Individual provider Active NPI

Kenneth C Redlin, M.D.

  • Family Medicine Physician
  • Milwaukee, WI
National Provider Identifier
1720072291
Registry record updated Mar 19, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
26461 Issued in WI
Practice address
803 W Layton Ave
Milwaukee, WI 53221-2426
Phone
(262) 879-0477
Fax
(262) 404-1064
NPI assigned
Sep 9, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 19, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 26461 WI Primary

Addresses

Primary practice location

803 W Layton Ave
Milwaukee, WI 53221-2426

Mailing address

PO Box 275
Brookfield, WI 53008-0275
Phone (262) 879-0477

Other practice location 1

803 W Layton Ave
Milwaukee, WI 53221-2426
Phone (414) 939-4411

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
I20171221002717 WI Practitioner - Family Practice 0547173239 Reassigns benefits to 1 organization
Practice locations: Milwaukee, WI

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

803 W Layton Ave
Milwaukee, WI 53221-2426
Phone (262) 879-0477

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
26461WIMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Muslim Community and Health Center of Wisconsin Inc CurrentSince Nov 26, 2020 Accepting new patients
Comprehensive Podiatry Services CurrentSince Jun 20, 2022 Accepting new patients
Commonwealth Medical Group, LLC Family Medicine PastSince Nov 14, 2003 Accepting new patients

Locations

803 W Layton Ave
Milwaukee, WI 53221
Phone (414) 253-8330

Interoperability endpoints

  • Direct secure messaging: kredlin724217@direct.ochin.org

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1126224000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773878400000",
    "number": "1720072291",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 275",
            "city": "BROOKFIELD",
            "state": "WI",
            "postal_code": "530080275",
            "telephone_number": "262-879-0477",
            "fax_number": "262-404-1064"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "803 W LAYTON AVE",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532212426",
            "telephone_number": "262-879-0477",
            "fax_number": "262-404-1064"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "803 W Layton Ave",
            "address_purpose": "LOCATION",
            "city": "Milwaukee",
            "state": "WI",
            "postal_code": "532212426",
            "country_code": "US",
            "telephone_number": "414-939-4411",
            "fax_number": "414-939-4466",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "REDLIN",
        "first_name": "KENNETH",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-09-09",
        "last_updated": "2026-03-19",
        "certification_date": "2026-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WI",
            "license": "26461",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Milwaukee, WI

Sources for this page

Verify at the official NPI Registry.