Individual provider Active NPI

Katherine M Abbo, MD FACC

  • Cardiovascular Disease Physician
  • Kenosha, WI
National Provider Identifier
1962488965
Registry record updated Dec 7, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
37204 Issued in 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
Last updated
Dec 7, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 7, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 37204 WI Primary
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 2

IdentifierTypeStateIssuer
1962488965MedicaidWI
32177600MedicaidWI

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address kabbo235846@direct.myadvocateaurora.org Direct
FHIR URL https://EpicFHIR.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090819000318 WI Practitioner - Cardiovascular Disease (Cardiology) 0042364481 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
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.Group PAC ID 6709794258, 3,764 clinicians
Zenith Healthcare SCGroup PAC ID 3476774001, 13 clinicians

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

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
37204WIMDInterventional Cardiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Zenith Healthcare SC Cardiovascular Disease CurrentSince Jul 14, 2019 Accepting new patients
James M. Bury, MD, LTD. Current Accepting new patients
Aurora Medical Group, Inc. CurrentSince Sep 1, 2019 Accepting new patients
Fort Healthcare Inc CurrentSince Jun 19, 2023 Accepting new patients
Fort Healthcare Inc Current Accepting new patients
Aurora Medical Group, Inc. CurrentSince Sep 1, 2019 Accepting new patients
Fort Healthcare, Inc. CurrentSince Jun 19, 2023 Accepting new patients
Phoenixc Healthcare, SC CurrentSince Jul 14, 2019 Accepting new patients
Comprehensive Cardiovascular Care, LLP Cardiovascular Disease Past Accepting new patients
Kenosha Pathology Consultants Past Accepting new patients
Aurora Medical Group, Inc. 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

10400 75th St
Kenosha, WI 53142
Phone (262) 697-7000

10400 75th St
Ste 201
Kenosha, WI 53142
Phone (262) 948-6630

3203 80th St
Ste C
Kenosha, WI 53142

6121 Green Bay Rd
Ste 100
Kenosha, WI 53142
Phone (262) 945-7557

6121 Green Bay Rd
Ste 140
Kenosha, WI 53142

6121 Green Bay Rd
Ste 150
Kenosha, WI 53142
Phone (262) 553-6400

6308 8th Ave
Kenosha, WI 53143
Phone (262) 653-5300

6308 8th Ave
#3060
Kenosha, WI 53143

6308 8th Ave
Ste 3060
Kenosha, WI 53143
Phone (262) 656-2700

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

  • FHIR API: https://fhir-myrecord.cerner.com/r4/8F7ruIta-JA7ecm4ommy-Q50dF1FkFe4/
  • Direct secure messaging: kabbo235846@direct.myadvocateaurora.org
  • Direct secure messaging: kabbo339128@direct.froedtert.com
  • Direct secure messaging: katherine.abbo@direct.forthc.com

Organizations & group practices 11

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1135123200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1638835200000",
    "number": "1962488965",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6308 8TH AVE",
            "address_2": "STE 3060",
            "city": "KENOSHA",
            "state": "WI",
            "postal_code": "531435082",
            "telephone_number": "262-656-3650",
            "fax_number": "262-656-3671"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6308 8TH AVE",
            "address_2": "STE 3060",
            "city": "KENOSHA",
            "state": "WI",
            "postal_code": "531435082",
            "telephone_number": "262-656-3650",
            "fax_number": "262-656-3671"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ABBO",
        "first_name": "KATHERINE",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "MD FACC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-12-21",
        "last_updated": "2021-12-07",
        "certification_date": "2021-12-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "WI",
            "license": "37204",
            "primary": true
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "WI",
            "license": "37204",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1962488965",
            "state": "WI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "32177600",
            "state": "WI"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kabbo235846@direct.myadvocateaurora.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "6308 8th Ave",
            "address_2": "Ste 3060",
            "city": "Kenosha",
            "state": "WI",
            "country_code": "US",
            "postal_code": "531435082",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://EpicFHIR.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/",
            "affiliation": "N",
            "address_1": "6308 8th Ave",
            "address_2": "Ste 3060",
            "city": "Kenosha",
            "state": "WI",
            "country_code": "US",
            "postal_code": "531435082",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Kenosha, WI

Sources for this page

Verify at the official NPI Registry.