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DOMINIC THEODORE CARDELLI MD
NPI 1528077583
Psychiatry & Neurology - Neurology in Appleton, WI

Active since August 07, 2006PECOS EnrolledAccepts Medicare Assignment
2500 E ENTERPRISE AVE STE E, APPLETON, WI 54913(920) 968-5057(920) 968-7248 Get Directions Write a Review

NPPES record last updated: November 30, 2010. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Dominic Theodore Cardelli Md NPPES

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

DOMINIC THEODORE CARDELLI MD (NPI 1528077583) is an individual neurology provider in Appleton, Wisconsin, licensed in Wisconsin (33613) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS and is a graduate of Other (1991).

NPPES Registry Identity

NPI1528077583
Entity TypeIndividualMale
Primary Taxonomy2084N0400X
Provider Legal NameDOMINIC THEODORE CARDELLICredential: MD
Location Address2500 E ENTERPRISE AVE STE EAppleton, WI 54913-8557
Mailing Address2500 E Enterprise Ave Ste EAppleton, WI 54913-8557 · (920) 968-5057 · Fax (920) 968-7248
Phone(920) 968-5057
Fax(920) 968-7248
Sole ProprietorNo
Medical School CMSOtherGraduated 1991
Enumeration DateAugust 7, 2006
Last NPPES UpdateNovember 30, 2010
✔ NPI 1528077583 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · NeurologyAllopathic & Osteopathic Physicians
Taxonomy Code2084N0400X
Licenses✔ Licensed in WI · 33613✔ Licensed in MN · 38127
Definition
A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.
2500 E ENTERPRISE AVE STE E, Appleton, WI 54913
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include HMSA, Kaiser Permanente.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

Dominic Theodore Cardelli Md 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 ID8628018587
PECOS Enrollment IDI20250625001367
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 Dominic Cardelli reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Samuel Mahelona Memorial Hospital
4,247 mi
Critical Access
4800 KAWAIHAU ROAD
Kapaa, HI 96746
  • Reassigned Medicare billing, Hawaii enrollment
  • 66 clinicians in this Medicare group
NPI 1619038536 (808) 338-9431
Kauai Veterans Memorial Hospital
4,270 mi
Specialist
4643 WAIMEA CANYON DRIVE
Waimea, HI 96796
  • Reassigned Medicare billing, Hawaii enrollment
  • 94 clinicians in this Medicare group
NPI 1467620328 (808) 338-9431

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 54913 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.

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 Dominic Cardelli's NPI number?

The NPI number for Dominic Cardelli is 1528077583. It was assigned to this individual provider in the NPPES registry on August 7, 2006.

Where is Dominic Cardelli located?

Dominic Cardelli practices at 2500 E Enterprise Ave Ste E, Appleton, WI 54913. The listed phone number is (920) 968-5057.

What is Dominic Cardelli's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Neurology, with taxonomy code 2084N0400X.

Is Dominic Cardelli enrolled in Medicare?

Yes. Dominic Cardelli 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 Dominic Cardelli's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Dominic Cardelli reassigns Medicare benefits to 2 organizations: Samuel Mahelona Memorial Hospital (Kapaa, HI) and Kauai Veterans Memorial Hospital (Waimea, HI). 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 Dominic Cardelli's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Dominic Cardelli accept?

Health plans from HMSA and Kaiser Permanente list Dominic Cardelli 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 Dominic Cardelli was last updated on November 30, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.