KENOSHA HAND & PLASTIC SURGERY SC
NPI 1912329905
Plastic Surgery in Kenosha, WI

Q: What is Kenosha Hand & Plastic Surgery Sc's NPI number?

The NPI number for Kenosha Hand & Plastic Surgery Sc is 1912329905. It was assigned to this organization in the NPPES registry on January 10, 2014.

Q: What is Kenosha Hand & Plastic Surgery Sc's specialty?

The primary specialty registered for this NPI is Plastic Surgery with taxonomy code 208200000X.

Active since January 10, 2014

10117 74TH ST STE 100, KENOSHA, WI 53142(262) 656-8237(622) 453-0882 Get Directions Write a Review

NPPES record last updated: June 10, 2024. Verified against the NPPES registry weekly; last sync: November 01, 2026.

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About Kenosha Hand & Plastic Surgery Sc NPPES

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

KENOSHA HAND & PLASTIC SURGERY SC (NPI 1912329905) is a healthcare organization registered as a plastic surgery in Kenosha, Wisconsin and active in the NPI registry since January 2014. The organization lists Michael Birndorf, Owner, as its authorized official.

NPPES Registry Identity

NPI1912329905

Entity TypeOrganization

Primary Taxonomy208200000X

Legal Business NameKENOSHA HAND & PLASTIC SURGERY SC

Location Address10117 74TH ST STE 100Kenosha, WI 53142-7542

Mailing Address6308 8th Ave # 104Kenosha, WI 53143-5031 · (262) 656-8237 · Fax (262) 671-2134

Phone(262) 656-8237

Fax(622) 453-0882

Organization SubpartNo

Authorized OfficialMichael BirndorfOwner · (262) 656-8237

Enumeration DateJanuary 10, 2014

Last NPPES UpdateJune 10, 2024

NPPES CertifiedJune 10, 2024

✔ NPI 1912329905 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPlastic SurgeryAllopathic & Osteopathic Physicians

Taxonomy Code208200000X

License✔ Licensed in WI · 33466020

Definition

A plastic surgeon deals with the repair, reconstruction or replacement of physical defects of form or function involving the skin, musculoskeletal system, craniomaxillofacial structures, hand, extremities, breast and trunk and external genitalia or cosmetic enhancement of these areas of the body. Cosmetic surgery is an essential component of plastic surgery. The plastic surgeon uses cosmetic surgical principles to both improve overall appearance and to optimize the outcome of reconstructive procedures. The surgeon uses aesthetic surgical principles not only to improve undesirable qualities of normal structures but in all reconstructive procedures as well.

10117 74TH ST STE 100, Kenosha, WI 53142

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Other Identifiers 1

Medicaid31835100WI

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kenosha Hand & Plastic Surgery Sc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Kenosha Hand & Plastic Surgery Sc, which bills Medicare for the services this clinician delivers.

Clinician (1)

Michael Birndorf, MD

Plastic and Reconstructive Surgery

NPI 1881604049

6308 8TH AVE # 104
Kenosha, WI 53143

(262) 656-8237

✔ PECOS✔ Accepts Medicare5.8 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Kenosha Hand & Plastic Surgery Sc's NPI number?

The NPI number for Kenosha Hand & Plastic Surgery Sc is 1912329905. It was assigned to this organization in the NPPES registry on January 10, 2014.

Where is Kenosha Hand & Plastic Surgery Sc located?

Kenosha Hand & Plastic Surgery Sc is located at 10117 74th St Ste 100, Kenosha, WI 53142. The listed phone number is (262) 656-8237.

What is Kenosha Hand & Plastic Surgery Sc's specialty?

The primary specialty registered for this NPI is Plastic Surgery with taxonomy code 208200000X.

Is Kenosha Hand & Plastic Surgery Sc enrolled in Medicare?

Yes. Kenosha Hand & Plastic Surgery Sc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Kenosha Hand & Plastic Surgery Sc?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Plastic and Reconstructive Surgery) reassigns their Medicare billing to Kenosha Hand & Plastic Surgery Sc. A 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 the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Kenosha Hand & Plastic Surgery Sc was last updated on June 10, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.