Individual provider Active NPI

Denise Kohl, DO

  • Family Medicine Physician
  • Milwaukee, WI
National Provider Identifier
1972986511
Registry record updated Apr 22, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
74781 Issued in WI
Practice address
2400 W Villard Ave
Milwaukee, WI 53209-4901
Phone
(414) 527-8348
Fax
(414) 527-8046
NPI assigned
Jul 1, 2015
Last updated
Apr 22, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 22, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 74781 WI Primary

Addresses

Primary practice location

2400 W Villard Ave
Milwaukee, WI 53209-4901

Mailing address

2400 W Villard Ave
Milwaukee, WI 53209-4901
Phone (414) 527-8348

Other practice location 1

1215 East Michigan Ave.
Sparrow Health Systems
Lansing, MI 48909
Phone (517) 364-2583

Other identifiers 1

IdentifierTypeStateIssuer
1972986511MedicaidWI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, WI2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20190824000450 PA Practitioner - Internal Medicine 9032447347 Reassigns benefits to 1 organization
I20210420000979 WI Practitioner - Family Practice 9032447347 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

220 W Capitol Dr
Milwaukee, WI 53212-1185
Phone (414) 727-6320

7208 N 76TH St
Milwaukee, WI 53223-4502
Phone (414) 454-4800

W168N11237 Western Ave
Germantown, WI 53022-3239
Phone (262) 253-5060

Merit-based Incentive Payment System (MIPS)

Final score
87.99 of 100Reported as group
Quality
82.81
Promoting interoperability
100
Improvement activities
40
Cost
77.15

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
74781WIMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Outreach Community Health Centers, Inc. CurrentSince Jun 9, 2024 Accepting new patients
University of Pittsburgh Physicians CurrentSince Aug 1, 2019 Accepting new patients
Froedtert &the Medical College of Wisconsin Community Physicians, Inc. CurrentSince Nov 15, 2024 Accepting new patients
University of Pittsburgh Physicians CurrentSince Aug 1, 2019 Accepting new patients
The Medical College of Wisconsin, Inc. Emergency Medicine CurrentSince Apr 1, 2021 Accepting new patients
Outreach Community Health Centers, Inc CurrentSince Jun 9, 2024 Accepting new patients
University of Pittsburgh Physicians Current Accepting new patients
Froedtert &the Medical College of Wisconsin Community Physicians, Inc. CurrentSince Nov 15, 2024 Accepting new patients

Locations

200 Lothrop St
Pittsburgh, PA 15213
Phone (412) 647-3553

249 S 9th St
Pittsburgh, PA 15203
Phone (412) 246-3260

2 Hot Metal St
#One
Pittsburgh, PA 15203
Phone (412) 432-5864

W168N11237 Western Ave
Germantown, WI 53022
Phone (262) 253-5060

220 W Capitol Dr
Glendale, WI 53212
Phone (414) 964-9018

2400 W Villard Ave
Glendale, WI 53209
Phone (414) 527-8000

N74W12501 Leatherwood Ct
Menomonee Falls, WI 53051
Phone (414) 454-4744

1155 N Mayfair Rd
Wauwatosa, WI 53226
Phone (414) 955-5990

8701 Watertown Plank Rd
Wauwatosa, WI 53226
Phone (414) 456-4100

Interoperability endpoints

  • Direct secure messaging: dkohl846779@direct.froedtert.com

Organizations & group practices 8

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.

NPI Registry JSON

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

{
    "created_epoch": "1435708800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1619049600000",
    "number": "1972986511",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2400 W VILLARD AVE",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532094901",
            "telephone_number": "414-527-8348",
            "fax_number": "414-527-8046"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2400 W VILLARD AVE",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532094901",
            "telephone_number": "414-527-8348",
            "fax_number": "414-527-8046"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1215 East Michigan Ave.",
            "address_2": "Sparrow Health Systems",
            "address_purpose": "LOCATION",
            "city": "Lansing",
            "state": "MI",
            "postal_code": "48909",
            "country_code": "US",
            "telephone_number": "517-364-2583",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KOHL",
        "first_name": "DENISE",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-07-01",
        "last_updated": "2021-04-22",
        "certification_date": "2021-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WI",
            "license": "74781",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1972986511",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Milwaukee, WI

Sources for this page

Verify at the official NPI Registry.