KRISHNA RAOL M.D.
NPI 1477996627
Hospitalist in Milwaukee, WI

Active since April 08, 2013PECOS EnrolledAccepts Medicare Assignment
2901 W KINNICKINNIC RIVER PKWY, SUITE 315, MILWAUKEE, WI 53215(414) 385-2590 Get Directions Write a Review

NPPES record last updated: April 28, 2022. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: Apr 28, 2022, Aug 18, 2016 (2 updates tracked since 2016).

About Krishna Raol M.d. NPPES

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

KRISHNA RAOL M.D. (NPI 1477996627) is an individual hospitalist provider in Milwaukee, Wisconsin, licensed in Wisconsin (65776-20) and active in the NPI registry since April 2013. He is enrolled in Medicare PECOS, is affiliated with Aurora St Lukes Medical Center, and is a graduate of Other (2013).

NPPES Registry Identity

NPI1477996627
Entity TypeIndividualMale
Primary Taxonomy208M00000X
Provider Legal NameKRISHNA RAOLCredential: M.D.
Location Address2901 W KINNICKINNIC RIVER PKWY, SUITE 315Milwaukee, WI 53215-3677
Mailing Address3301 W Forest Home AveMilwaukee, WI 53215-2843 · (414) 385-2590
Sole ProprietorYes
Medical School CMSOtherGraduated 2013
Enumeration DateApril 8, 2013
Last NPPES UpdateApril 28, 20222 updates tracked since enumeration
NPPES CertifiedApril 28, 2022
NPI 1477996627 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyHospitalistAllopathic & Osteopathic Physicians
Taxonomy Code208M00000X
License Licensed in WI · 65776-20
Definition
Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients.
Also ListedInternal MedicineTaxonomy 207R00000X · License 65776-20 (WI)
2901 W KINNICKINNIC RIVER PKWY, Milwaukee, WI 53215

Other Identifiers 1

Medicaid1477996627WI

Accepted 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

Krishna Raol 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 ID3072808146
PECOS Enrollment IDI20160829001417
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 5

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
372 services122 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
78 services76 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
63 services17 patients
Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231
Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.
30 services12 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
24 services24 patients

Hospital Affiliations CMS Care Compare

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

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 53215 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.

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.

Nurse Practitioner
2901 W KINNICKINNIC RIVER PKWY, 305
MILWAUKEE, WI 53215
Nurse Practitioner
2901 W KINNICKINNIC RIVER PKWY
MILWAUKEE, WI 53215
Physical Therapist
2901 W KINNICKINNIC RIVER PKWY
MILWAUKEE, WI 53215
Nurse Practitioner
2901 W KINNICKINNIC RIVER PKWY, SUITE 106
MILWAUKEE, WI 53215
Physical Medicine & Rehabilitation
2901 W KINNICKINNIC RIVER PKWY, SUITE: 106
MILWAUKEE, WI 53215
Specialist (Research Study)
2901 W KINNICKINNIC RIVER PKWY, SUITE 414
MILWAUKEE, WI 53215
Physical Medicine & Rehabilitation
2901 W KINNICKINNIC RIVER PKWY
MILWAUKEE, WI 53215
Physician Assistant
2901 W KINNICKINNIC RIVER PKWY
MILWAUKEE, WI 53215

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 Krishna Raol's NPI number?

The NPI number for Krishna Raol is 1477996627. It was assigned to this individual provider in the NPPES registry on April 8, 2013.

Where is Krishna Raol located?

Krishna Raol practices at 2901 W Kinnickinnic River Pkwy Suite 315, Milwaukee, WI 53215. The listed phone number is (414) 385-2590.

What is Krishna Raol's specialty?

The primary specialty registered for this NPI is Hospitalist with taxonomy code 208M00000X.

Is Krishna Raol enrolled in Medicare?

Yes. Krishna Raol 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 Krishna Raol accept?

Health plans from CareSource (Common Ground Healthcare) list Krishna Raol 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 Krishna Raol affiliated with any hospitals?

According to CMS data, Krishna Raol is affiliated with Aurora St Lukes Medical Center.

When was this NPI record last updated?

The NPPES record for Krishna Raol was last updated on April 28, 2022. 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.