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JOHN S PALLIN M.D.
NPI 1790842631
Specialist in Kenosha, WI

Active since January 02, 2007PECOS EnrolledAccepts Medicare Assignment
10117 74TH ST, SUITE 150, KENOSHA, WI 53142(262) 697-7770(262) 697-7771 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About John S Pallin M.d. NPPES

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

JOHN S PALLIN M.D. (NPI 1790842631) is an individual specialist in Kenosha, Wisconsin, licensed in Wisconsin (29659020) and active in the NPI registry since January 2007. He is enrolled in Medicare PECOS and is a graduate of University Of Wisconsin School Of Medicine (1980).

NPPES Registry Identity

NPI1790842631
Entity TypeIndividualMale
Primary Taxonomy174400000X
Provider Legal NameJOHN S PALLINCredential: M.D.
Location Address10117 74TH ST, SUITE 150Kenosha, WI 53142-7533
Mailing Address10117 74th St, Suite 150Kenosha, WI 53142-7533 · (262) 697-7770 · Fax (262) 697-7771
Phone(262) 697-7770
Fax(262) 697-7771
Sole ProprietorNo
Medical School CMSUniversity Of Wisconsin School Of MedicineGraduated 1980
Enumeration DateJanuary 2, 2007
Last NPPES UpdateJuly 8, 2007
✔ NPI 1790842631 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License✔ Licensed in WI · 29659020
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
10117 74TH ST, Kenosha, WI 53142
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Other Identifiers 2

Medicare UPIND17032WI
Medicaid21255800WI

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

John S Pallin 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 ID3375432842
PECOS Enrollment IDI20040312000629
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 4

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

SUSAN SCHMIDT
Counselor (Addiction (Substance Use Disorder))
10117 74TH ST, SUITE 100
KENOSHA, WI 53142
Kenosha County (262) 697-8268
KENOSHA RADIOLOGY CENTER LLC.
Clinic/Center (Radiology)
10117 74TH ST, SUITE 150
KENOSHA, WI 53142
Kenosha County (262) 697-7770
JANE CARY PALLIN M.D.
Specialist
10117 74TH ST, SUITE 150
KENOSHA, WI 53142
Kenosha County (262) 697-7770
THERESA N OTU LPC
Counselor (Professional)
10117 74TH ST, SUITE 100
KENOSHA, WI 53142
Kenosha County (262) 697-8268

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 John Pallin's NPI number?

The NPI number for John Pallin is 1790842631. It was assigned to this individual provider in the NPPES registry on January 2, 2007.

Where is John Pallin located?

John Pallin practices at 10117 74th St Suite 150, Kenosha, WI 53142. The listed phone number is (262) 697-7770.

What is John Pallin's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Is John Pallin enrolled in Medicare?

Yes. John Pallin 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.

When was this NPI record last updated?

The NPPES record for John Pallin was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.