ALI J KILIC MD
NPI 1053984864
Family Medicine in Kenosha, WI

Active since July 20, 2021PECOS EnrolledAccepts Medicare Assignment
1020 35TH ST, KENOSHA, WI 53140(262) 652-3500(262) 997-0113 Get Directions Write a Review

NPPES record last updated: August 28, 2024. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Aug 19, 2024, Aug 15, 2023, Jul 20, 2021 (3 updates tracked since 2021).

About Ali J Kilic Md NPPES

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

ALI J KILIC MD (NPI 1053984864) is an individual family medicine provider in Kenosha, Wisconsin, licensed in Wisconsin (81527-20) and active in the NPI registry since July 2021. He is enrolled in Medicare PECOS, is affiliated with Froedtert South Inc., and maintains a secondary practice location in Janesville.

NPPES Registry Identity

NPI1053984864
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameALI J KILICCredential: MD
Location Address1020 35TH STKenosha, WI 53140-1932
Mailing AddressPo Box 735044Chicago, IL 60673-5044 · (800) 326-2250
Fax(262) 997-0113
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateJuly 20, 2021
Last NPPES UpdateAugust 28, 20243 updates tracked since enumeration
NPPES CertifiedAugust 28, 2024
NPI 1053984864 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in WI · 81527-20
Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

1020 35TH ST, Kenosha, WI 53140

Secondary Practice Location 1

Location 1849 Kellogg AveJanesville, WI 53546-2808 · Phone (608) 755-7960 · Fax (608) 755-7873

Other Identifiers 1

Medicaid100238246WI

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Ali J Kilic Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID4789044454
PECOS Enrollment IDI20230713002438
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.

Areas of Expertise CMS Part B claims 6

Services this provider delivered to Medicare fee-for-service patients, from the 2024 & 2026 CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
75 services75 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
46 services43 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
31 services31 patients
Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
18 services18 patients
Influenza vaccine split virus, preservative free 90662
The Influenza Vaccine Split Virus, preservative-free, is a flu shot to protect against the influenza virus. It is made from parts of inactivated flu viruses and doesn't contain preservatives, reducing potential side effects. It helps your body develop immunity to the flu.
15 services15 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
11 services11 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Froedtert South Inc.

Acute Care Hospitals · Pleasant Prairie, WI
1/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number520021
Location9555 76th StPleasant Prairie, WI 53158 · Kenosha County
Emergency services

Aurora Medical Center Kenosha

Acute Care Hospitals · Kenosha, WI
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number520189
Location10400 75th StKenosha, WI 53142 · Kenosha County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 53140 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
$82.92 typical visit price
range $53.90 – $163.24
Typical copayment $20.73 (range $13.47 – $40.81)
Most-billed visit code 99203
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 14

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

Internal Medicine
1020 35TH ST
KENOSHA, WI 53140
Internal Medicine
1020 35TH ST
KENOSHA, WI 53140
Durable Medical Equipment & Medical Supplies
1020 35TH ST, STE 100
KENOSHA, WI 53140
Registered Nurse (Diabetes Educator)
1020 35TH ST
KENOSHA, WI 53140
Family Medicine
1020 35TH ST, SUITE 160
KENOSHA, WI 53140
Audiologist
1020 35TH ST
KENOSHA, WI 53140
Nurse Practitioner
1020 35TH ST
KENOSHA, WI 53140
Otolaryngology
1020 35TH ST
KENOSHA, WI 53140

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1053984864, enumerated as an "individual" on July 20, 2021.

The provider is located at 1020 35TH ST KENOSHA, WI 53140 and the phone number is (262) 652-3500.

Family Medicine with taxonomy code 207Q00000X.

The provider might be accepting Accepts: Anthem Blue Cross and Blue Shield, Aspirus Health. Please consult your insurance carrier or call the provider to verify.

Ali Kilic is affiliated with: FROEDTERT SOUTH INC. and AURORA MEDICAL CENTER KENOSHA.