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KIM M KANTOR MD
NPI 1700852795
Pediatrics in Madison, WI

Active since February 28, 2006PECOS Enrolled
4122 EAST TOWNE BLVD, MADISON, WI 53704(608) 242-6855(608) 242-6848 Get Directions Write a Review

NPPES record last updated: January 7, 2021. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Kim M Kantor Md NPPES

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

KIM M KANTOR MD (NPI 1700852795) is an individual pediatrics provider in Madison, Wisconsin, licensed in Wisconsin (32217) and active in the NPI registry since February 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1700852795
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NameKIM M KANTORCredential: MD
Location Address4122 EAST TOWNE BLVDMadison, WI 53704
Mailing Address7974 Uw Health CtMiddleton, WI 53562-5531
Phone(608) 242-6855
Fax(608) 242-6848
Sole ProprietorNo
Enumeration DateFebruary 28, 2006
Last NPPES UpdateJanuary 7, 2021
NPPES CertifiedJanuary 7, 2021
✔ NPI 1700852795 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in WI · 32217
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.
4122 EAST TOWNE BLVD, Madison, WI 53704
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kim M Kantor 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.

Medicare Billing Reassignment

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

University Of Wisconsin Medical Foundation, Inc
11 mi
Multi-Specialty
7974 UW HEALTH COURT
Middleton, WI 53562
  • Reassigned Medicare billing, Wisconsin enrollment
  • 2,832 clinicians in this Medicare group
NPI 1598784555 (608) 829-5485

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 53704 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 3

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

TED KUBIAK PAC
Physician Assistant (Medical)
4122 EAST TOWNE BLVD
MADISON, WI 53704
Dane County (608) 242-6865
VICTORIA WATTIAUX PA-C
Physician Assistant (Medical)
4122 EAST TOWNE BLVD
MADISON, WI 53704
Dane County (608) 242-6865
WILLIAM F DAVIS MD
Internal Medicine
4122 EAST TOWNE BLVD
MADISON, WI 53704
Dane County (608) 242-6855

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 Kim Kantor's NPI number?

The NPI number for Kim Kantor is 1700852795. It was assigned to this individual provider in the NPPES registry on February 28, 2006.

Where is Kim Kantor located?

Kim Kantor practices at 4122 East Towne Blvd, Madison, WI 53704. The listed phone number is (608) 242-6855.

What is Kim Kantor's specialty?

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

Is Kim Kantor enrolled in Medicare?

Yes. Kim Kantor is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Kim Kantor's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kim Kantor reassigns Medicare benefits to University Of Wisconsin Medical Foundation, Inc (Middleton, 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 Kim Kantor's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Kim Kantor was last updated on January 7, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.