MICHAEL SCHMALZ MD
NPI 1346655198
Pediatrics - Pediatric Gastroenterology in Milwaukee, WI

Active since June 30, 2014PECOS Enrolled
2801 W KINNICKINNIC RIVER PKWY STE 1080, MILWAUKEE, WI 53215(414) 908-6500(414) 908-6510 Get Directions Write a Review

NPPES record last updated: February 10, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jan 26, 2026, Jan 29, 2021, Jun 10, 2020 (3 updates tracked since 2020).

About Michael Schmalz Md NPPES

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

MICHAEL SCHMALZ MD (NPI 1346655198) is an individual pediatric gastroenterology provider in Milwaukee, Wisconsin, licensed in Wisconsin (72844-20) and active in the NPI registry since June 2014. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1346655198
Entity TypeIndividualMale
Primary Taxonomy2080P0206X
Provider Legal NameMICHAEL SCHMALZCredential: MD
Location Address2801 W KINNICKINNIC RIVER PKWY STE 1080Milwaukee, WI 53215-3689
Mailing Address2801 W Kinnickinnic River Pkwy Ste 1080Milwaukee, WI 53215-3689 · (414) 908-6506 · Fax (414) 908-6510
Fax(414) 908-6510
Sole ProprietorNo
Enumeration DateJune 30, 2014
Last NPPES UpdateFebruary 10, 20263 updates tracked since enumeration
NPPES CertifiedFebruary 10, 2026
NPI 1346655198 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyPediatrics · Pediatric GastroenterologyAllopathic & Osteopathic Physicians
Taxonomy Code2080P0206X
License Licensed in WI · 72844-20
Definition
A pediatrician who specializes in the diagnosis and treatment of diseases of the digestive systems of infants, children and adolescents. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using lighted scopes to see internal organs.
Also ListedInternal Medicine · GastroenterologyTaxonomy 207RG0100X · License 72844 (WI)
Also ListedPediatricsTaxonomy 208000000X · License 72844-20 (WI)
2801 W KINNICKINNIC RIVER PKWY STE 1080, Milwaukee, WI 53215

Other Identifiers 1

Medicaid100100012WI

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Michael Schmalz 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 53215 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 20

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

Nurse Practitioner (Family)
2801 W KINNICKINNIC RIVER PKWY STE 1080
MILWAUKEE, WI 53215
Physician Assistant
2801 W KINNICKINNIC RIVER PKWY STE 1080
MILWAUKEE, WI 53215
Internal Medicine (Gastroenterology)
2801 W KINNICKINNIC RIVER PKWY STE 1080
MILWAUKEE, WI 53215
Internal Medicine (Gastroenterology)
2801 W KINNICKINNIC RIVER PKWY STE 1080
MILWAUKEE, WI 53215
Internal Medicine (Gastroenterology)
2801 W KINNICKINNIC RIVER PKWY STE 1080
MILWAUKEE, WI 53215
Pediatrics (Pediatric Gastroenterology)
2801 W KINNICKINNIC RIVER PKWY STE 1080
MILWAUKEE, WI 53215
Internal Medicine (Gastroenterology)
2801 W KINNICKINNIC RIVER PKWY STE 1080
MILWAUKEE, WI 53215
Internal Medicine (Gastroenterology)
2801 W KINNICKINNIC RIVER PKWY STE 1080
MILWAUKEE, WI 53215

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 Michael Schmalz's NPI number?

The NPI number for Michael Schmalz is 1346655198. It was assigned to this individual provider in the NPPES registry on June 30, 2014.

Where is Michael Schmalz located?

Michael Schmalz practices at 2801 W Kinnickinnic River Pkwy Ste 1080, Milwaukee, WI 53215. The listed phone number is (414) 908-6500.

What is Michael Schmalz's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Gastroenterology, with taxonomy code 2080P0206X.

Is Michael Schmalz enrolled in Medicare?

Yes. Michael Schmalz is registered in the Medicare PECOS enrollment system.

What insurance does Michael Schmalz accept?

Health plans from Anthem Blue Cross and Blue Shield, CareSource (Common Ground Healthcare), Network Health, Quartz and Security Health Plan and 1 other insurer list Michael Schmalz 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 Michael Schmalz was last updated on February 10, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.