GILBERTO M ENRIQUEZ MD
NPI 1265151419
Family Medicine in Janesville, WI

Q: What is Gilberto Enriquez's NPI number?

The NPI number for Gilberto Enriquez is 1265151419. It was assigned to this individual provider in the NPPES registry on August 23, 2022.

Q: What is Gilberto Enriquez's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Q: When was this NPI record last updated?

The NPPES record for Gilberto Enriquez was last updated on January 22, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 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.

Active since August 23, 2022PECOS Enrolled

849 KELLOGG AVE, JANESVILLE, WI 53546(608) 755-7960(608) 755-7873 Get Directions Write a Review

NPPES record last updated: January 22, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

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About Gilberto M Enriquez Md NPPES

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

GILBERTO M ENRIQUEZ MD (NPI 1265151419) is an individual family medicine provider in Janesville, Wisconsin, licensed in Wisconsin (83759-20) and active in the NPI registry since August 2022. He is enrolled in Medicare PECOS and maintains a secondary practice location in Janesville.

NPPES Registry Identity

NPI1265151419

Entity TypeIndividualMale

Primary Taxonomy207Q00000X

Provider Legal NameGILBERTO M ENRIQUEZCredential: MD

Location Address849 KELLOGG AVEJanesville, WI 53546-2808

Mailing Address849 Kellogg AveJanesville, WI 53546-2808 · (608) 755-7960 · Fax (608) 755-7873

Phone(608) 755-7960

Fax(608) 755-7873

Sole ProprietorNo

Enumeration DateAugust 23, 2022

Last NPPES UpdateJanuary 22, 2025

NPPES CertifiedJanuary 22, 2025

✔ NPI 1265151419 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in WI · 83759-20

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X · License 9991-851 (WI)

849 KELLOGG AVE, Janesville, WI 53546

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Secondary Practice Location 1

Location 11000 Mineral Point AveJanesville, WI 53548-2982 · Phone (608) 756-6868 · Fax (608) 756-6289

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Gilberto M Enriquez Md 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.

Medicare Billing Reassignment

Medicare enrollment records show Gilberto Enriquez reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Mercy Health System Corporation

1.7 mi

Multi-Specialty

580 N WASHINGTON ST
Janesville, WI 53548

Reassigned Medicare billing, Wisconsin enrollment
1,155 clinicians in this Medicare group

NPI 1598718603 (608) 741-7630

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 53546 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

$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.

DR. DANIEL J KULAS MD

Family Medicine