DR. HEMA KAMTHAMNENI M.D.
NPI 1417262932
Family Medicine in Milwaukee, WI

Q: What is Hema Kamthamneni's NPI number?

The NPI number for Hema Kamthamneni is 1417262932. It was assigned to this individual provider in the NPPES registry on August 9, 2010.

Q: What is Hema Kamthamneni's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Q: When was this NPI record last updated?

The NPPES record for Hema Kamthamneni was last updated on December 2, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.

Active since August 09, 2010PECOS EnrolledAccepts Medicare Assignment

1020 N 12TH ST, MILWAUKEE, WI 53233(414) 219-5219 Get Directions Write a Review

NPPES record last updated: December 2, 2021. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Dec 2, 2021, Jun 3, 2021, Nov 13, 2019 (3 updates tracked since 2019).

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About Dr. Hema Kamthamneni M.d. NPPES

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

DR. HEMA KAMTHAMNENI M.D. (NPI 1417262932) is an individual family medicine provider in Milwaukee, Wisconsin, licensed in Wisconsin (72073) and active in the NPI registry since August 2010. She is enrolled in Medicare PECOS, is affiliated with Aspirus Stevens Point Hospital & Clinics, Inc., and is a graduate of Other (2007).

NPPES Registry Identity

NPI1417262932

Entity TypeIndividualFemale

Primary Taxonomy207Q00000X

Provider Legal NameDR. HEMA KAMTHAMNENICredential: M.D.

Location Address1020 N 12TH STMilwaukee, WI 53233-1308

Mailing Address1020 N 12th StMilwaukee, WI 53233-1308 · (414) 219-5219

Phone(414) 219-5219

Sole ProprietorNo

Medical School CMSOtherGraduated 2007

Enumeration DateAugust 9, 2010

Last NPPES UpdateDecember 2, 20213 updates tracked since enumeration

NPPES CertifiedDecember 2, 2021

✔ NPI 1417262932 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

Licenses✔ Licensed in WI · 72073✔ Licensed in MI · 4301096077

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

Also ListedInternal Medicine · Geriatric MedicineTaxonomy 207RG0300X · License 72073 (WI)

1020 N 12TH ST, Milwaukee, WI 53233

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Other Identifiers 1

Medicaid100094308WI

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Aspirus Health Plan, CareSource and more.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

Dr. Hema Kamthamneni 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 ID1254565872

PECOS Enrollment IDI20191028003082

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.

93 services59 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.

61 services47 patients

Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215

This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.

35 services26 patients

Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439

An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.

29 services29 patients

Influenza vaccine split virus, preservative free 90662

The Influenza Vaccine Split Virus, preservative-free, is a flu shot to protect against the influenza virus. It is made from parts of inactivated flu viruses and doesn't contain preservatives, reducing potential side effects. It helps your body develop immunity to the flu.

18 services18 patients

Administration of influenza virus vaccine G0008

The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.

17 services17 patients

Hospital Affiliations CMS Care Compare 5

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

Aspirus Stevens Point Hospital & Clinics, Inc.

Acute Care Hospitals · Stevens Point, WI

4/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number520002

Location900 Illinois AveStevens Point, WI 54481 · Portage County

Emergency services Birthing friendly

Aspirus Rhinelander Hospital

Acute Care Hospitals · Rhinelander, WI

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number520019

Location2251 North Shore DrRhinelander, WI 54501 · Oneida County

Emergency services Birthing friendly

Aspirus Wausau Hospital

Acute Care Hospitals · Wausau, WI

4/5 CMS rating

OwnershipProprietary

CMS Certification Number520030

Location333 Pine Ridge BlvdWausau, WI 54401 · Marathon County

Emergency services Birthing friendly

Aurora St Lukes Medical Center

Acute Care Hospitals · Milwaukee, WI

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number520138

Location2900 W Oklahoma AveMilwaukee, WI 53215 · Milwaukee County

Emergency services Birthing friendly

Langlade Hospital

Critical Access Hospitals · Antigo, WI

OwnershipVoluntary non-profit - Church

CMS Certification Number521350

Location112 E Fifth AveAntigo, WI 54409 · Langlade County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 53233 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

$82.92 typical visit price

range $53.90 – $163.24

Typical copayment $20.73 (range $13.47 – $40.81)

Most-billed visit code 99203

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.

SORYAL A SORYAL M.D

Internal Medicine (Geriatric Medicine)

1020 N 12TH ST, 3RD FLOOR
MILWAUKEE, WI 53233

Milwaukee County (414) 219-7300

LAUREL R MAREK APNP

Nurse Practitioner