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DR. THERESA A MIKHAILOV MD
NPI 1679525356
Pediatrics - Pediatric Critical Care Medicine in Milwaukee, WI

Active since May 17, 2006PECOS Enrolled
9000 W WISCONSIN AVE, PEDIATRIC CRITICAL CARE, MILWAUKEE, WI 53226(414) 266-3360(414) 266-3563 Get Directions Write a Review

NPPES record last updated: September 24, 2014. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Theresa A Mikhailov Md NPPES

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

DR. THERESA A MIKHAILOV MD (NPI 1679525356) is an individual pediatric critical care medicine provider in Milwaukee, Wisconsin, licensed in Wisconsin (40962) and active in the NPI registry since May 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1679525356
Entity TypeIndividualFemale
Primary Taxonomy2080P0203X
Provider Legal NameDR. THERESA A MIKHAILOVCredential: MD
Location Address9000 W WISCONSIN AVE, PEDIATRIC CRITICAL CAREMilwaukee, WI 53226-4874
Mailing Address9000 W Wisconsin Ave, Pediatric Critical CareMilwaukee, WI 53226-4874 · (414) 266-3360 · Fax (414) 266-3563
Phone(414) 266-3360
Fax(414) 266-3563
Sole ProprietorNo
Enumeration DateMay 17, 2006
Last NPPES UpdateSeptember 24, 2014
✔ NPI 1679525356 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatrics · Pediatric Critical Care MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2080P0203X
License✔ Licensed in WI · 40962
Definition
A pediatrician expert in advanced life support for children from the term or near-term neonate to the adolescent. This competence extends to the critical care management of life-threatening organ system failure from any cause in both medical and surgical patients and to the support of vital physiological functions. This specialist may have administrative responsibilities for intensive care units and also facilitates patient care among other specialists.
9000 W WISCONSIN AVE, Milwaukee, WI 53226
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Other Identifiers 4

Other002000329DHumana
Medicare UPINF76063
Medicaid1679525356WI
Medicare PIN092J73601WI

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Aspirus Health Plan, CareSource (Common Ground Healthcare).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)

Dr. Theresa A Mikhailov Md 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.

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 Theresa Mikhailov's NPI number?

The NPI number for Theresa Mikhailov is 1679525356. It was assigned to this individual provider in the NPPES registry on May 17, 2006.

Where is Theresa Mikhailov located?

Theresa Mikhailov practices at 9000 W Wisconsin Ave Pediatric Critical Care, Milwaukee, WI 53226. The listed phone number is (414) 266-3360.

What is Theresa Mikhailov's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Critical Care Medicine, with taxonomy code 2080P0203X.

Is Theresa Mikhailov enrolled in Medicare?

Yes. Theresa Mikhailov is registered in the Medicare PECOS enrollment system.

What insurance does Theresa Mikhailov accept?

Health plans from Anthem Blue Cross and Blue Shield, Aspirus Health Plan and CareSource (Common Ground Healthcare) list Theresa Mikhailov 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 Theresa Mikhailov was last updated on September 24, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.