KENNETH PETER SOBCZAK DDS
NPI 1225054265
Dentist - Prosthodontics in Milwaukee, WI

Active since July 14, 2006Opted out of Medicare · through Jun 21, 2028
5000 W NATIONAL AVE, MILWAUKEE, WI 53295(414) 384-2000 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Kenneth Peter Sobczak Dds NPPES

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

KENNETH PETER SOBCZAK DDS (NPI 1225054265) is an individual prosthodontics provider in Milwaukee, Wisconsin, licensed in Wisconsin (5001194) and active in the NPI registry since July 2006. He has opted out of Medicare through June 21, 2028 and remains eligible to order and refer.

NPPES Registry Identity

NPI1225054265
Entity TypeIndividualMale
Primary Taxonomy1223P0700X
Provider Legal NameKENNETH PETER SOBCZAKCredential: DDS
Location Address5000 W NATIONAL AVEMilwaukee, WI 53295-0001
Mailing Address2105 Chancel CtNew Berlin, WI 53151-2396 · (262) 641-9520
Sole ProprietorNo
Enumeration DateJuly 14, 2006
Last NPPES UpdateJuly 8, 2007
NPI 1225054265 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · ProsthodonticsDental Providers
Taxonomy Code1223P0700X
License Licensed in WI · 5001194
Definition
That branch of dentistry pertaining to the restoration and maintenance of oral functions, comfort, appearance and health of the patient by the restoration of natural teeth and/or the replacement of missing teeth and contiguous oral and maxillofacial tissues with artificial substitutes.
5000 W NATIONAL AVE, Milwaukee, WI 53295

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Opted out of Medicare

Kenneth Peter Sobczak Dds 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 June 21, 2016 through June 21, 2028.

Opt-Out Effective DateJune 21, 2016
Opt-Out In Effect ThroughJune 21, 2028Opt-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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 53295 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
$67.37 typical visit price
range $17.40 – $133.76
Typical copayment $16.84 (range $4.35 – $33.44)
Most-billed visit code 99213
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.

Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
5000 W NATIONAL AVE
MILWAUKEE, WI 53295
Pathology (Anatomic Pathology & Clinical Pathology)
5000 W NATIONAL AVE
MILWAUKEE, WI 53295
General Acute Care Hospital
5000 W NATIONAL AVE
MILWAUKEE, WI 53295
Social Worker (Clinical)
5000 W NATIONAL AVE
MILWAUKEE, WI 53295
Nurse Practitioner (Family)
5000 W NATIONAL AVE
MILWAUKEE, WI 53295
Psychologist
5000 W NATIONAL AVE
MILWAUKEE, WI 53295
Psychiatry & Neurology (Psychiatry)
5000 W NATIONAL AVE
MILWAUKEE, WI 53295
Nurse Practitioner (Psychiatric/Mental Health)
5000 W NATIONAL AVE
MILWAUKEE, WI 53295

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 Kenneth Sobczak's NPI number?

The NPI number for Kenneth Sobczak is 1225054265. It was assigned to this individual provider in the NPPES registry on July 14, 2006.

Where is Kenneth Sobczak located?

Kenneth Sobczak practices at 5000 W National Ave, Milwaukee, WI 53295. The listed phone number is (414) 384-2000.

What is Kenneth Sobczak's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Prosthodontics, with taxonomy code 1223P0700X.

Is Kenneth Sobczak enrolled in Medicare?

No. Kenneth Sobczak has opted out of Medicare through June 21, 2028. 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 Kenneth Sobczak 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.