NPIMap

Individual provider Active NPI

Krishna Pandey, M.D.

  • Internal Medicine Physician
  • Milwaukee, WI
National Provider Identifier
1669452223
Registry record updated May 15, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
45748-020 Issued in WI
Practice address
7733 W Burleigh St
Milwaukee, WI 53222-5003
Phone
(414) 837-6300
Fax
(414) 763-3602
NPI assigned
Jan 19, 2006
Last updated
May 15, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 15, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 45748-020 WI Primary
Addiction Medicine (Internal Medicine) Physician 207RA0401X 45748-020 WI

Addresses

Primary practice location

7733 W Burleigh St
Milwaukee, WI 53222-5003

Mailing address

6400 Industrial Loop
Greendale, WI 53129-2452
Phone (414) 423-4100

Other identifiers 1

IdentifierTypeStateIssuer
34392800MedicaidWI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20071025000316 WI Practitioner - Internal Medicine 4082700877 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Milwaukee Internal Medicine Associates IncGroup PAC ID 6103908785, 12 clinicians

Practice addresses (Care Compare)

7733 W Burleigh St
Milwaukee, WI 53222-5003
Phone (414) 837-6300

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
45748-020WIMDAddiction Medicine (Internal Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Accentcare Medical Group of Wisconsin, S.C. CurrentSince Dec 24, 2025 Accepting new patients
Seasons Hospice & Palliative Care of Wisconsin, LLC CurrentSince Dec 24, 2025 Accepting new patients
Milwaukee Internal Medicine Associates Inc Internal Medicine CurrentSince Oct 29, 2007 Accepting new patients
By Your Side Hospice Care LLC CurrentSince Jun 14, 2024 Accepting new patients
Ascension Medical Group-Southeast Wisconsin Inc Internal Medicine Past Accepting new patients
Burleigh Urgent Care, Inc. PastSince Jul 1, 2010 Accepting new patients
Pims S.C. Internal Medicine Past Accepting new patients

Locations

6400 Industrial Loop
Greendale, WI 53129
Phone (414) 423-4100

3415 Sheridan Rd
Kenosha, WI 53140
Phone (262) 633-4343

N84W17049 Menomonee Ave
Menomonee Fls, WI 53051
Phone (262) 255-1180

3237 S 16th St
Milwaukee, WI 53215
Phone (414) 647-5000

4031 W Kiehnau Ave
Milwaukee, WI 53209
Phone (414) 662-7701

7733 W Burleigh St
Milwaukee, WI 53222
Phone (262) 328-4232

6737 W Washington St
Ste 2150
West Allis, WI 53214
Phone (414) 203-8310

8901 W Lincoln Ave
Fl 2
West Allis, WI 53227
Phone (414) 328-7700

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
By Your Side Hospice CareMilwaukee, WI, CCN 521625 Hospice Corporate Director (100%) Jun 29, 2022

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

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.

Hospital & facility affiliations 16

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

View all 16

NPI Registry JSON

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

{
    "created_epoch": "1137628800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1557878400000",
    "number": "1669452223",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6400 INDUSTRIAL LOOP",
            "city": "GREENDALE",
            "state": "WI",
            "postal_code": "531292452",
            "telephone_number": "414-423-4100",
            "fax_number": "414-423-4134"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7733 W BURLEIGH ST",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532225003",
            "telephone_number": "414-837-6300",
            "fax_number": "414-763-3602"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PANDEY",
        "first_name": "KRISHNA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-19",
        "last_updated": "2019-05-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "WI",
            "license": "45748-020",
            "primary": true
        },
        {
            "code": "207RA0401X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Addiction Medicine",
            "state": "WI",
            "license": "45748-020",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "34392800",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Milwaukee, WI

Sources for this page

Verify at the official NPI Registry.