Ksenija Modric Jednacak, M.D.

Primary specialty

Anesthesiology PhysicianTaxonomy code 207L00000X

License

47908-020 Issued in WI

Practice address

6726 Cedar St
Wauwatosa, WI 53213-3254

Phone

(414) 774-4074

Fax

(414) 774-0471

NPI assigned

Nov 12, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Dr. Ksenija Modric Former name

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

Specialty

Anesthesiology

Education

Other, 1992

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Vituity-Wisconsin Anesthesia SCGroup PAC ID 2163968819, 144 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Ascension Columbia St Marys Hospital Milwaukee Hospital, Milwaukee, WI, CCN 520051
• Ascension SE Wisconsin Hospital Hospital, Milwaukee, WI, CCN 520136
• Ascension St Francis Hospital Hospital, Milwaukee, WI, CCN 520078

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.

• Vituity-Wisconsin Anesthesia SC

  • Anesthesiology Physician
  • Pleasant Prairie, WI
  • NPI 1821831975
  Medicare reassignment Care Compare group NPD
• Columbia St. Mary'S Hospital Milwaukee, Inc.

  • Anesthesiology Physician
  • Glendale, WI
  • NPI 1073832218
  Medicare reassignment NPD
• Green Bay Anesthesia Assoc. SC

  • Anesthesiology Physician
  • Green Bay, WI
  • NPI 1023065836
  Medicare reassignment NPD
• Ascension Medical Group-Southeast Wisconsin Inc

  • Internal Medicine Physician
  • Glendale, WI
  • NPI 1609881077
  Medicare reassignment
• Columbia St. Mary'S Hospital Milwaukee Inc

  • Psychiatric Hospital Unit
  • Mequon, WI
  • NPI 1417600909
  NPD
• CSM Community Physician

  • Medical Specialty Clinic/Center
  • Mequon, WI
  • NPI 1518271956
  NPD
• Vituity-Wisconsin Anesthesia SC

  • Anesthesiology Physician
  • Brookfield, WI
  • NPI 1558195719
  NPD
• Vituity-Wisconsin Anesthesia SC

  • Anesthesiology Physician
  • Milwaukee, WI
  • NPI 1801620067
  NPD

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

• Ascension SE Wisconsin Hospital, Inc

  • General Acute Care Hospital
  • Milwaukee, WI
  • NPI 1427007384
  Care Compare affiliation
• Ascension SE Wisconsin Hospital, Inc

  • Rehabilitation Hospital Unit
  • Brookfield, WI
  • NPI 1861417362
  Care Compare affiliation
• Ascension St Francis Hospital, Inc

  • General Acute Care Hospital
  • Milwaukee, WI
  • NPI 1225087190
  Care Compare affiliation
• Columbia St. Mary'S Hospital Milwaukee, Inc.

  • General Acute Care Hospital
  • Milwaukee, WI
  • NPI 1871656082
  Care Compare affiliation

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

{
    "created_epoch": "1163289600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1391644800000",
    "number": "1750452801",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6726 CEDAR ST",
            "city": "WAUWATOSA",
            "state": "WI",
            "postal_code": "532133254",
            "telephone_number": "414-774-4074",
            "fax_number": "414-774-0471"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6726 CEDAR ST",
            "city": "WAUWATOSA",
            "state": "WI",
            "postal_code": "532133254",
            "telephone_number": "414-774-4074",
            "fax_number": "414-774-0471"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MODRIC JEDNACAK",
        "first_name": "KSENIJA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-12",
        "last_updated": "2014-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "WI",
            "license": "47908-020",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KSENIJA",
            "last_name": "MODRIC",
            "prefix": "DR.",
            "credential": "M.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Dayveon Minerick, PHARM D
• Ayako Mizuno, DAOM, LAC
• Jacqueline S Mlsna, MD
• Elizabeth Moberg-Wolff, MD
• Katherine Mocek
• Katara M Moffett
• Alyssa Mohorek
• Kathryn A Mohrman, MS
• Matthew Mokrohisky, MD
• Daniel Molinaro, DO

• Anesthesiology Physician in Wauwatosa, WI
• Providers in Wauwatosa, WI by specialty
• Anesthesiology Physician in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2014; 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.