Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

DR. MASANOSUKE ERNEST KINOSHITA M.D.
NPI 1669996757
Family Medicine in Lake Geneva, WI

Q: What is Masanosuke Kinoshita's NPI number?

The NPI number for Masanosuke Kinoshita is 1669996757. It was assigned to this individual provider in the NPPES registry on July 31, 2017.

Q: What is Masanosuke Kinoshita's specialty?

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

Active since July 31, 2017PECOS Enrolled

N2950 STATE ROAD 67, LAKE GENEVA, WI 53147(262) 249-0221(262) 249-0633 Get Directions Write a Review

NPPES record last updated: October 19, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Jan 1, 2025, Jul 31, 2017 (2 updates tracked since 2017).

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About Dr. Masanosuke Ernest Kinoshita M.d. NPPES

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

DR. MASANOSUKE ERNEST KINOSHITA M.D. (NPI 1669996757) is an individual family medicine provider in Lake Geneva, Wisconsin, licensed in Wisconsin (84841-20) and active in the NPI registry since July 2017. He is enrolled in Medicare PECOS, is affiliated with Mercy Health System Corp, and maintains 3 additional practice locations.

NPPES Registry Identity

NPI1669996757

Entity TypeIndividualMale

Primary Taxonomy207Q00000X

Provider Legal NameDR. MASANOSUKE ERNEST KINOSHITACredential: M.D.

Location AddressN2950 STATE ROAD 67Lake Geneva, WI 53147-2655

Mailing Address350 Peller RdLake Geneva, WI 53147-4543

Phone(262) 249-0221

Fax(262) 249-0633

Sole ProprietorYes

Medical School CMSOtherGraduated 2015

Enumeration DateJuly 31, 2017

Last NPPES UpdateOctober 19, 20262 updates tracked since enumeration

NPPES CertifiedOctober 19, 2026

✔ NPI 1669996757 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in WI · 84841-20

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.

N2950 STATE ROAD 67, Lake Geneva, WI 53147

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Secondary Practice Locations 3

Location 11000 Mineral Point AveJanesville, WI 53548-2982 · Phone (608) 756-6868

Location 23524 E Milwaukee StJanesville, WI 53546-1626 · Phone (608) 756-7100 · Fax (608) 756-7225

Location 3507 W Main StWhitewater, WI 53190-1852 · Phone (262) 473-0400 · Fax (262) 473-0408

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield.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. Masanosuke Ernest Kinoshita 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 ID1254606874

PECOS Enrollment IDI20251016003298

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 Reassignment

Medicare enrollment records show Masanosuke Kinoshita reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Mercy Health System Corporation

Same address

Critical Access

N2950 STATE ROAD 67
Lake Geneva, WI 53147

Reassigned Medicare billing, Wisconsin enrollment
Also billed through NPI 1598718603 (Wisconsin)
271 clinicians in this Medicare group

NPI 1699728550 (262) 245-0535

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

Hospital Affiliations CMS Care Compare 2

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

Mercy Health System Corp

Acute Care Hospitals · Janesville, WI

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number520066

Location1000 Mineral Point AveJanesville, WI 53548 · Rock County

Emergency services Birthing friendly

Mercy Walworth Hospital & Medical Center

Critical Access Hospitals · Lake Geneva, WI

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number521357

LocationN2950 State Road 67Lake Geneva, WI 53147 · Walworth County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 53147 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.

JULIE A RICE LPC

Counselor (Professional)