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KALPANA M KUMAR M.D.
NPI 1235188681
Internal Medicine in Pewaukee, WI

Active since May 10, 2006Opted out of Medicare · through Jul 1, 2028
1166 QUAIL CT, SUITE 210, PEWAUKEE, WI 53072(262) 695-5311(262) 695-9744 Get Directions Write a Review

NPPES record last updated: July 13, 2026. Verified against the NPPES registry weekly; last sync: September 20, 2026.

About Kalpana M Kumar M.d. NPPES

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

KALPANA M KUMAR M.D. (NPI 1235188681) is an individual internal medicine provider in Pewaukee, Wisconsin, licensed in Wisconsin (33178) and active in the NPI registry since May 2006. She has opted out of Medicare through July 1, 2028 and remains eligible to order and refer.

NPPES Registry Identity

NPI1235188681
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameKALPANA M KUMARCredential: M.D.
Location Address1166 QUAIL CT, SUITE 210Pewaukee, WI 53072-3769
Mailing Address35581 Fareway LnOconomowoc, WI 53066-9288 · (262) 965-2703
Phone(262) 695-5311
Fax(262) 695-9744
Sole ProprietorNo
Enumeration DateMay 10, 2006
Last NPPES UpdateJuly 13, 2026
✔ NPI 1235188681 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 · 33178
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.
1166 QUAIL CT, Pewaukee, WI 53072
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Kalpana M Kumar M.d. 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 July 1, 2002 through July 1, 2028.

Opt-Out Effective DateJuly 1, 2002
Opt-Out In Effect ThroughJuly 1, 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 53072 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 4

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

OMMANI, SC
Internal Medicine
1166 QUAIL CT, SUITE 210
PEWAUKEE, WI 53072
Waukesha County (262) 695-5311
GATEWAY CHIROPRACTIC AND REHABILITATION LLC
Clinic/Center (Health Service)
1166 QUAIL CT, SUITE 315
PEWAUKEE, WI 53072
Waukesha County (262) 691-7562
DR. KEVIN WEXLER D.C.
Chiropractor
1166 QUAIL CT, SUITE 315
PEWAUKEE, WI 53072
Waukesha County (262) 691-7562
ALICIA EHLEN BCBA
Behavior Analyst
1166 QUAIL CT
PEWAUKEE, WI 53072
Waukesha County (920) 857-9041

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 Kalpana Kumar's NPI number?

The NPI number for Kalpana Kumar is 1235188681. It was assigned to this individual provider in the NPPES registry on May 10, 2006.

Where is Kalpana Kumar located?

Kalpana Kumar practices at 1166 Quail Ct Suite 210, Pewaukee, WI 53072. The listed phone number is (262) 695-5311.

What is Kalpana Kumar's specialty?

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

Is Kalpana Kumar enrolled in Medicare?

No. Kalpana Kumar has opted out of Medicare through July 1, 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 Kalpana Kumar was last updated on July 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months 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.