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GABRIELA ESPINOZA-CANDELARIA MD
NPI 1679077168
Pediatrics - Pediatric Infectious Diseases in Milwaukee, WI

Active since March 20, 2018PECOS Enrolled
9000 W WISCONSIN AVE, MILWAUKEE, WI 53226(414) 337-7070(414) 337-7093 Get Directions Write a Review

NPPES record last updated: October 18, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Jul 6, 2021, Feb 19, 2021, Apr 19, 2018 and 2 more (5 updates tracked since 2018).

About Gabriela Espinoza-candelaria Md NPPES

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

GABRIELA ESPINOZA-CANDELARIA MD (NPI 1679077168) is an individual pediatric infectious diseases provider in Milwaukee, Wisconsin, licensed in Wisconsin (86181-20) and active in the NPI registry since March 2018. She is enrolled in Medicare PECOS and is a graduate of Baylor College Of Medicine (2018).

NPPES Registry Identity

NPI1679077168
Entity TypeIndividualFemale
Primary Taxonomy2080P0208X
Provider Legal NameGABRIELA ESPINOZA-CANDELARIACredential: MD
Location Address9000 W WISCONSIN AVEMilwaukee, WI 53226-4874
Mailing Address9000 W Wisconsin AveMilwaukee, WI 53226-4874 · (414) 337-7070 · Fax (414) 337-7093
Phone(414) 337-7070
Fax(414) 337-7093
Sole ProprietorNo
Medical School CMSBaylor College Of MedicineGraduated 2018
Enumeration DateMarch 20, 2018
Last NPPES UpdateOctober 18, 20255 updates tracked since enumeration
NPPES CertifiedOctober 18, 2025
✔ NPI 1679077168 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatrics · Pediatric Infectious DiseasesAllopathic & Osteopathic Physicians
Taxonomy Code2080P0208X
License✔ Licensed in WI · 86181-20
Definition
A pediatrician trained to care for children in the diagnosis, treatment and prevention of infectious diseases. This specialist can apply specific knowledge to affect a better outcome for pediatric infections with complicated courses, underlying diseases that predispose to unusual or severe infections, unclear diagnoses, uncommon diseases and complex or investigational treatments.
9000 W WISCONSIN AVE, Milwaukee, WI 53226
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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, Antidote Health Plan of Ohio, Inc., Aspirus Health Plan 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)

Gabriela Espinoza-candelaria Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID8527477900
PECOS Enrollment IDI20260605001027
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 Gabriela Espinoza-candelaria reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

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

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

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 Gabriela Espinoza-candelaria's NPI number?

The NPI number for Gabriela Espinoza-candelaria is 1679077168. It was assigned to this individual provider in the NPPES registry on March 20, 2018.

Where is Gabriela Espinoza-candelaria located?

Gabriela Espinoza-candelaria practices at 9000 W Wisconsin Ave, Milwaukee, WI 53226. The listed phone number is (414) 337-7070.

What is Gabriela Espinoza-candelaria's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Infectious Diseases, with taxonomy code 2080P0208X.

Is Gabriela Espinoza-candelaria enrolled in Medicare?

Yes. Gabriela Espinoza-candelaria is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Gabriela Espinoza-candelaria's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Gabriela Espinoza-candelaria reassigns Medicare benefits to Children's Specialty Group, Inc. (Milwaukee, WI). The 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 Gabriela Espinoza-candelaria's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Gabriela Espinoza-candelaria accept?

Health plans from Anthem Blue Cross and Blue Shield, Antidote Health Plan of Ohio, Inc., Aspirus Health Plan, CareSource (Common Ground Healthcare) and HealthPartners and 1 other insurer list Gabriela Espinoza-candelaria 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 Gabriela Espinoza-candelaria was last updated on October 18, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 months 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.