1. Home
  2. Directory
  3. Wisconsin
  4. West Allis
  5. Family Medicine
  6. NPI Profile
Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

GILBERTO M ENRIQUEZ MD
NPI 1265151419
Family Medicine in West Allis, WI

Active since August 23, 2022PECOS Enrolled
2424 S 90TH ST STE 200, WEST ALLIS, WI 53227(414) 328-8777(414) 328-8110 Get Directions Write a Review

NPPES record last updated: November 5, 2026. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Nov 5, 2026, Aug 23, 2022 (2 updates tracked since 2022).

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 West Allis, Wisconsin, licensed in Wisconsin (83759-20) and active in the NPI registry since August 2022. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1265151419
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameGILBERTO M ENRIQUEZCredential: MD
Location Address2424 S 90TH ST STE 200West Allis, WI 53227-2455
Mailing AddressPo Box 735044Chicago, IL 60673-5044 · (800) 326-2250
Phone(414) 328-8777
Fax(414) 328-8110
Sole ProprietorNo
Enumeration DateAugust 23, 2022
Last NPPES UpdateNovember 5, 20262 updates tracked since enumeration
NPPES CertifiedNovember 5, 2026
✔ 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)
2424 S 90TH ST STE 200, West Allis, WI 53227
Open in Google Maps ↗

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
56 mi
Mental Health (Including Community Mental Health Center)
903 MINERAL POINT AVE
Janesville, WI 53548
  • Reassigned Medicare billing, Wisconsin enrollment
  • 1,155 clinicians in this Medicare group
NPI 1669685129 (608) 756-5555

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 53227 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 2

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

MRS. STEPHANIE KAY MCDEARMON M.D.
Family Medicine
2424 S 90TH ST STE 200
WEST ALLIS, WI 53227
Milwaukee County (414) 328-8777
SARAH J YARBROUGH PA
Physician Assistant
2424 S 90TH ST STE 200
WEST ALLIS, WI 53227
Milwaukee County (414) 328-8777

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 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.

Where is Gilberto Enriquez located?

Gilberto Enriquez practices at 2424 S 90th St Ste 200, West Allis, WI 53227. The listed phone number is (414) 328-8777.

What is Gilberto Enriquez's specialty?

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

Is Gilberto Enriquez enrolled in Medicare?

Yes. Gilberto Enriquez is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Gilberto Enriquez's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Gilberto Enriquez reassigns Medicare benefits to Mercy Health System Corporation (Janesville, WI). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Gilberto Enriquez's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Gilberto Enriquez was last updated on November 5, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 days 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.