Mark A Kliewer, MD

Primary specialty

Body Imaging PhysicianTaxonomy code 2085B0100X

License

44018 Issued in WI

Practice address

2348 Commonwealth Ave
Madison, WI 53711-1909

Phone

(087) 099-2946

NPI assigned

Mar 9, 2006

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

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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.

• Group Health Cooperative of South Central Wisconsin

  • Health Maintenance Organization
  • Madison, WI
  • NPI 1245260165
  Medicare reassignment NPD
• St. Joseph'S Health Services, Inc.

  • Clinic/Center
  • Elroy, WI
  • NPI 1699788273
  NPD (past)

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

{
    "created_epoch": "1141862400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1681257600000",
    "number": "1669440236",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2348 COMMONWEALTH AVE",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537111909"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2348 COMMONWEALTH AVE",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537111909",
            "telephone_number": "087-099-2946"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KLIEWER",
        "first_name": "MARK",
        "middle_name": "A",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-09",
        "last_updated": "2023-04-12",
        "certification_date": "2023-04-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "WI",
            "license": "44018",
            "primary": false
        },
        {
            "code": "2085B0100X",
            "taxonomy_group": "",
            "desc": "Radiology, Body Imaging",
            "state": "WI",
            "license": "44018",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hailey Therese Kleppe
• Kyle L Kleppe, MD
• Susan Mary Kleppin, RPH
• Lisa Louise Klesius, M.D.
• Mark Klewin, H,I.S.
• Russell Marion Kline, DO
• Pamela J Kling, MD
• Kateri Klingele, APSW
• Mary E Klink, MD
• Gwen Klinkner, DNP, RN

• Body Imaging Physician in Madison, WI
• Providers in Madison, WI by specialty
• Body Imaging Physician in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2023; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.