KARLO KOVACIC
NPI 1134548555
Pediatrics - Pediatric Gastroenterology in Milwaukee, WI

Q: What is Karlo Kovacic's NPI number?

The NPI number for Karlo Kovacic is 1134548555. It was assigned to this individual provider in the NPPES registry on April 14, 2014.

Q: What is Karlo Kovacic's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Gastroenterology, with taxonomy code 2080P0206X.

Q: When was this NPI record last updated?

The NPPES record for Karlo Kovacic was last updated on May 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.

Active since April 14, 2014PECOS Enrolled

9000 W WISCONSIN AVE, MILWAUKEE, WI 53226(414) 266-3690(414) 266-3676 Get Directions Write a Review

NPPES record last updated: May 22, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Karlo Kovacic NPPES

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

KARLO KOVACIC (NPI 1134548555) is an individual pediatric gastroenterology provider in Milwaukee, Wisconsin, licensed in Wisconsin (65205) and active in the NPI registry since April 2014. He is enrolled in Medicare PECOS and maintains a secondary practice location in Milwaukee.

NPPES Registry Identity

NPI1134548555

Entity TypeIndividualMale

Primary Taxonomy2080P0206X

Provider Legal NameKARLO KOVACIC

Location Address9000 W WISCONSIN AVEMilwaukee, WI 53226-4874

Mailing Address9000 W Wisconsin AveMilwaukee, WI 53226-4874 · (414) 266-3690 · Fax (414) 266-3676

Phone(414) 266-3690

Fax(414) 266-3676

Sole ProprietorNo

Enumeration DateApril 14, 2014

Last NPPES UpdateMay 22, 2020

NPPES CertifiedMay 22, 2020

✔ NPI 1134548555 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatrics · Pediatric GastroenterologyAllopathic & Osteopathic Physicians

Taxonomy Code2080P0206X

License✔ Licensed in WI · 65205

Definition

A pediatrician who specializes in the diagnosis and treatment of diseases of the digestive systems of infants, children and adolescents. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using lighted scopes to see internal organs.

9000 W WISCONSIN AVE, Milwaukee, WI 53226

Open in Google Maps ↗

Secondary Practice Location 1

Location 1999 N 92nd St, Ste 730Milwaukee, WI 53226-4875 · Phone (414) 266-6810

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Aspirus Health Plan, CareSource (Common Ground Healthcare) and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Karlo Kovacic is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 53226 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.

MS. LESLIE L. TALBERT NP

Nurse Practitioner (Pediatrics)

9000 W WISCONSIN AVE, PEDIATRIC CRITICAL CARE
MILWAUKEE, WI 53226

Milwaukee County (414) 266-3360

SARAH MARIE RUMLER DO

Pediatrics (Pediatric Hematology-Oncology)