DR. JOHN PAUL COLOMBO M.D.
NPI 1285378232
Internal Medicine in Sheboygan, WI
About Dr. John Paul Colombo M.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. JOHN PAUL COLOMBO M.D. (NPI 1285378232) is an individual internal medicine provider in Sheboygan, Wisconsin, licensed in Wisconsin (8611820) and active in the NPI registry since April 2022. He is enrolled in Medicare PECOS, is affiliated with Aurora Health Care Central Inc, and is a graduate of Other (2022).
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Dr. John Paul Colombo M.d. 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.
Medicare Billing Reassignment
Medicare enrollment records show John Paul Colombo reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Sheboygan, WI 53081
- Reassigned Medicare billing, Wisconsin enrollment
- 4,609 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Aurora Health Care Central Inc
Acute Care Hospitals · Sheboygan, WIPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 53081 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
SHEBOYGAN, WI 53081
SHEBOYGAN, WI 53081
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 John Paul Colombo's NPI number?
The NPI number for John Paul Colombo is 1285378232. It was assigned to this individual provider in the NPPES registry on April 26, 2022.
Where is John Paul Colombo located?
John Paul Colombo practices at 2414 Kohler Memorial Dr, Sheboygan, WI 53081. The listed phone number is (920) 457-4461.
What is John Paul Colombo's specialty?
The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.
Is John Paul Colombo enrolled in Medicare?
Yes. John Paul Colombo 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.
Which organization bills Medicare for John Paul Colombo's services?
According to the CMS Revalidation Reassignment List (October 2026 release), John Paul Colombo reassigns Medicare benefits to Aurora Medical Group, Inc. (Sheboygan, 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 John Paul Colombo's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does John Paul Colombo accept?
Health plans from Anthem Blue Cross and Blue Shield, Aspirus Health Plan, CareSource (Common Ground Healthcare), HealthPartners and Network Health and 2 other insurers list John Paul Colombo 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 John Paul Colombo affiliated with any hospitals?
According to CMS data, John Paul Colombo is affiliated with Aurora Health Care Central Inc.
When was this NPI record last updated?
The NPPES record for John Paul Colombo was last updated on October 21, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.
# Dr. John Paul Colombo, M.D. · NPI 1285378232
Internal Medicine physician in Sheboygan, Wisconsin. Individual provider, active in the CMS NPPES registry since April 26, 2022.
## Identity
- **NPI:** 1285378232 (Entity type: Individual)
- **Enumerated:** April 26, 2022
- **Primary specialty:** Internal Medicine · taxonomy 207R00000X
- **State license:** 8611820 (Wisconsin)
- **Sole proprietor:** No
## Practice location
- **Address:** 2414 KOHLER MEMORIAL DR, Sheboygan, WI 53081-3129
- **Phone:** (920) 457-4461
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Aurora Medical Group, Inc. (NPI 1174670244, Sheboygan, WI), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2022
## Record status
- **NPPES last updated:** October 21, 2025
- **Other identifiers:** Medicaid 100371465 (WI)
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Source: [NPI Profile](https://npiprofile.com/npi/1285378232) · Data from the CMS NPPES public registry.