KRISTEN VOLKMAN MD
NPI 1013920297
Pediatrics - Pediatric Allergy/Immunology in Kenosha, WI

NPI Status: Active since August 15, 2006

Contact Information

8500 75TH ST
SUITE 101
KENOSHA, WI
ZIP 53142
Phone: (262) 653-2260

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  • Individual
  • Female
  • Pediatrics
  • Pediatric Allergy/Immunology
  • PECOS Enrolled

About KRISTEN VOLKMAN

This page provides the complete NPI Profile along with additional information for Kristen Volkman, a pediatrician established in Kenosha, Wisconsin with a medical specialization in Pediatrics, focusing in pediatric allergy/immunology . The healthcare provider is registered in the NPI registry with number 1013920297 assigned on August 2006. The practitioner's primary taxonomy code is 2080P0201X with license number 45761 (WI). The provider is registered as an individual and her NPI record was last updated 13 years ago.

NPI
1013920297
Provider Name
KRISTEN VOLKMAN MD
Gender
Female
Entity Type
Individual
Location Address
8500 75TH ST SUITE 101 KENOSHA, WI 53142
Location Phone
(262) 653-2260
Mailing Address
8500 75TH ST SUITE 101 KENOSHA, WI 53142
Mailing Phone
(262) 653-2260
Is Sole Proprietor?
No
Enumeration Date
08-15-2006
Last Update Date
07-30-2013
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A pediatrician like Kristen Volkman is a physician who has completed a pediatric residency and is board-certified or board-eligible in a pediatric specialty. Pediatric care providers are trained to care for newborns, infants, children and adolescents. A pediatrician could perform physical exams, manage vaccinations, monitor development milestones, diagnose illnesses, infections, injuries or other health problems, etc.

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Pediatrics Pediatric Allergy/Immunology

Taxonomy Code
2080P0201X
Type
Allopathic & Osteopathic Physicians
License No.
45761
License State
WI
Taxonomy Description
A pediatrician who specializes in the diagnosis and treatment of allergies, allergic reactions, and immunologic diseases in children.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
1013920297MEDICAID (05)WI 
680860633MEDICARE PIN (08)WI 
391264986OTHER (01)WITAX ID
320640136MEDICARE PIN (08)WI 
736011704MEDICARE PIN (08)WI 

Medicare Participation & PECOS Enrollment Status

Kristen Volkman is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Durable Medical Equipment (DME) and Power Mobility Devices.

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Is the provider registered in PECOS? Yes

  • Eligible to Order or Refer Part B Clinical Laboratory and Imaging: No

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): No

  • Eligible to Order or Refer Power Mobility Devices: Yes

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1013920297, we treat the final digit (7) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 53. The final step is to find the difference between that total and the next multiple of ten (60 - 53 = 7).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
0
Unchanged
Pos 3
1
Doubled → 2
Pos 4
3
Unchanged
Pos 5
9
Doubled → 18 → 1 + 8
Pos 6
2
Unchanged
Pos 7
0
Doubled → 0
Pos 8
2
Unchanged
Pos 9
9
Doubled → 18 → 1 + 8
Check
7
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 1 → 2 9 → 18 → 9 0 → 0 9 → 18 → 9

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 0 + 2 + 3 + 1 + 8 + 2 + 0 + 2 + 1 + 8 + 24 = 53

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 53 is 60. The difference is the calculated check digit.

60 - 53 = 7
This NPI is valid
The calculated check digit is 7, which matches the last digit of 1013920297.

Other Providers at the Same Location


The following 4 providers are registered at the same or a nearby location.

Radiology (Diagnostic Radiology)
8500 75TH ST, SUITE 106
KENOSHA, WI 53142
Clinic/Center (Magnetic Resonance Imaging (MRI))
8500 75TH ST, SUITE 106
KENOSHA, WI 53142
Pediatrics
8500 75TH ST
KENOSHA, WI 53142
Technician/Technologist (Optician)
8500 75TH ST, SUITE 103
KENOSHA, WI 53142

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1013920297, enumerated as an "individual" on August 15, 2006.

The provider is located at 8500 75TH ST SUITE 101 KENOSHA, WI 53142 and the phone number is (262) 653-2260.

Pediatrics with taxonomy code 2080P0201X and a focus in Pediatric Allergy/Immunology.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.