NPIMap

Individual provider Active NPI

Wendel M Friedl, MD

  • Internal Medicine Physician
  • Kenosha, WI
National Provider Identifier
1700832797
Registry record updated Mar 13, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
24159 Issued in WI
Practice address
6308 8TH Avenue
Suite 2000
Kenosha, WI 53143
Phone
(262) 653-5300
Fax
(262) 653-5412
NPI assigned
May 25, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 13, 2008

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 24159 WI Primary

Addresses

Primary practice location

6308 8TH Avenue
Suite 2000
Kenosha, WI 53143

Mailing address

6308 8TH Avenue
Suite 2000
Kenosha, WI 53143
Phone (262) 653-5300

Other identifiers 1

IdentifierTypeStateIssuer
30420000MedicaidWI

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
I20101022001283 WI Practitioner - Internal Medicine 9436342383 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Ohio State University College of Medicine, 1976
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Froedtert South IncGroup PAC ID 9537071196, 158 clinicians
Advantage Physical Therapy and Sports Rehab, LLCGroup PAC ID 8022016336, shared by 3 NPIs, 289 clinicians

Practice addresses (Care Compare)

6308 8TH Ave
Kenosha, WI 53143-5031
Phone (262) 653-5300

7137 236TH Ave
Suite 101
Salem, WI 53168-8975
Phone (262) 925-5060

Hospital & facility affiliations

  • Horizon Home Care and Hospice Home health agency, Milwaukee, WI, CCN 527083
  • Centerwell Home Health Home health agency, West Allis, WI, CCN 527207
  • Hospice Alliance Hospice, Pleasant Prairie, WI, CCN 521502
  • Froedtert South Inc. Hospital, Kenosha, WI, CCN 520021
  • Brookside Care Center Nursing home, Kenosha, WI, CCN 525556

Merit-based Incentive Payment System (MIPS)

Final score
83.15 of 100Reported as group
Quality
69.39
Promoting interoperability
100
Improvement activities
40
Cost
74.44

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
24159WIMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Froedtert South, Inc. CurrentSince Aug 31, 1994 Accepting new patients
Froedtert South, Inc. Past Accepting new patients
Kenosha Pathology Consultants Past Accepting new patients
Illinois Bone and Joint Institute, LLC Past Accepting new patients

Locations

6308 8th Ave
Kenosha, WI 53143
Phone (262) 653-5300

6308 8th Ave
#2000
Kenosha, WI 53143
Phone (262) 653-5300

6308 8th Ave
Ste 2000
Kenosha, WI 53143
Phone (262) 653-5300

Interoperability endpoints

  • Direct secure messaging: wfriedl341672@direct.froedtert.com

Organizations & group practices 4

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.

Hospital & facility affiliations 5

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": "1148515200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1205366400000",
    "number": "1700832797",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6308 8TH AVENUE",
            "address_2": "SUITE 2000",
            "city": "KENOSHA",
            "state": "WI",
            "postal_code": "53143",
            "telephone_number": "262-653-5300",
            "fax_number": "262-653-5412"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6308 8TH AVENUE",
            "address_2": "SUITE 2000",
            "city": "KENOSHA",
            "state": "WI",
            "postal_code": "53143",
            "telephone_number": "262-653-5300",
            "fax_number": "262-653-5412"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRIEDL",
        "first_name": "WENDEL",
        "middle_name": "M",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-25",
        "last_updated": "2008-03-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "WI",
            "license": "24159",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "30420000",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Kenosha, WI

Sources for this page

Verify at the official NPI Registry.