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NATHAN KUTTICKAT DO
NPI 1053008060
Internal Medicine in Milwaukee, WI

Active since April 19, 2023PECOS Enrolled
945 N 12TH ST, MILWAUKEE, WI 53233(414) 219-7136(414) 219-6264 Get Directions Write a Review

NPPES record last updated: July 19, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Nathan Kuttickat Do NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

NATHAN KUTTICKAT DO (NPI 1053008060) is an individual internal medicine provider in Milwaukee, Wisconsin, licensed in Wisconsin (81961-21) and active in the NPI registry since April 2023. He is enrolled in Medicare PECOS and is a graduate of Other (2023).

NPPES Registry Identity

NPI1053008060
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameNATHAN KUTTICKATCredential: DO
Location Address945 N 12TH STMilwaukee, WI 53233-1305
Mailing Address519 E Cedar LnMequon, WI 53092-6104 · (920) 889-0912
Phone(414) 219-7136
Fax(414) 219-6264
Sole ProprietorNo
Medical School CMSOtherGraduated 2023
Enumeration DateApril 19, 2023
Last NPPES UpdateJuly 19, 2025
NPPES CertifiedJuly 19, 2025
✔ NPI 1053008060 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in WI · 81961-21
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
945 N 12TH ST, Milwaukee, WI 53233
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource (Common Ground Healthcare).Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Nathan Kuttickat Do is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID3870090418
PECOS Enrollment IDI20260728004896
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Nathan Kuttickat reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Apogee Medical Group, Wisconsin, S.C.
101 mi
Internal Medicine
744 S WEBSTER AVE
Green Bay, WI 54301
  • Reassigned Medicare billing, Wisconsin enrollment
  • Medicare enrollment name: Apogee Medical Group Wisconsin Sc
  • 112 clinicians in this Medicare group
NPI 1629415591 (920) 433-7970

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 53233 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$123.69 typical visit price
range $53.90 – $163.24
Typical copayment $30.92 (range $13.47 – $40.81)
Most-billed visit code 99204
Established Patient
$95.41 typical visit price
range $17.40 – $133.76
Typical copayment $23.85 (range $4.35 – $33.44)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

RICHARD COMPTON KURTZ II MD
Family Medicine
945 N 12TH ST
MILWAUKEE, WI 53233
Milwaukee County (414) 219-0000
MS. ANN M YOCKEY APNP
Nurse Practitioner
945 N 12TH ST
MILWAUKEE, WI 53233
Milwaukee County (414) 219-5800
DR. ALINA M WINANS MD
Emergency Medicine
945 N 12TH ST
MILWAUKEE, WI 53233
Milwaukee County (414) 219-2000
MS. MORANDA MARIA MEDINA-LOPEZ RN
Registered Nurse
945 N 12TH ST
MILWAUKEE, WI 53233
Milwaukee County (414) 219-2000
XENAYSHMA ZHAYLEENE GNAS-PACHECO
Registered Nurse (Registered Nurse First Assistant)
945 N 12TH ST
MILWAUKEE, WI 53233
Milwaukee County (414) 000-0000
PROGRESSIVE COMMUNITY HEALTH CENTERS, INC.
Clinic/Center (Federally Qualified Health Center (FQHC))
945 N 12TH ST, URGENT CARE
MILWAUKEE, WI 53233
Milwaukee County (414) 935-8000
JOSEPH SHAOUL
Anesthesiologist Assistant
945 N 12TH ST
MILWAUKEE, WI 53233
Milwaukee County (414) 219-2000
MICHELE DUDA
Nurse Practitioner
945 N 12TH ST
MILWAUKEE, WI 53233
Milwaukee County (414) 219-7021

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Nathan Kuttickat's NPI number?

The NPI number for Nathan Kuttickat is 1053008060. It was assigned to this individual provider in the NPPES registry on April 19, 2023.

Where is Nathan Kuttickat located?

Nathan Kuttickat practices at 945 N 12th St, Milwaukee, WI 53233. The listed phone number is (414) 219-7136.

What is Nathan Kuttickat's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Nathan Kuttickat enrolled in Medicare?

Yes. Nathan Kuttickat is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Nathan Kuttickat's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Nathan Kuttickat reassigns Medicare benefits to Apogee Medical Group, Wisconsin, S.C. (Green Bay, WI). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Nathan Kuttickat's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Nathan Kuttickat accept?

Health plans from CareSource (Common Ground Healthcare) list Nathan Kuttickat as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Nathan Kuttickat was last updated on July 19, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.