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MITALI SUKUMAR THANAWALA MD
NPI 1396233177
Pediatrics - Pediatric Pulmonology in Milwaukee, WI

Active since April 26, 2018PECOS Enrolled
9000 W WISCONSIN AVE, CHW MS B620, MILWAUKEE, WI 53226(414) 266-6730(414) 266-6742 Get Directions Write a Review

NPPES record last updated: October 22, 2025. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Mitali Sukumar Thanawala Md NPPES

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

MITALI SUKUMAR THANAWALA MD (NPI 1396233177) is an individual pediatric pulmonology provider in Milwaukee, Wisconsin, licensed in Wisconsin (86337-20) and active in the NPI registry since April 2018. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1396233177
Entity TypeIndividualFemale
Primary Taxonomy2080P0214X
Provider Legal NameMITALI SUKUMAR THANAWALACredential: MD
Location Address9000 W WISCONSIN AVE, CHW MS B620Milwaukee, WI 53226-4874
Mailing Address9000 W Wisconsin Ave, Chw Ms B620Milwaukee, WI 53226-4874 · (414) 266-6730 · Fax (414) 266-6742
Phone(414) 266-6730
Fax(414) 266-6742
Sole ProprietorYes
Enumeration DateApril 26, 2018
Last NPPES UpdateOctober 22, 2025
NPPES CertifiedOctober 22, 2025
✔ NPI 1396233177 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatrics · Pediatric PulmonologyAllopathic & Osteopathic Physicians
Taxonomy Code2080P0214X
License✔ Licensed in WI · 86337-20
Definition
A pediatrician dedicated to the prevention and treatment of all respiratory diseases affecting infants, children and young adults. This specialist is knowledgeable about the growth and development of the lung, assessment of respiratory function in infants and children, and experienced in a variety of invasive and noninvasive diagnostic techniques.
9000 W WISCONSIN AVE, Milwaukee, WI 53226
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource (Common Ground Healthcare), Network Health.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)

Mitali Sukumar Thanawala 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.

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.

MS. LESLIE L. TALBERT NP
Nurse Practitioner (Pediatrics)
9000 W WISCONSIN AVE, PEDIATRIC CRITICAL CARE
MILWAUKEE, WI 53226
Milwaukee County (414) 266-3360
SARAH MARIE RUMLER DO
Pediatrics (Pediatric Hematology-Oncology)
9000 W WISCONSIN AVE
MILWAUKEE, WI 53226
Milwaukee County (414) 955-4170
ALISON COREN
Pediatrics (Pediatric Endocrinology)
9000 W WISCONSIN AVE
MILWAUKEE, WI 53226
Milwaukee County (414) 266-6750
BRANDON PALMER M.D.
Pediatrics
9000 W WISCONSIN AVE
MILWAUKEE, WI 53226
Milwaukee County (414) 337-7050
AIDAN JAMES REID DO
Pediatrics
9000 W WISCONSIN AVE
MILWAUKEE, WI 53226
Milwaukee County (414) 266-6800
KYNDAL LYN HETTICH RD, CSP, CD
Dietitian, Registered
9000 W WISCONSIN AVE
MILWAUKEE, WI 53226
Milwaukee County (414) 266-5938
CARISA MARIE DIMATTINA LCSW
Social Worker (Clinical)
9000 W WISCONSIN AVE
MILWAUKEE, WI 53226
Milwaukee County (414) 581-4004
BREYA LOGAN WHITEFIELD PHD
Psychologist (Clinical)
9000 W WISCONSIN AVE
MILWAUKEE, WI 53226
Milwaukee County (414) 266-2000

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 Mitali Thanawala's NPI number?

The NPI number for Mitali Thanawala is 1396233177. It was assigned to this individual provider in the NPPES registry on April 26, 2018.

Where is Mitali Thanawala located?

Mitali Thanawala practices at 9000 W Wisconsin Ave Chw Ms B620, Milwaukee, WI 53226. The listed phone number is (414) 266-6730.

What is Mitali Thanawala's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Pulmonology, with taxonomy code 2080P0214X.

Is Mitali Thanawala enrolled in Medicare?

Yes. Mitali Thanawala is registered in the Medicare PECOS enrollment system.

What insurance does Mitali Thanawala accept?

Health plans from CareSource (Common Ground Healthcare) and Network Health list Mitali Thanawala 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 Mitali Thanawala was last updated on October 22, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.