MR. ELEAZAR M KADILE MD
NPI 1083812887
General Practice in Green Bay, WI

Active since July 03, 2007Opted out of Medicare · through Jan 1, 2027
1538 BELLEVUE STREET, GREEN BAY, WI 54311(920) 468-9442(920) 468-9714 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mr. Eleazar M Kadile Md NPPES

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

MR. ELEAZAR M KADILE MD (NPI 1083812887) is an individual general practice provider in Green Bay, Wisconsin, licensed in Wisconsin (20408) and active in the NPI registry since July 2007. He has opted out of Medicare through January 1, 2027 and remains eligible to order and refer.

NPPES Registry Identity

NPI1083812887
Entity TypeIndividualMale
Primary Taxonomy208D00000X
Provider Legal NameMR. ELEAZAR M KADILECredential: MD
Location Address1538 BELLEVUE STREETGreen Bay, WI 54311
Mailing Address1538 Bellevue StreetGreen Bay, WI 54311 · (920) 468-9442 · Fax (920) 468-9714
Fax(920) 468-9714
Sole ProprietorNo
Enumeration DateJuly 3, 2007
Last NPPES UpdateJuly 8, 2007
NPI 1083812887 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
License Licensed in WI · 20408
Definition
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
1538 BELLEVUE STREET, Green Bay, WI 54311

Other Identifiers 1

Medicare UPIN853960

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Opted out of Medicare

Mr. Eleazar M Kadile Md has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from January 1, 1999 through January 1, 2027.

Opt-Out Effective DateJanuary 1, 1999
Opt-Out In Effect ThroughJanuary 1, 2027Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

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 Eleazar Kadile's NPI number?

The NPI number for Eleazar Kadile is 1083812887. It was assigned to this individual provider in the NPPES registry on July 3, 2007.

Where is Eleazar Kadile located?

Eleazar Kadile practices at 1538 Bellevue Street, Green Bay, WI 54311. The listed phone number is (920) 468-9442.

What is Eleazar Kadile's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Is Eleazar Kadile enrolled in Medicare?

No. Eleazar Kadile has opted out of Medicare through January 1, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for Eleazar Kadile was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years 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.