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DR. DAVE R LAL M.D.
NPI 1467532366
Surgery - Pediatric Surgery in Milwaukee, WI

Active since October 16, 2006PECOS Enrolled
80.46/100
CMS Quality Rating
9000 W WISCONSIN AVE, PEDIATRIC SURGERY, MILWAUKEE, WI 53226(414) 266-6550(414) 266-6579 Get Directions Write a Review

NPPES record last updated: March 12, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jul 18, 2023, Dec 3, 2021 (2 updates tracked since 2021).

About Dr. Dave R Lal M.d. NPPES

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

DR. DAVE R LAL M.D. (NPI 1467532366) is an individual pediatric surgery provider in Milwaukee, Wisconsin, licensed in Wisconsin (41358-020) and active in the NPI registry since October 2006. He is enrolled in Medicare PECOS and maintains 3 additional practice locations.

NPPES Registry Identity

NPI1467532366
Entity TypeIndividualMale
Primary Taxonomy2086S0120X
Provider Legal NameDR. DAVE R LALCredential: M.D.
Location Address9000 W WISCONSIN AVE, PEDIATRIC SURGERYMilwaukee, WI 53226-4874
Mailing Address9000 W Wisconsin Ave, Pediatric SurgeryMilwaukee, WI 53226-4874 · (414) 266-6550 · Fax (414) 266-6579
Phone(414) 266-6550
Fax(414) 266-6579
Sole ProprietorNo
Enumeration DateOctober 16, 2006
Last NPPES UpdateMarch 12, 20242 updates tracked since enumeration
NPPES CertifiedMarch 12, 2024
✔ NPI 1467532366 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgery · Pediatric SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code2086S0120X
License✔ Licensed in WI · 41358-020
Definition
A surgeon with expertise in the management of surgical conditions in premature and newborn infants, children and adolescents.
9000 W WISCONSIN AVE, Milwaukee, WI 53226
Open in Google Maps ↗

Secondary Practice Locations 3

Location 11665 W Mequon RoadMequon, WI 53092 · Phone (414) 266-6550 · Fax (414) 266-6579
Location 24855 S Moorland RdNew Berlin, WI 53151-7494 · Phone (414) 266-6550 · Fax (414) 266-6579
Location 39200 W Wisconsin AveMilwaukee, WI 53226-3522 · Phone (414) 805-5800 · Fax (414) 805-8097

Other Identifiers 1

Medicaid1467532366WI

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 (Common Ground Healthcare) 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 (PECOS)

Dr. Dave R Lal M.d. 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.

Medicare Billing Reassignments

2

Medicare enrollment records show Dave Lal reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Children's Specialty Group, Inc.
Same address
Pediatrics
9000 W WISCONSIN AVE
Milwaukee, WI 53226
  • Reassigned Medicare billing, Wisconsin enrollment
  • Medicare enrollment name: Childrens Specialty Group Inc
  • 424 clinicians in this Medicare group
NPI 1942970405 (414) 266-2000
The Medical College Of Wisconsin, Inc.
0.1 mi
Internal Medicine
8701 WATERTOWN PLANK RD
Milwaukee, WI 53226
  • Reassigned Medicare billing, Wisconsin enrollment
  • 3,983 clinicians in this Medicare group
NPI 1699720086 (414) 955-7101

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

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 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 Dave Lal's NPI number?

The NPI number for Dave Lal is 1467532366. It was assigned to this individual provider in the NPPES registry on October 16, 2006.

Where is Dave Lal located?

Dave Lal practices at 9000 W Wisconsin Ave Pediatric Surgery, Milwaukee, WI 53226. The listed phone number is (414) 266-6550.

What is Dave Lal's specialty?

The primary specialty registered for this NPI is Surgery, specializing in Pediatric Surgery, with taxonomy code 2086S0120X.

Is Dave Lal enrolled in Medicare?

Yes. Dave Lal is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Dave Lal's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Dave Lal reassigns Medicare benefits to 2 organizations: Children's Specialty Group, Inc. (Milwaukee, WI) and The Medical College Of Wisconsin, Inc. (Milwaukee, WI). 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 Dave Lal's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Dave Lal accept?

Health plans from Anthem Blue Cross and Blue Shield, Aspirus Health Plan, CareSource (Common Ground Healthcare), HealthPartners and Network Health and 2 other insurers list Dave Lal 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 Dave Lal was last updated on March 12, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.