ROWENA C PUNZALAN MD
NPI 1376646695
Pediatrics - Pediatric Hematology-Oncology in Milwaukee, WI

Active since September 06, 2006PECOS EnrolledAccepts Medicare Assignment
80.46/100
CMS Quality Rating
638 N 18TH ST, MILWAUKEE, WI 53233(414) 937-6573 Get Directions Write a Review

NPPES record last updated: June 9, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Rowena C Punzalan Md NPPES

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

ROWENA C PUNZALAN MD (NPI 1376646695) is an individual pediatric hematology-oncology provider in Milwaukee, Wisconsin, licensed in Wisconsin (36081) and active in the NPI registry since September 2006. She is enrolled in Medicare PECOS, is affiliated with Froedtert Memorial Lutheran Hospital, and is a graduate of Other (1991).

NPPES Registry Identity

NPI1376646695
Entity TypeIndividualFemale
Primary Taxonomy2080P0207X
Provider Legal NameROWENA C PUNZALANCredential: MD
Location Address638 N 18TH STMilwaukee, WI 53233-2121
Mailing Address8085 Rivers Ave, Ste 100North Charleston, SC 29406-9239 · (843) 569-8495 · Fax (770) 237-4971
Sole ProprietorNo
Medical School CMSOtherGraduated 1991
Enumeration DateSeptember 6, 2006
Last NPPES UpdateJune 9, 2025
NPPES CertifiedJune 9, 2025
NPI 1376646695 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPediatrics · Pediatric Hematology-OncologyAllopathic & Osteopathic Physicians
Taxonomy Code2080P0207X
License Licensed in WI · 36081
Definition
A pediatrician trained in the combination of pediatrics, hematology and oncology to recognize and manage pediatric blood disorders and cancerous diseases.
Also ListedPathology · Anatomic Pathology & Clinical PathologyTaxonomy 207ZP0102X · License 36081020 (WI)
638 N 18TH ST, Milwaukee, WI 53233

Other Identifiers 1

Medicaid32229900WI

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 and accepts Medicare assignment

Rowena C Punzalan Md 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.

PECOS PAC ID9830112341
PECOS Enrollment IDI20060111000370
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.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Blood bank physician services for cross match and/or evaluation and written report 86077
Blood bank physician services for cross match involve testing your blood against donor blood to ensure compatibility before a transfusion. The evaluation includes a detailed analysis of your blood type and antibodies. A written report will be provided, summarizing the findings.
31 services27 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Froedtert Memorial Lutheran Hospital

Acute Care Hospitals · Milwaukee, WI
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number520177
Location9200 W Wisconsin AveMilwaukee, WI 53226 · Milwaukee County
Emergency services Birthing friendly

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

80.46/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality66.24
Promoting Interoperability100
Improvement Activities40
Cost68.64

Other Providers at the Same Location NPPES 9

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

Pathology (Clinical Pathology)
638 N 18TH ST
MILWAUKEE, WI 53233
Pharmacy (Specialty Pharmacy)
638 N 18TH ST
MILWAUKEE, WI 53233
Pharmacist
638 N 18TH ST
MILWAUKEE, WI 53233
Registered Nurse (Critical Care Medicine)
638 N 18TH ST
MILWAUKEE, WI 53233
Genetic Counselor, MS
638 N 18TH ST
MILWAUKEE, WI 53233
Pathology (Blood Banking & Transfusion Medicine)
638 N 18TH ST
MILWAUKEE, WI 53233
Pharmacist
638 N 18TH ST
MILWAUKEE, WI 53233
Pathology (Anatomic Pathology & Clinical Pathology)
638 N 18TH ST
MILWAUKEE, WI 53233

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 Rowena Punzalan's NPI number?

The NPI number for Rowena Punzalan is 1376646695. It was assigned to this individual provider in the NPPES registry on September 6, 2006.

Where is Rowena Punzalan located?

Rowena Punzalan practices at 638 N 18th St, Milwaukee, WI 53233. The listed phone number is (414) 937-6573.

What is Rowena Punzalan's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Hematology-Oncology, with taxonomy code 2080P0207X.

Is Rowena Punzalan enrolled in Medicare?

Yes. Rowena Punzalan 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.

What insurance does Rowena Punzalan accept?

Health plans from Anthem Blue Cross and Blue Shield, Aspirus Health Plan, CareSource (Common Ground Healthcare), HealthPartners and Network Health list Rowena Punzalan 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 Rowena Punzalan affiliated with any hospitals?

According to CMS data, Rowena Punzalan is affiliated with Froedtert Memorial Lutheran Hospital.

When was this NPI record last updated?

The NPPES record for Rowena Punzalan was last updated on June 9, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.