Active NPI
Kumari S Chintamaneni, MD
- Internal Medicine Physician
- Milwaukee, WI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 28498
- Practice address
- 3267 So 16TH St
Suite 103
Milwaukee, WI 53215-4500 - Phone
- (414) 671-1449
- Fax
- (414) 671-0161
- NPI assigned
- Apr 19, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 28498 | WI | Primary |
Addresses
Primary practice location
3267 So 16TH St
Suite 103
Milwaukee, WI 53215-4500
Mailing address
3267 So 16TH St
Suite 103
Milwaukee, WI 53215-4500
Phone (414) 671-1449
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 31560200 | Medicaid | WI |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Other, 1978
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3267 S 16TH St
Suite 200
Milwaukee, WI 53215-4500
Phone (414) 647-5069
Hospital & facility affiliations
- Ascension at Home
- Ascension St Francis Hospital
- Ascension SE Wisconsin Hospital
- Ascension Columbia St Marys Hospital Milwaukee
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 28498 | WI | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ascension Medical Group-Southeast Wisconsin Inc | Internal Medicine | Current | Accepting new patients |
Locations
13950 W Capitol Dr
Brookfield, WI 53005
Phone (414) 302-5400
3267 S 16th St
Ste 103
Milwaukee, WI 53215
Phone (414) 671-1449
3267 S 16th St
Ste 200
Milwaukee, WI 53215
Phone (414) 389-3111
201 N Mayfair Rd
Fl 2
Wauwatosa, WI 53226
Phone (414) 771-8228
Organizations & group practices 1
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.
-
- Internal Medicine Physician
- Glendale, WI
- NPI 1609881077
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Milwaukee, WI
- NPI 1427007384
-
- Rehabilitation Hospital Unit
- Brookfield, WI
- NPI 1861417362
-
- General Acute Care Hospital
- Milwaukee, WI
- NPI 1225087190
-
- General Acute Care Hospital
- Milwaukee, WI
- NPI 1871656082
-
- Home Health Agency
- Milwaukee, WI
- NPI 1003820861
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1145404800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1312156800000",
"number": "1790740850",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3267 SO 16TH ST",
"address_2": "SUITE 103",
"city": "MILWAUKEE",
"state": "WI",
"postal_code": "532154500",
"telephone_number": "414-671-1449",
"fax_number": "414-671-0161"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3267 SO 16TH ST",
"address_2": "SUITE 103",
"city": "MILWAUKEE",
"state": "WI",
"postal_code": "532154500",
"telephone_number": "414-671-1449",
"fax_number": "414-671-0161"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHINTAMANENI",
"first_name": "KUMARI",
"middle_name": "S",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-04-19",
"last_updated": "2011-08-01",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "WI",
"license": "28498",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "31560200",
"state": "WI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Milwaukee, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2011; 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.