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KONSTANTIN Y MIKHAILOV MD
NPI 1881641074
Anesthesiology in Glendale, WI

Active since May 31, 2006PECOS Enrolled
575 WEST RIVER WOODS PARKWAY, GLENDALE, WI 53212(414) 961-6700(414) 961-6727 Get Directions Write a Review

NPPES record last updated: March 27, 2008. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Konstantin Y Mikhailov Md NPPES

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

KONSTANTIN Y MIKHAILOV MD (NPI 1881641074) is an individual anesthesiology provider in Glendale, Wisconsin, licensed in Wisconsin (42850) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1881641074
Entity TypeIndividualMale
Primary Taxonomy207L00000X
Provider Legal NameKONSTANTIN Y MIKHAILOVCredential: MD
Location Address575 WEST RIVER WOODS PARKWAYGlendale, WI 53212
Mailing Address4555 West Schroeder Drive, Suite 170Milwaukee, WI 53223 · (414) 365-3210 · Fax (414) 365-3225
Phone(414) 961-6700
Fax(414) 961-6727
Sole ProprietorNo
Enumeration DateMay 31, 2006
Last NPPES UpdateMarch 27, 2008
✔ NPI 1881641074 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAnesthesiologyAllopathic & Osteopathic Physicians
Taxonomy Code207L00000X
License✔ Licensed in WI · 42850
Definition
An anesthesiologist is trained to provide pain relief and maintenance, or restoration, of a stable condition during and immediately following an operation or an obstetric or diagnostic procedure. The anesthesiologist assesses the risk of the patient undergoing surgery and optimizes the patient's condition prior to, during and after surgery. In addition to these management responsibilities, the anesthesiologist provides medical management and consultation in pain management and critical care medicine. Anesthesiologists diagnose and treat acute, long-standing and cancer pain problems; diagnose and treat patients with critical illnesses or severe injuries; direct resuscitation in the care of patients with cardiac or respiratory emergencies, including the need for artificial ventilation; and supervise post-anesthesia recovery.
575 WEST RIVER WOODS PARKWAY, Glendale, WI 53212
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Other Identifiers 2

Medicaid34122600WI
Medicare UPINH46285

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Konstantin Y 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.

Medicare Billing Reassignments

2

Medicare enrollment records show Konstantin Mikhailov reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Orthopaedic Hospital Of Wisconsin, LLC
0.1 mi
General Acute Care Hospital
475 W RIVER WOODS PKWY
Glendale, WI 53212
  • Reassigned Medicare billing, Wisconsin enrollment
  • 62 clinicians in this Medicare group
NPI 1669584983 (414) 961-6800
Great Lakes Anesthesia And Pain Specialists Sc
17 mi
Anesthesiology
10101 S 27TH ST
Franklin, WI 53132
  • Reassigned Medicare billing, Wisconsin enrollment
  • 23 clinicians in this Medicare group
NPI 1720218647 (414) 817-5800

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 3

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

EUGENE P SINCLAIR MD
Anesthesiology
575 WEST RIVER WOODS PARKWAY
GLENDALE, WI 53212
Milwaukee County (414) 961-6700
GLENDALE ANESTHESIA ASSOCIATES
Anesthesiology
575 WEST RIVER WOODS PARKWAY
GLENDALE, WI 53212
Milwaukee County (414) 961-6700
JAMES K MCNEELY MD
Anesthesiology
575 WEST RIVER WOODS PARKWAY
GLENDALE, WI 53212
Milwaukee County (414) 961-6700

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 Konstantin Mikhailov's NPI number?

The NPI number for Konstantin Mikhailov is 1881641074. It was assigned to this individual provider in the NPPES registry on May 31, 2006.

Where is Konstantin Mikhailov located?

Konstantin Mikhailov practices at 575 West River Woods Parkway, Glendale, WI 53212. The listed phone number is (414) 961-6700.

What is Konstantin Mikhailov's specialty?

The primary specialty registered for this NPI is Anesthesiology with taxonomy code 207L00000X.

Is Konstantin Mikhailov enrolled in Medicare?

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

Which organizations bill Medicare for Konstantin Mikhailov's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Konstantin Mikhailov reassigns Medicare benefits to 2 organizations: Orthopaedic Hospital Of Wisconsin, LLC (Glendale, WI) and Great Lakes Anesthesia And Pain Specialists Sc (Franklin, WI). Each 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 Konstantin Mikhailov'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 Konstantin Mikhailov was last updated on March 27, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.