RITA GNYAWALI M.D.
NPI 1568721959
Pediatrics in Milwaukee, WI

Q: What is Rita Gnyawali's NPI number?

The NPI number for Rita Gnyawali is 1568721959. It was assigned to this individual provider in the NPPES registry on May 7, 2012.

Q: What is Rita Gnyawali's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Q: When was this NPI record last updated?

The NPPES record for Rita Gnyawali was last updated on May 7, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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 May 07, 2012PECOS Enrolled

4267 W FOND DU LAC AVE, MILWAUKEE, WI 53216(414) 873-3440 Get Directions Write a Review

NPPES record last updated: May 7, 2012. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Rita Gnyawali M.d. NPPES

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

RITA GNYAWALI M.D. (NPI 1568721959) is an individual pediatrics provider in Milwaukee, Wisconsin, licensed in Wisconsin (57103-20) and active in the NPI registry since May 2012. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1568721959

Entity TypeIndividualFemale

Primary Taxonomy208000000X

Provider Legal NameRITA GNYAWALICredential: M.D.

Location Address4267 W FOND DU LAC AVEMilwaukee, WI 53216-3527

Mailing Address4267 W Fond Du Lac AveMilwaukee, WI 53216-3527 · (414) 873-3440

Phone(414) 873-3440

Sole ProprietorNo

Enumeration DateMay 7, 2012

✔ NPI 1568721959 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians

Taxonomy Code208000000X

License✔ Licensed in WI · 57103-20

Definition

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

4267 W FOND DU LAC AVE, Milwaukee, WI 53216

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Network Health.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Rita Gnyawali 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 53216 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 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ANITA P OBRIEN NP

Nurse Practitioner (Pediatrics)