1. Home
  2. Directory
  3. Wisconsin
  4. Milwaukee
  5. Internal Medicine
  6. NPI Profile

KEVIN J. DINAPOLI M.D.
NPI 1942254420
Internal Medicine in Milwaukee, WI

Active since May 20, 2006PECOS EnrolledAccepts Medicare Assignment
81.48/100
CMS Quality Rating
788 N JEFFERSON ST, SUITE 300, MILWAUKEE, WI 53202(414) 272-8950(414) 272-0859 Get Directions Write a Review

NPPES record last updated: November 7, 2016. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Kevin J. Dinapoli M.d. NPPES

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

KEVIN J. DINAPOLI M.D. (NPI 1942254420) is an individual internal medicine provider in Milwaukee, Wisconsin, licensed in Wisconsin (29352) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS, is affiliated with Ascension Columbia St Mary's Hospital Milwaukee, and is a graduate of Ohio State University College Of Medicine (1985).

NPPES Registry Identity

NPI1942254420
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameKEVIN J. DINAPOLICredential: M.D.
Location Address788 N JEFFERSON ST, SUITE 300Milwaukee, WI 53202-3718
Mailing Address788 N Jefferson St, Suite 300/attn. Kaaren ButzenMilwaukee, WI 53202-3718 · (414) 272-8950 · Fax (414) 272-0859
Phone(414) 272-8950
Fax(414) 272-0859
Sole ProprietorNo
Medical School CMSOhio State University College Of MedicineGraduated 1985
Enumeration DateMay 20, 2006
Last NPPES UpdateNovember 7, 2016
✔ NPI 1942254420 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in WI · 29352
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
788 N JEFFERSON ST, Milwaukee, WI 53202
Open in Google Maps ↗

Other Identifiers 2

Medicaid1942254420WI
Medicare PIN000873645WI

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Network Health.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

Kevin J. Dinapoli 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 ID7315966439
PECOS Enrollment IDI20051117001005
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 5

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.

Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
135 services135 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
132 services90 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
93 services67 patients
Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
28 services28 patients
Influenza vaccine, inactivated 90653
The Influenza vaccine, inactivated, is a shot given to protect against the flu. It contains killed virus particles that help your body build immunity to the flu. It's recommended annually to keep your protection up-to-date. It's safe for ages 6 months and up.
24 services24 patients

Hospital Affiliations CMS Care Compare 3

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

Ascension Columbia St Mary's Hospital Milwaukee

Acute Care Hospitals · Milwaukee, WI
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number520051
Location2323 N Lake DrMilwaukee, WI 53211 · Milwaukee County
Emergency services Birthing friendly

Ascension SE Wisconsin Hospital

Acute Care Hospitals · Milwaukee, WI
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number520136
Location5000 W Chambers StMilwaukee, WI 53210 · Milwaukee County
Emergency services Birthing friendly

Aurora Medical Center

Acute Care Hospitals · Grafton, WI
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number520207
Location975 Port Washington RoadGrafton, WI 53024 · Ozaukee County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 53202 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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

81.48/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality88.39
Promoting Interoperability100
Improvement Activities40
Cost49.87

Referred Medical Equipment & Supplies CMS DME claims 3

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

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
10 suppliers27 claims78 services$5.66 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
1 supplier12 claims12 services$70.05 avg. paid by Medicare
Portable oxygen concentrator, rental E1392
DME-Oxygen and Supplies · category DC002N
1 supplier12 claims12 services$32.81 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 16

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

AURORA PHARMACY INC
Pharmacy (Community/Retail Pharmacy)
788 N JEFFERSON ST
MILWAUKEE, WI 53202
Milwaukee County (414) 271-4441
SARA ELIZABETH SCHULTZ
Occupational Therapist
788 N JEFFERSON ST
MILWAUKEE, WI 53202
Milwaukee County (414) 277-6508
UNCHU KO M.D.
Internal Medicine
788 N JEFFERSON ST, SUITE 300
MILWAUKEE, WI 53202
Milwaukee County (414) 272-8950
ABRAHAM VARGHESE M.D.
Internal Medicine
788 N JEFFERSON ST, SUITE 300
MILWAUKEE, WI 53202
Milwaukee County (414) 272-8950
KATHLEEN A. BAUGRUD M.D.
Internal Medicine
788 N JEFFERSON ST, SUITE 300
MILWAUKEE, WI 53202
Milwaukee County (414) 272-8950
ELAINE C. DROBNY M.D.
Internal Medicine (Endocrinology, Diabetes & Metabolism)
788 N JEFFERSON ST, SUITE 201
MILWAUKEE, WI 53202
Milwaukee County (414) 226-4010
DR. BRENT FOSSUM JONES M.D.
Internal Medicine (Endocrinology, Diabetes & Metabolism)
788 N JEFFERSON ST, SUITE 201
MILWAUKEE, WI 53202
Milwaukee County (414) 226-4010
VINCENTS J. DINDZANS M.D.
Internal Medicine (Gastroenterology)
788 N JEFFERSON ST, SUITE 401
MILWAUKEE, WI 53202
Milwaukee County (414) 226-4020

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 Kevin Dinapoli's NPI number?

The NPI number for Kevin Dinapoli is 1942254420. It was assigned to this individual provider in the NPPES registry on May 20, 2006.

Where is Kevin Dinapoli located?

Kevin Dinapoli practices at 788 N Jefferson St Suite 300, Milwaukee, WI 53202. The listed phone number is (414) 272-8950.

What is Kevin Dinapoli's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Kevin Dinapoli enrolled in Medicare?

Yes. Kevin Dinapoli 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 Kevin Dinapoli accept?

Health plans from Anthem Blue Cross and Blue Shield and Network Health list Kevin Dinapoli 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 Kevin Dinapoli affiliated with any hospitals?

According to CMS data, Kevin Dinapoli is affiliated with Ascension Columbia St Mary's Hospital Milwaukee, Ascension SE Wisconsin Hospital and Aurora Medical Center.

When was this NPI record last updated?

The NPPES record for Kevin Dinapoli was last updated on November 7, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.