Individual provider Active NPI

Malorie Konkol, DC

  • Chiropractor
  • Madison, WI
National Provider Identifier
1942079991
Registry record updated Apr 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
6146-12 Issued in WI
Practice address
5609 Medical Cir Ste 2
Madison, WI 53719-1228
Phone
(608) 467-8282
Fax
(608) 467-8276
NPI assigned
Jan 1, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 9, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 6146-12 WI Primary

Addresses

Primary practice location

5609 Medical Cir Ste 2
Madison, WI 53719-1228

Mailing address

105 Clarmar Dr
Sun Prairie, WI 53590-2675
Phone (608) 318-5929

Other practice location 1

6704 University Ave
Middleton, WI 53562-2764
Phone (608) 836-4542

Other identifiers 1

IdentifierTypeStateIssuer
100266976MedicaidWI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240131003859 WI Practitioner - Chiropractic 7012360597 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Northwestern College of Chiropractic, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Luedtke-Storm-Mackey Chiropractic Clinic, SCGroup PAC ID 6204737240, 33 clinicians

Practice addresses (Care Compare)

5609 Medical Cir
Suite 2
Madison, WI 53719-1228
Phone (608) 467-8282

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6146-12WIMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Luedtke-Storm-Mackey Chiropractic Clinic SC Chiropractor CurrentSince Jan 2, 2024 Accepting new patients

Locations

2702 Monroe St
Madison, WI 53711
Phone (608) 231-3370

5609 Medical Cir
Ste 2
Madison, WI 53719
Phone (608) 467-8282

6704 University Ave
Middleton, WI 53562
Phone (608) 291-0614

105 Clarmar Dr
Sun Prairie, WI 53590
Phone (608) 316-6972

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.

NPI Registry JSON

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

{
    "created_epoch": "1704067200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1775692800000",
    "number": "1942079991",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 CLARMAR DR",
            "city": "SUN PRAIRIE",
            "state": "WI",
            "postal_code": "535902675",
            "telephone_number": "608-318-5929",
            "fax_number": "608-318-5922"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5609 MEDICAL CIR STE 2",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537191228",
            "telephone_number": "608-467-8282",
            "fax_number": "608-467-8276"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6704 University Ave",
            "address_purpose": "LOCATION",
            "city": "Middleton",
            "state": "WI",
            "postal_code": "535622764",
            "country_code": "US",
            "telephone_number": "608-836-4542",
            "fax_number": "608-836-9672",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KONKOL",
        "first_name": "MALORIE",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-01-01",
        "last_updated": "2026-04-09",
        "certification_date": "2026-04-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WI",
            "license": "6146-12",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100266976",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Madison, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.