Hospital & Clinics, Inc. CurrentSince Oct 10, 2023 Accepting new patients
Aurora Medical Group, Inc. CurrentSince Jul 1, 2022 Accepting new patients
Columbia St. Mary's Hospital Milwaukee Inc CurrentSince Nov 19, 2024 Accepting new patients
Aurora Medical Group, Inc. Internal Medicine Current Accepting new patients
Froedtert Manitowoc Medical Group, LLC Internal Medicine CurrentSince Nov 16, 2022 Accepting new patients
Aspirus Wausau Hospital Inc CurrentSince Dec 1, 2023 Accepting new patients
Apogee Medical Group Waukesha, SC CurrentSince Sep 15, 2024 Accepting new patients
Ascension Medical Group-Southeast Wisconsin Inc Internal Medicine CurrentSince Nov 26, 2023 Accepting new patients
Aurora Medical Group, Inc. CurrentSince Jul 1, 2022 Accepting new patients
Ascension Medical Group-Fox Valley Wisconsin, Inc CurrentSince Apr 16, 2024 Accepting new patients
Ascension Medical Group-Fox Valley Wisconsin, Inc CurrentSince Apr 16, 2024 Accepting new patients
Aspirus Wausau Hospital, Inc. Internal Medicine Current Accepting new patients

Locations

29980 Network Pl
Chicago, IL 60673

1501 S Madison St
Appleton, WI 54915
Phone (920) 730-4435

1506 S Oneida St
Appleton, WI 54915
Phone (920) 730-4950

13950 W Capitol Dr
Brookfield, WI 53005
Phone (414) 302-5400

2253 W Mason St
Green Bay, WI 54303
Phone (920) 327-7000

2845 Greenbrier Rd
Green Bay, WI 54311
Phone (920) 288-3388

2300 Western Ave
Manitowoc, WI 54220
Phone (920) 320-2011

1020 N 12th St
Milwaukee, WI 53233
Phone (414) 219-3056

2301 N Lake Dr
Milwaukee, WI 53211
Phone (414) 270-4932

2323 N Lake Dr
Milwaukee, WI 53211
Phone (414) 291-1000

945 N 12th St
Milwaukee, WI 53233
Phone (414) 219-5800

13250 Washington Ave
Mount Pleasant, WI 53177
Phone (262) 799-8330

3811 Spring St
Ste 102
Mount Pleasant, WI 53405
Phone (262) 687-5800

240 Maple Ave
Mukwonago, WI 53149
Phone (262) 928-1900

2700 W 9th Ave
Oshkosh, WI 54904
Phone (920) 223-0220

500 S Oakwood Rd
Oshkosh, WI 54904
Phone (920) 223-0501

1414 N Taylor Dr
Sheboygan, WI 53081
Phone (920) 320-2011

900 Illinois Ave
Stevens Point, WI 54481
Phone (715) 342-7500

791 Summit Ave
Summit, WI 53066
Phone (262) 569-0251

13111 N Port Washington Rd
Thiensville, WI 53097
Phone (262) 243-7300

725 American Ave
Waukesha, WI 53188
Phone (262) 544-2011

333 Pine Ridge Blvd
Wausau, WI 54401
Phone (715) 847-2160

201 N Mayfair Rd
Fl 2
Wauwatosa, WI 53226
Phone (414) 771-8228

410 Dewey St
Wisconsin Rapids, WI 54494
Phone (715) 421-5257

420 Dewey St
Wisconsin Rapids, WI 54494
Phone (715) 421-7474

Interoperability endpoints

  • Direct secure messaging: monkiso578372@direct.froedtert.com

Organizations & group practices 16

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 16

Hospital & facility affiliations 7

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

NPI Registry JSON

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

{
    "created_epoch": "1553126400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661990400000",
    "number": "1477013993",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3333 GALE PL S APT 19",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981446940",
            "telephone_number": "206-434-9184"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "945 N 12TH ST",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532331305",
            "telephone_number": "414-219-7427",
            "fax_number": "414-219-6078"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ONKISO",
        "first_name": "MEKBIB",
        "middle_name": "GEBREKIDAN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-03-21",
        "last_updated": "2022-09-01",
        "certification_date": "2022-09-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "WI",
            "license": "74603",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100203560",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Milwaukee, WI

Sources for this page

Verify at the official NPI Registry.