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KAWALJEET KAUR M.D.
NPI 1417022401
Internal Medicine - Endocrinology, Diabetes & Metabolism in Mequon, WI

Active since November 22, 2006PECOS EnrolledAccepts Medicare Assignment
81.48/100
CMS Quality Rating
13133 N PORT WASHINGTON RD, SUITE G-18, MEQUON, WI 53097(262) 243-5000(262) 243-5317 Get Directions Write a Review

NPPES record last updated: November 14, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Kawaljeet Kaur M.d. NPPES

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

KAWALJEET KAUR M.D. (NPI 1417022401) is an individual endocrinology, diabetes & metabolism provider in Mequon, Wisconsin, licensed in Wisconsin (48914) and active in the NPI registry since November 2006. She is enrolled in Medicare PECOS, is affiliated with Ascension Columbia St Mary's Hospital Milwaukee, and is a graduate of Other (1997).

NPPES Registry Identity

NPI1417022401
Entity TypeIndividualFemale
Primary Taxonomy207RE0101X
Provider Legal NameKAWALJEET KAURCredential: M.D.
Location Address13133 N PORT WASHINGTON RD, SUITE G-18Mequon, WI 53097-2419
Mailing Address788 N Jefferson St, Suite 300/attn. Kaaren ButzenMilwaukee, WI 53202-3718 · (414) 272-8950 · Fax (414) 272-0859
Phone(262) 243-5000
Fax(262) 243-5317
Sole ProprietorNo
Medical School CMSOtherGraduated 1997
Enumeration DateNovember 22, 2006
Last NPPES UpdateNovember 14, 2016
✔ NPI 1417022401 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · Endocrinology, Diabetes & MetabolismAllopathic & Osteopathic Physicians
Taxonomy Code207RE0101X
License✔ Licensed in WI · 48914
Definition
An internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems.
Also ListedInternal MedicineTaxonomy 207R00000X · License 48914-20 (WI)
13133 N PORT WASHINGTON RD, Mequon, WI 53097
Open in Google Maps ↗

Other Identifiers 2

Medicaid1417022401WI
Medicare UPINK400169284WI

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, 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 and accepts Medicare assignment

Kawaljeet Kaur 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.

PECOS PAC ID7911061049
PECOS Enrollment IDI20090204000038
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 6

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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
275 services145 patients
Hemoglobin a1c level 83036
Hemoglobin A1c (HbA1c) is a test that measures your average blood sugar level over the past 2-3 months. It's used to monitor how well diabetes is being controlled. High levels may indicate that your diabetes treatment plan needs adjustment.
270 services115 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
254 services188 patients
Blood glucose (sugar) test performed by hand-held instrument 82962
A blood glucose test uses a handheld device to measure the amount of sugar in your blood. A small prick on your finger allows a drop of blood to be placed on a test strip, which is then read by the device. This helps monitor and manage diabetes effectively.
190 services90 patients
Continuous monitoring of blood sugar level in tissue fluid using sensor under skin with interpretation and report 95251
This procedure involves placing a small sensor under your skin to continuously monitor your blood sugar levels in tissue fluid. The data is interpreted and a report is generated to help manage your diabetes more effectively.
101 services38 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
37 services37 patients

Hospital Affiliations CMS Care Compare

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

Ascension Columbia St Mary's Hospital Milwaukee

Acute Care Hospitals · Milwaukee, WI
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number520051
Location2323 N Lake DrMilwaukee, WI 53211 · Milwaukee County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 53097 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.

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.

81.48/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality88.39
Promoting Interoperability100
Improvement Activities40
Cost49.87

Referred Medical Equipment & Supplies CMS DME claims 7

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Supplies for maintenance of insulin infusion catheter, per week A4224
DME-Other DME · category DE017N
6 suppliers32 claims369 services$18.23 avg. paid by Medicare
Supplies for external insulin infusion pump, syringe type cartridge, sterile, each A4225
DME-Other DME · category DE017N
5 suppliers28 claims823 services$2.33 avg. paid by Medicare
Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
28 suppliers88 claims358 services$6.24 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
14 suppliers28 claims54 services$1.06 avg. paid by Medicare
External ambulatory infusion pump, insulin E0784
DME-Other DME · category DE017N
1 supplier18 claims18 services$265.66 avg. paid by Medicare
Insulin for administration through dme (i.e., insulin pump) per 50 units J1817
Treatment-Injections and Infusions (nononcologic) · category RI000N
7 suppliers21 claims2,990 services$7.27 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

MRS. MARY KATHERINE KAUTZ APNP
Nurse Practitioner (Gerontology)
13133 N PORT WASHINGTON RD, SUITE 122
MEQUON, WI 53097
Ozaukee County (262) 243-3700
MILWAUKEE ORTHOPAEDIC GROUP LTD
Specialist
13133 N PORT WASHINGTON RD, SUITE 104
MEQUON, WI 53097
Ozaukee County (414) 276-6000
KATHARINE W. SCHENCK PA-C
Physician Assistant
13133 N PORT WASHINGTON RD, SUITE 104
MEQUON, WI 53097
Ozaukee County (262) 243-5044
DREW M ELGIN M.D.
Internal Medicine (Gastroenterology)
13133 N PORT WASHINGTON RD, SUITE G16
MEQUON, WI 53097
Ozaukee County (262) 243-2500
JOAN T. HARNEY GNADT, MD, SC
Internal Medicine (Cardiovascular Disease)
13133 N PORT WASHINGTON RD, SUITE 11
MEQUON, WI 53097
Ozaukee County (262) 243-6000
SCOTT A JORGENSEN M.D.
Internal Medicine
13133 N PORT WASHINGTON RD, SUITE G18
MEQUON, WI 53097
Ozaukee County (262) 243-5000
CANDACE MOORE NP
Nurse Practitioner
13133 N PORT WASHINGTON RD, SUITE G-18
MEQUON, WI 53097
Ozaukee County (262) 243-5000
EAMEN GEBOY APNP
Nurse Practitioner (Adult Health)
13133 N PORT WASHINGTON RD
MEQUON, WI 53097
Ozaukee County (262) 243-5000

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 Kawaljeet Kaur's NPI number?

The NPI number for Kawaljeet Kaur is 1417022401. It was assigned to this individual provider in the NPPES registry on November 22, 2006.

Where is Kawaljeet Kaur located?

Kawaljeet Kaur practices at 13133 N Port Washington Rd Suite G-18, Mequon, WI 53097. The listed phone number is (262) 243-5000.

What is Kawaljeet Kaur's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Endocrinology, Diabetes & Metabolism, with taxonomy code 207RE0101X.

Is Kawaljeet Kaur enrolled in Medicare?

Yes. Kawaljeet Kaur 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 Kawaljeet Kaur accept?

Health plans from Anthem Blue Cross and Blue Shield and Network Health list Kawaljeet Kaur 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 Kawaljeet Kaur affiliated with any hospitals?

According to CMS data, Kawaljeet Kaur is affiliated with Ascension Columbia St Mary's Hospital Milwaukee.

When was this NPI record last updated?

The NPPES record for Kawaljeet Kaur was last updated on November 14, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.