Kim J Pansegrau, DDS MD

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

License

5144015 Issued in WI

Practice address

7007 Old Sauk Rd
Madison, WI 53717-2307

Phone

(608) 833-2060

Fax

(608) 833-1737

NPI assigned

Jul 8, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

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: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Oral Surgery

Education

University of Iowa College of Dentistry, 1996

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Center for Oral and Maxillofacial Surgery SCGroup PAC ID 5294830451, 6 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• University of Wi Hospitals & Clinics Authority Hospital, Madison, WI, CCN 520098

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.

• Center for Oral & Maxillofacial Surgery SC

  • Oral and Maxillofacial Surgery (Dentist)
  • Madison, WI
  • NPI 1710900808
  Medicare reassignment Care Compare group NPD

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

• University of Wisconsin Hospitals and Clinics Authority

  • General Acute Care Hospital
  • Madison, WI
  • NPI 1922043744
  Care Compare affiliation

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

{
    "created_epoch": "1152316800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1518990167",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3296 SARACEN WAY",
            "city": "VERONA",
            "state": "WI",
            "postal_code": "535938010",
            "telephone_number": "608-821-0289",
            "fax_number": "608-833-1787"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7007 OLD SAUK RD",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537172307",
            "telephone_number": "608-833-2060",
            "fax_number": "608-833-1737"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PANSEGRAU",
        "first_name": "KIM",
        "middle_name": "J",
        "name_prefix": "Mr.",
        "credential": "DDS MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-08",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "WI",
            "license": "5144015",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "33755700",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Smarika Paneru
• Blair S Panhorst
• Andrea Pankratz, WHNP-BC
• Gerald T Pankratz, M.D.
• James T Pankratz, PT
• Kristen L Panther, NP
• Candace Leigh Pantoga, OTR, MS
• David R Paolone, MD
• Andrew Nathaniel Pap, MD
• Rodis Paparodis, M.D.

• Oral and Maxillofacial Surgery (Dentist) in Madison, WI
• Providers in Madison, WI by specialty
• Oral and Maxillofacial Surgery (Dentist) in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.