Individual provider Active NPI

Anna Kostelanetz, MD

  • Pediatrics Physician
  • Milwaukee, WI
National Provider Identifier
1851366611
Registry record updated May 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
47900-20 Issued in WI
Practice address
6100 W State St Apt 432
Milwaukee, WI 53213-2995
Phone
(414) 447-7330
NPI assigned
Feb 22, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 23, 2025

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Neonatal-Perinatal Medicine Physician 2080N0001X 47900-20 WI
Pediatrics Physician 208000000X 47900-20 WI Primary
Pediatrics Physician 208000000X 47900-020 WI
Specialist 174400000X 47900-020 WI

Addresses

Primary practice location

6100 W State St Apt 432
Milwaukee, WI 53213-2995

Mailing address

3070 N 51St St
Suite P309
Milwaukee, WI 53210-1645

Other identifiers 1

IdentifierTypeStateIssuer
34651100MedicaidWI

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address akoste@hotmail.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
47900-020WIMDSpecialist
47900-20WIMDNeonatal-Perinatal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Anna Kostelanetz, MD SC Neonatal-Perinatal Medicine Current Accepting new patients
Newborn Care Physicians of Southeastern Wisconsin, LLP Pediatrics PastSince May 11, 2025 Accepting new patients

Locations

3070 N 51st St
Ste P309
Milwaukee, WI 53210
Phone (414) 447-2674

Organizations & group practices 2

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": "1140566400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747958400000",
    "number": "1851366611",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3070 N 51ST ST",
            "address_2": "SUITE P309",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532101645"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6100 W STATE ST APT 432",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532132995",
            "telephone_number": "414-447-7330"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOSTELANETZ",
        "first_name": "ANNA",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-02-22",
        "last_updated": "2025-05-23",
        "certification_date": "2025-05-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2080N0001X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Neonatal-Perinatal Medicine",
            "state": "WI",
            "license": "47900-20",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "WI",
            "license": "47900-20",
            "primary": true
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "WI",
            "license": "47900-020",
            "primary": false
        },
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "WI",
            "license": "47900-020",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "34651100",
            "state": "WI"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "akoste@hotmail.com",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "6100 W State St Apt 432",
            "city": "Milwaukee",
            "state": "WI",
            "country_code": "US",
            "postal_code": "532132995",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "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 May 23, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.