DR. ALEXIS JO GUMM M.D.
NPI 1316333859
Pediatrics - Pediatric Gastroenterology in Milwaukee, WI
About Dr. Alexis Jo Gumm M.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. ALEXIS JO GUMM M.D. (NPI 1316333859) is an individual pediatric gastroenterology provider in Milwaukee, Wisconsin, licensed in Wisconsin (66899) and active in the NPI registry since April 2015. She is enrolled in Medicare PECOS, maintains a secondary practice location in Appleton, and is a graduate of University Of Illinois College Of Med (chi/peor/rock/chm-urb) (2015).
NPPES Registry Identity
Specialties & Licenses 2
Secondary Practice Location 1
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. Alexis Jo Gumm 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 Reassignments
2Medicare enrollment records show Alexis Gumm reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Milwaukee, WI 53226
- Reassigned Medicare billing, Wisconsin enrollment
- Medicare enrollment name: Childrens Specialty Group Inc
- 424 clinicians in this Medicare group
Milwaukee, WI 53226
- Reassigned Medicare billing, Wisconsin enrollment
- 3,983 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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 53226 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.
MILWAUKEE, WI 53226
MILWAUKEE, WI 53226
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 Alexis Gumm's NPI number?
The NPI number for Alexis Gumm is 1316333859. It was assigned to this individual provider in the NPPES registry on April 11, 2015.
Where is Alexis Gumm located?
Alexis Gumm practices at 9000 W Wisconsin Ave, Milwaukee, WI 53226. The listed phone number is (414) 266-3690.
What is Alexis Gumm's specialty?
The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Gastroenterology, with taxonomy code 2080P0206X.
Is Alexis Gumm enrolled in Medicare?
Yes. Alexis Gumm 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 organizations bill Medicare for Alexis Gumm's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Alexis Gumm reassigns Medicare benefits to 2 organizations: Children's Specialty Group, Inc. (Milwaukee, WI) and The Medical College Of Wisconsin, Inc. (Milwaukee, WI). Each 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 Alexis Gumm's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Alexis Gumm accept?
Health plans from Anthem Blue Cross and Blue Shield, Aspirus Health Plan, CareSource (Common Ground Healthcare), Network Health and UnitedHealthcare list Alexis Gumm 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.
When was this NPI record last updated?
The NPPES record for Alexis Gumm was last updated on June 12, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.
# Dr. Alexis Jo Gumm, M.D. · NPI 1316333859
Pediatric Gastroenterology physician in Milwaukee, Wisconsin. Individual provider, active in the CMS NPPES registry since April 11, 2015.
## Identity
- **NPI:** 1316333859 (Entity type: Individual)
- **Enumerated:** April 11, 2015
- **Primary specialty:** Pediatrics - Pediatric Gastroenterology · taxonomy 2080P0206X
- **State license:** 66899 (Wisconsin)
- **Sole proprietor:** No
## Practice location
- **Address:** 9000 W WISCONSIN AVE, Milwaukee, WI 53226-4874
- **Phone:** (414) 266-3690 · **Fax:** (414) 266-3676
## 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:** 2 organizations under Medicare reassignment (form CMS-855R): Children's Specialty Group, Inc. (NPI 1942970405, Milwaukee, WI); The Medical College Of Wisconsin, Inc. (NPI 1699720086, Milwaukee, WI) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** University Of Illinois College Of Med, class of 2015
## Record status
- **NPPES last updated:** June 12, 2023
- **Other identifiers:** Medicaid 1316333859 (WI)
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Source: [NPI Profile](https://npiprofile.com/npi/1316333859) · Data from the CMS NPPES public registry.