REYHAN DEMIRCIOGLU MD
NPI 1215085857
Internal Medicine in Waukesha, WI

Active since January 08, 2007PECOS EnrolledAccepts Medicare Assignment
2130 BIG BEND RD, PROHEALTH CARE MEDICAL ASSOCIATES INC., WAUKESHA, WI 53189(262) 928-7555(262) 928-7575 Get Directions Write a Review

NPPES record last updated: September 12, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Reyhan Demircioglu Md NPPES

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

REYHAN DEMIRCIOGLU MD (NPI 1215085857) is an individual internal medicine provider in Waukesha, Wisconsin, licensed in Wisconsin (44518-020) and active in the NPI registry since January 2007. She is enrolled in Medicare PECOS, is affiliated with Waukesha Memorial Hospital, and is a graduate of Other (1992).

NPPES Registry Identity

NPI1215085857
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameREYHAN DEMIRCIOGLUCredential: MD
Location Address2130 BIG BEND RD, PROHEALTH CARE MEDICAL ASSOCIATES INC.Waukesha, WI 53189-7624
Mailing Address2130 Big Bend Rd, Prohealth Care Medical Associates Inc.Waukesha, WI 53189-7624 · (262) 928-7555 · Fax (262) 928-7575
Fax(262) 928-7575
Sole ProprietorNo
Medical School CMSOtherGraduated 1992
Enumeration DateJanuary 8, 2007
Last NPPES UpdateSeptember 12, 2012
NPI 1215085857 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License Licensed in WI · 44518-020
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.
2130 BIG BEND RD, Waukesha, WI 53189

Other Identifiers 3

Medicare UPINI16496WI
Medicare PIN68375
Medicaid34563700WI

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

Reyhan Demircioglu 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 ID2062481039
PECOS Enrollment IDI20040927000777
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 11

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

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.
462 services232 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.
194 services194 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.
49 services48 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.
42 services40 patients
Influenza vaccine, inactivated 90653
The Influenza vaccine, inactivated, is a shot given to protect against the flu. It contains killed virus particles that help your body build immunity to the flu. It's recommended annually to keep your protection up-to-date. It's safe for ages 6 months and up.
36 services36 patients
X-ray of abdomen, 1 view 74018
An X-ray of the abdomen, 1 view, is a quick and painless imaging test. It uses a small amount of radiation to produce images of the structures in your abdomen, such as the stomach, liver, and intestines. This can help identify issues like blockages, infections, or injuries.
31 services23 patients

Hospital Affiliations CMS Care Compare 2

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

Waukesha Memorial Hospital

Acute Care Hospitals · Waukesha, WI
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number520008
Location725 American AveWaukesha, WI 53188 · Waukesha County
Emergency services Birthing friendly

Oconomowoc Memorial Hospital

Acute Care Hospitals · Oconomowoc, WI
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number520062
Location791 E Summit AveOconomowoc, WI 53066 · Waukesha County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 53189 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.

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
10 suppliers26 claims70 services$5.53 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

Pediatrics (Adolescent Medicine)
2130 BIG BEND RD, PROHEALTH CARE MEDICAL ASSOCIATES INC.
WAUKESHA, WI 53189
Family Medicine
2130 BIG BEND RD, PROHEALTH CARE MEDICAL ASSOCIATES
WAUKESHA, WI 53189
Physical Therapist
2130 BIG BEND RD
WAUKESHA, WI 53189
Family Medicine
2130 BIG BEND RD, PROHEALTH CARE MEDICAL ASSOCIATES INC.
WAUKESHA, WI 53189
Physical Therapist
2130 BIG BEND RD
WAUKESHA, WI 53189
Physical Therapist
2130 BIG BEND RD
WAUKESHA, WI 53189
Nurse Practitioner (Family)
2130 BIG BEND RD
WAUKESHA, WI 53189
Internal Medicine
2130 BIG BEND RD
WAUKESHA, WI 53189

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 Reyhan Demircioglu's NPI number?

The NPI number for Reyhan Demircioglu is 1215085857. It was assigned to this individual provider in the NPPES registry on January 8, 2007.

Where is Reyhan Demircioglu located?

Reyhan Demircioglu practices at 2130 Big Bend Rd Prohealth Care Medical Associates Inc., Waukesha, WI 53189. The listed phone number is (262) 928-7555.

What is Reyhan Demircioglu's specialty?

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

Is Reyhan Demircioglu enrolled in Medicare?

Yes. Reyhan Demircioglu is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Reyhan Demircioglu accept?

Health plans from Anthem Blue Cross and Blue Shield, Network Health and UnitedHealthcare list Reyhan Demircioglu 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.

Is Reyhan Demircioglu affiliated with any hospitals?

According to CMS data, Reyhan Demircioglu is affiliated with Waukesha Memorial Hospital and Oconomowoc Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Reyhan Demircioglu was last updated on September 12, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.