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

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: October 18, 2026.

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

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, billing reassignment, and ordering and referring status from CMS.

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.

Medicare Billing Reassignments

8

Medicare enrollment records show Hema Kamthamneni reassigns Medicare billing to 8 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Aspirus Riverview Hospital & Clinics, Inc.
114 mi
Multi-Specialty
419 N OAK ST
Adams, WI 53910
  • Reassigned Medicare billing, Wisconsin enrollment
  • 397 clinicians in this Medicare group
NPI 1114411287 (608) 339-5250
Aspirus Rhinelander & Tomahawk Hospitals & Clinics, Inc.
118 mi
Clinic/Center
205 S MAIN ST
Iola, WI 54945
  • Reassigned Medicare billing, Wisconsin enrollment
  • 935 clinicians in this Medicare group
NPI 1578232849 (715) 445-4801
Aspirus Wausau Hospital, Inc.
128 mi
Family Medicine
5409 VERN HOLMES DR
Stevens Point, WI 54482
  • Reassigned Medicare billing, Wisconsin enrollment
  • 633 clinicians in this Medicare group
NPI 1275886749 (715) 344-1600
Aspirus Stevens Point Hospital & Clinics, Inc.
129 mi
General Practice
3500 HOOVER RD
Stevens Point, WI 54481
  • Reassigned Medicare billing, Wisconsin enrollment
  • 619 clinicians in this Medicare group
NPI 1184082745 (715) 342-7900
Langlade Hospital - Hotel Dieu Of St Joseph Of Antigo Wisconsin
145 mi
Rural Health
375 MAIN ST
Birnamwood, WI 54414
  • Reassigned Medicare billing, Wisconsin enrollment
  • Also billed through NPI 1639187412 (Wisconsin)
  • 321 clinicians in this Medicare group
NPI 1063574184 (715) 449-2539
Aspirus Merrill Hospital & Clinics, Inc.
172 mi
Critical Access
601 S CENTER AVE
Merrill, WI 54452
  • Reassigned Medicare billing, Wisconsin enrollment
  • 351 clinicians in this Medicare group
NPI 1124084678 (715) 536-5511
Aspirus Medford Hospital & Clinics, Inc.
174 mi
Rural Health
729 PINE ST
Athens, WI 54411
  • Reassigned Medicare billing, Wisconsin enrollment
  • 376 clinicians in this Medicare group
NPI 1760912919 (715) 748-8100
The Howard Young Medical Center, Inc.
215 mi
General Acute Care Hospital
240 MAPLE ST
Woodruff, WI 54568
  • Reassigned Medicare billing, Wisconsin enrollment
  • Medicare enrollment name: Howard Young Medical Center Inc Of Woodruff Wisconsin
  • 358 clinicians in this Medicare group
NPI 1134183171 (715) 356-8000

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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

Aspirus Riverview Hospital & Clinics Inc

Acute Care Hospitals · Wisconsin Rapids, WI
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number520033
Location410 Dewey StWisconsin Rapids, WI 54495 · Wood County
Emergency services

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

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
1020 N 12TH ST
MILWAUKEE, WI 53233
Milwaukee County (414) 219-7300
MICHAEL GUARD SCAHILL PNCB
Nurse Practitioner (Pediatrics)
1020 N 12TH ST
MILWAUKEE, WI 53233
Milwaukee County (414) 266-6229
DR. ANDREW MARK BRYANT PHD
Clinical Neuropsychologist
1020 N 12TH ST
MILWAUKEE, WI 53233
Milwaukee County (414) 773-4312
MELISSA J LYDECKER PT
Physical Therapist
1020 N 12TH ST
MILWAUKEE, WI 53233
Milwaukee County (414) 219-7300
MRS. LILLIE R BOBO RPH
Pharmacist
1020 N 12TH ST
MILWAUKEE, WI 53233
Milwaukee County (414) 219-7963
AMANDA L GRAGG LPC
Counselor (Mental Health)
1020 N 12TH ST
MILWAUKEE, WI 53233
Milwaukee County (414) 773-4312
MS. REBECCA A SCHULTZ NP
Nurse Practitioner
1020 N 12TH ST
MILWAUKEE, WI 53233
Milwaukee County (414) 647-6936

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 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.

Where is Hema Kamthamneni located?

Hema Kamthamneni practices at 1020 N 12th St, Milwaukee, WI 53233. The listed phone number is (414) 219-5219.

What is Hema Kamthamneni's specialty?

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

Is Hema Kamthamneni enrolled in Medicare?

Yes. Hema Kamthamneni 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.

Which organizations bill Medicare for Hema Kamthamneni's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Hema Kamthamneni reassigns Medicare benefits to 8 organizations: Aspirus Riverview Hospital & Clinics, Inc. (Adams, WI), Aspirus Rhinelander & Tomahawk Hospitals & Clinics, Inc. (Iola, WI), Aspirus Wausau Hospital, Inc. (Stevens Point, WI), Aspirus Stevens Point Hospital & Clinics, Inc. (Stevens Point, WI), Langlade Hospital - Hotel Dieu Of St Joseph Of Antigo Wisconsin (Birnamwood, WI) and 3 more organizations, listed in the Medicare section above. Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Hema Kamthamneni's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Hema Kamthamneni accept?

Health plans from Anthem Blue Cross and Blue Shield, Aspirus Health Plan, CareSource and HealthPartners list Hema Kamthamneni 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 Hema Kamthamneni affiliated with any hospitals?

According to CMS data, Hema Kamthamneni is affiliated with Aspirus Stevens Point Hospital & Clinics, Inc., Aspirus Rhinelander Hospital, Aspirus Wausau Hospital, Aspirus Riverview Hospital & Clinics Inc and Aurora St Lukes Medical Center.

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.