David B Kornreich, DO

Primary specialty

Orthopaedic Surgery PhysicianTaxonomy code 207X00000X

License

41979 Issued in WI

Practice address

2500 N Mayfair Rd
Ste 500
Wauwatosa, WI 53226-1409

Phone

(414) 257-2525

Fax

(414) 257-1772

NPI assigned

Sep 12, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Orthopedic Surgery

Education

Midwestern University, Chicago College of Osteopathic Med, 1995

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Wisconsin Bone and Joint S CGroup PAC ID 9234107749, 21 clinicians

Wisconsin Health FundGroup PAC ID 3072401298, 27 clinicians

Columbia St Marys Hospital Milwaukee IncGroup PAC ID 5890604722, 311 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Orthopaedic Hospital of Wisconsin Hospital, Glendale, WI, CCN 520194
• Ascension SE Wisconsin Hospital Hospital, Milwaukee, WI, CCN 520136
• Ascension Columbia St Marys Hospital Milwaukee Hospital, Milwaukee, WI, CCN 520051

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

• Orthopaedic Hospital of Wisconsin, LLC

  • General Acute Care Hospital
  • Glendale, WI
  • NPI 1669584983

  Corporate Director

  CMS ownership

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.

• Columbia St. Mary'S Hospital Milwaukee, Inc

  • Multi-Specialty Clinic/Center
  • Milwaukee, WI
  • NPI 1023064482
  Medicare reassignment Care Compare group NPD
• Wisconsin Bone & Joint S C

  • Orthopaedic Surgery Physician
  • Wauwatosa, WI
  • NPI 1831102540
  Medicare reassignment Care Compare group NPD
• Wisconsin Health Fund

  • Multi-Specialty Clinic/Center
  • Milwaukee, WI
  • NPI 1497768659
  Medicare reassignment Care Compare group NPD
• Columbia St. Mary'S Hospital Milwaukee Inc

  • Psychiatric Hospital Unit
  • Mequon, WI
  • NPI 1417600909
  NPD
• Columbia St. Mary'S Hospital Milwaukee, Inc

  • Psychiatric Hospital Unit
  • Milwaukee, WI
  • NPI 1811926132
  NPD
• Wisconsin Bone & Joint S C

  • Orthopaedic Surgery Physician
  • Glendale, WI
  • NPI 1760013890
  NPD
• Columbia St. Mary'S Hospital Milwaukee, Inc

  • Multi-Specialty Clinic/Center
  • Mequon, WI
  • NPI 1710928221
  NPD (past)
• Wisconsin Health Fund

  • Dental Clinic/Center
  • Milwaukee, WI
  • NPI 1598951246
  NPD (past)

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
• Columbia St. Mary'S Hospital Milwaukee, Inc.

  • General Acute Care Hospital
  • Milwaukee, WI
  • NPI 1871656082
  Care Compare affiliation
• Orthopaedic Hospital of Wisconsin, LLC

  • General Acute Care Hospital
  • Glendale, WI
  • NPI 1669584983
  Care Compare affiliation

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

{
    "created_epoch": "1126483200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1202688000000",
    "number": "1851386346",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2500 N MAYFAIR RD",
            "address_2": "STE 500",
            "city": "WAUWATOSA",
            "state": "WI",
            "postal_code": "532261409",
            "telephone_number": "414-257-2525",
            "fax_number": "414-257-1772"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2500 N MAYFAIR RD",
            "address_2": "STE 500",
            "city": "WAUWATOSA",
            "state": "WI",
            "postal_code": "532261409",
            "telephone_number": "414-257-2525",
            "fax_number": "414-257-1772"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KORNREICH",
        "first_name": "DAVID",
        "middle_name": "B",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-12",
        "last_updated": "2008-02-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "WI",
            "license": "41979",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "30095900",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Annaliese Marie Koller Shumate, D.O.
• Mikaela J Koller
• Meghan Konda, MD
• Alexis Kopecky
• Hannah Koraly, LAT, ATC
• Eric Kortbein, P.A.-C
• Inna Kotlyarenko, DDS
• Michelle Kozeniecki, MS, RD, CD, CNSC
• Jeanne Olinda Kozlovsky, APCSW
• Lorelle Lynn Kramer, M.D.

• Orthopaedic Surgery Physician in Wauwatosa, WI
• Providers in Wauwatosa, WI by specialty
• Orthopaedic Surgery Physician in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; 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.