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DR. ISAAC MELGUIZO-GAVILANES M.D.
NPI 1710157078
Psychiatry & Neurology - Neurology in Milwaukee, WI

Active since March 03, 2008PECOS EnrolledAccepts Medicare Assignment
2801 W KINNICKINNIC RIVER PKWY STE 925, MILWAUKEE, WI 53215(414) 384-5111 Get Directions Write a Review

NPPES record last updated: November 23, 2021. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Nov 23, 2021, Mar 17, 2018, Dec 5, 2017 (3 updates tracked since 2017).

About Dr. Isaac Melguizo-gavilanes M.d. NPPES

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

DR. ISAAC MELGUIZO-GAVILANES M.D. (NPI 1710157078) is an individual neurology provider in Milwaukee, Wisconsin, licensed in Wisconsin (68347-20) and active in the NPI registry since March 2008. He is enrolled in Medicare PECOS, is affiliated with Aurora Health Care Central Inc, and maintains a secondary practice location in Dallas.

NPPES Registry Identity

NPI1710157078
Entity TypeIndividualMale
Primary Taxonomy2084N0400X
Provider Legal NameDR. ISAAC MELGUIZO-GAVILANESCredential: M.D.
Location Address2801 W KINNICKINNIC RIVER PKWY STE 925Milwaukee, WI 53215-3689
Mailing Address2801 W Kinnickinnic River Pkwy Ste 925Milwaukee, WI 53215-3689 · (414) 384-5111
Phone(414) 384-5111
Sole ProprietorNo
Medical School CMSOtherGraduated 2003
Enumeration DateMarch 3, 2008
Last NPPES UpdateNovember 23, 20213 updates tracked since enumeration
NPPES CertifiedNovember 23, 2021
✔ NPI 1710157078 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychiatry & Neurology · NeurologyAllopathic & Osteopathic Physicians
Taxonomy Code2084N0400X
Licenses✔ Licensed in WI · 68347-20✔ Licensed in TX · P0638
Definition
A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.
Also ListedSpecialistTaxonomy 174400000X · License A102171 (CA)
2801 W KINNICKINNIC RIVER PKWY STE 925, Milwaukee, WI 53215
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Secondary Practice Location 1

Location 13600 Gaston Ave, Suite 605Dallas, TX 75246-1800 · Phone (214) 820-8690 · Fax (214) 820-8691

Other Identifiers 2

Medicaid290780001TX
Medicaid1710157078WI

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) and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Isaac Melguizo-gavilanes 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 ID7315106408
PECOS Enrollment IDI20171228000285
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.

Areas of Expertise CMS Part B claims 4

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
66 services42 patients
Prolonged office or other outpatient evaluation and management service(s) beyond the maximum required time of the primary procedure which has been selected using total time on the date of the primary service; each additional 15 minutes by the physician or G2212
This service refers to extended doctor visits where your healthcare provider spends additional time evaluating and managing your health beyond the primary procedure's required time. This includes each extra 15 minutes spent by the physician on the same day as the primary service.
27 services11 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
22 services15 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
21 services19 patients

Hospital Affiliations CMS Care Compare 4

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

Aurora Health Care Central Inc

Acute Care Hospitals · Sheboygan, WI
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number520035
Location3400 Union AveSheboygan, WI 53081 · Sheboygan County
Emergency services Birthing friendly

Aurora St Lukes Medical Center

Acute Care Hospitals · Milwaukee, WI
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number520138
Location2900 W Oklahoma AveMilwaukee, WI 53215 · Milwaukee County
Emergency services Birthing friendly

Aurora Medical Center Kenosha

Acute Care Hospitals · Kenosha, WI
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number520189
Location10400 75th StKenosha, WI 53142 · Kenosha County
Emergency services Birthing friendly

Aurora Medical Center - Summit

Acute Care Hospitals · Summit, WI
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number520206
Location36500 Aurora DriveSummit, WI 53066 · Waukesha County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 53215 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
$123.69 typical visit price
range $53.90 – $163.24
Typical copayment $30.92 (range $13.47 – $40.81)
Most-billed visit code 99204
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.

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Temozolomide, oral, 5 mg J8700
Treatment-Treatment - Miscellaneous · category RX000N
1 supplier15 claims3,280 services$0.35 avg. paid by Medicare
Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period Q0511
Treatment-Chemotherapy · category RH012N
1 supplier12 claims12 services$16.59 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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 Isaac Melguizo-gavilanes's NPI number?

The NPI number for Isaac Melguizo-gavilanes is 1710157078. It was assigned to this individual provider in the NPPES registry on March 3, 2008.

Where is Isaac Melguizo-gavilanes located?

Isaac Melguizo-gavilanes practices at 2801 W Kinnickinnic River Pkwy Ste 925, Milwaukee, WI 53215. The listed phone number is (414) 384-5111.

What is Isaac Melguizo-gavilanes's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Neurology, with taxonomy code 2084N0400X.

Is Isaac Melguizo-gavilanes enrolled in Medicare?

Yes. Isaac Melguizo-gavilanes is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Isaac Melguizo-gavilanes accept?

Health plans from Anthem Blue Cross and Blue Shield, Aspirus Health Plan, CareSource (Common Ground Healthcare), HealthPartners and Quartz and 1 other insurer list Isaac Melguizo-gavilanes 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.

Is Isaac Melguizo-gavilanes affiliated with any hospitals?

According to CMS data, Isaac Melguizo-gavilanes is affiliated with Aurora Health Care Central Inc, Aurora St Lukes Medical Center, Aurora Medical Center Kenosha and Aurora Medical Center - Summit.

When was this NPI record last updated?

The NPPES record for Isaac Melguizo-gavilanes was last updated on November 23, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.