Katherine M Abbo, MD FACC
Individual provider Active NPI Cardiovascular Disease Physician · Kenosha, WI
NPI 1962488965 · NPPES record last updated Dec 7, 2021
Key facts
- NPI
- 1962488965
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Cardiovascular Disease Physician 207RC0000X
- License
- 37204 (WI)
- Practice address
- 6308 8TH Ave
Ste 3060
Kenosha, WI 53143-5082 - Phone
- (262) 656-3650
- Fax
- (262) 656-3671
- NPI assigned
- Dec 21, 2005
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 11
Hospital & facility affiliations 6
Medicare Care Compare profile
- Specialty
- Cardiovascular Disease (Cardiology)
- Education
- University of Nebraska College of Medicine, 1987
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Aurora Medical Group, Inc.
Zenith Healthcare SC
Practice addresses (Care Compare)
10400 75TH St
Kenosha, WI 53142-7884
Phone (262) 948-7000
2801 W Kinnickinnic River Pkwy
Suite 446
Milwaukee, WI 53215-3695
Phone (262) 359-1652
Hospital & facility affiliations
- Aurora Lakeland Medical Center
- Aurora Medical Center Kenosha
- Aurora Memorial Hospital Burlington
- Froedtert South Inc.
- Aurora St Lukes Medical Center
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in WI
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20090819000318 | WI | Practitioner - Cardiovascular Disease (Cardiology) | 0042364481 | Reassigns benefits to 3 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 37204 | WI | MD | Interventional Cardiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Aurora Medical Group, Inc. | Current |
Accepting new patients | |
| Zenith Healthcare SC | Cardiovascular Disease | Current |
Accepting new patients |
| Fort Healthcare, Inc. | Current |
Accepting new patients | |
| Fort Healthcare Inc | Current | Accepting new patients | |
| James M. Bury, MD, LTD. | Current | Accepting new patients | |
| Fort Healthcare Inc | Current |
Accepting new patients | |
| Aurora Medical Group, Inc. | Current |
Accepting new patients | |
| Phoenixc Healthcare, SC | Current |
Accepting new patients | |
| Comprehensive Cardiovascular Care, LLP | Cardiovascular Disease | Past | Accepting new patients |
| Aurora Medical Group, Inc. | Past | Accepting new patients | |
| Kenosha Pathology Consultants | Past | Accepting new patients |
Locations
28063 Network Pl
Chicago, IL 60673
W3985 Highway NN
Elkhorn, WI 53121
Phone (262) 741-2000
500 McMillen St
Fort Atkinson, WI 53538
Phone (920) 563-5571
611 Sherman Ave E
Fort Atkinson, WI 53538
Phone (920) 563-6667
6308 8th Ave
#3060
Kenosha, WI 53143
10400 75th St
Kenosha, WI 53142
Phone (262) 697-7000
6121 Green Bay Rd
Ste 140
Kenosha, WI 53142
10400 75th St
Ste 201
Kenosha, WI 53142
Phone (262) 948-6630
6121 Green Bay Rd
Ste 150
Kenosha, WI 53142
Phone (262) 553-6400
6308 8th Ave
Ste 3060
Kenosha, WI 53143
Phone (262) 656-2700
6121 Green Bay Rd
Ste 100
Kenosha, WI 53142
Phone (262) 945-7557
3203 80th St
Ste C
Kenosha, WI 53142
6308 8th Ave
Kenosha, WI 53143
Phone (262) 653-5300
1020 N 12th St
Milwaukee, WI 53233
Phone (414) 219-3056
2801 W Kinnickinnic River Pkwy
Ste 446
Milwaukee, WI 53215
8400 Washington Ave
Ste 304
Mount Pleasant, WI 53406
Phone (262) 321-3065
9555 76th St
Pleasant Prairie, WI 53158
Phone (262) 577-8000
7137 236th Ave
Salem, WI 53168
Phone (262) 800-4672
Interoperability endpoints
- https://fhir-myrecord.cerner.com/r4/8F7ruIta-JA7ecm4ommy-Q50dF1FkFe4/
- katherine.abbo@direct.forthc.com
- kabbo339128@direct.froedtert.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Cardiovascular Disease Physician | 207RC0000X | 37204 | WI | Yes |
| Interventional Cardiology Physician | 207RI0011X | 37204 | WI |
Addresses
Primary practice location
6308 8TH Ave
Ste 3060
Kenosha, WI 53143-5082
Mailing address
6308 8TH Ave
Ste 3060
Kenosha, WI 53143-5082
Phone (262) 656-3650
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 32177600 | Medicaid | WI | |
| 1962488965 | Medicaid | WI |
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | kabbo235846@direct.myadvocateaurora.org | Direct | |
| FHIR URL | https://EpicFHIR.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/ |
Other providers in Kenosha, WI
- A Plus Podiatry & Sports Medicine LLC
- A-N-T Enterprises, LLC
- Aalto Enhancement Center, S.C.
- Kathryn Ann Aalto
- Komail Abbas
- Omar Abdelmegid
- Abdul G. Durrani MD SC
- Sheryn Abraham
- Absolute Chiropractic & Wellness LLC
- Jeanine M Achtel
All providers in Kenosha, WI · Cardiovascular Disease Physician in Wisconsin
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 7, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.