TONI-DENISE PANGANIBAN ESPINA MD
NPI 1962829994
Internal Medicine - Pulmonary Disease in Milwaukee, WI
About Toni-denise Panganiban Espina Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
TONI-DENISE PANGANIBAN ESPINA MD (NPI 1962829994) is an individual pulmonary disease provider in Milwaukee, Wisconsin, licensed in Wisconsin (75) and active in the NPI registry since March 2014. She is enrolled in Medicare PECOS, is affiliated with Advocate Sherman Hospital, and maintains a secondary practice location in Barrington.
NPPES Registry Identity
Specialties & Licenses 3
Secondary Practice Location 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Toni-denise Panganiban Espina Md 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.
Medicare Billing Reassignments
8Medicare enrollment records show Toni-denise Espina reassigns Medicare billing to 8 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Glendale, WI 53212
- Reassigned Medicare billing, Wisconsin enrollment
- 1,343 clinicians in this Medicare group
Milwaukee, WI 53211
- Reassigned Medicare billing, Wisconsin enrollment
- Medicare enrollment name: Columbia St Marys Hospital Milwaukee Inc
- 856 clinicians in this Medicare group
Elm Grove, WI 53122
- Reassigned Medicare billing, Wisconsin enrollment
- 1,457 clinicians in this Medicare group
Mount Pleasant, WI 53405
- Reassigned Medicare billing, Wisconsin enrollment
- 72 clinicians in this Medicare group
Evanston, IL 60201
- Reassigned Medicare billing, Illinois enrollment
- 4,841 clinicians in this Medicare group
Park Ridge, IL 60068
- Reassigned Medicare billing, Illinois enrollment
- Medicare enrollment name: Advocate Health And Hospitals Corporation
- 4,870 clinicians in this Medicare group
Bridgeton, MO 63044
- Reassigned Medicare billing, Illinois enrollment
- 419 clinicians in this Medicare group
Lakewood, CO 80228
- Reassigned Medicare billing, Colorado enrollment
- 67 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
Hospital Affiliations CMS Care Compare 2
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Advocate Sherman Hospital
Acute Care Hospitals · Elgin, ILAscension Columbia St Mary's Hospital Milwaukee
Acute Care Hospitals · Milwaukee, WIPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 53210 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Referred Medical Equipment & Supplies CMS DME claims
Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
MILWAUKEE, WI 53210
MILWAUKEE, WI 53210
MILWAUKEE, WI 53210
MILWAUKEE, WI 53210
MILWAUKEE, WI 53210
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 Toni-denise Espina's NPI number?
The NPI number for Toni-denise Espina is 1962829994. It was assigned to this individual provider in the NPPES registry on March 27, 2014.
Where is Toni-denise Espina located?
Toni-denise Espina practices at 3070 N 51st St, Milwaukee, WI 53210. The listed phone number is (414) 874-4774.
What is Toni-denise Espina's specialty?
The primary specialty registered for this NPI is Internal Medicine, specializing in Pulmonary Disease, with taxonomy code 207RP1001X.
Is Toni-denise Espina enrolled in Medicare?
Yes. Toni-denise Espina 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.
Which organizations bill Medicare for Toni-denise Espina's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Toni-denise Espina reassigns Medicare benefits to 8 organizations: Ascension Medical Group-Southeast Wisconsin Inc (Glendale, WI), Columbia St. Mary's Hospital Milwaukee Inc (Milwaukee, WI), Gundersen Lutheran Medical Center Inc (Elm Grove, WI), Midwest Critical Care Sc (Mount Pleasant, WI), Endeavor Health Medical Group (Evanston, IL) and 3 more organizations, listed in the Medicare section above. 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 Toni-denise Espina's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Toni-denise Espina accept?
Health plans from CareSource (Common Ground Healthcare) and Network Health list Toni-denise Espina 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 Toni-denise Espina affiliated with any hospitals?
According to CMS data, Toni-denise Espina is affiliated with Advocate Sherman Hospital and Ascension Columbia St Mary's Hospital Milwaukee.
When was this NPI record last updated?
The NPPES record for Toni-denise Espina was last updated on September 15, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months 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.
# Toni-Denise Panganiban Espina, MD · NPI 1962829994
Pulmonary Disease physician in Milwaukee, Wisconsin. Individual provider, active in the CMS NPPES registry since March 27, 2014.
## Identity
- **NPI:** 1962829994 (Entity type: Individual)
- **Enumerated:** March 27, 2014
- **Primary specialty:** Internal Medicine - Pulmonary Disease · taxonomy 207RP1001X
- **State license:** 75 (Wisconsin)
- **Sole proprietor:** No
## Practice location
- **Address:** 3070 N 51ST ST, Milwaukee, WI 53210-1645
- **Phone:** (414) 874-4774
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 8 organizations under Medicare reassignment (form CMS-855R): Ascension Medical Group-Southeast Wisconsin Inc (NPI 1609881077, Glendale, WI); Columbia St. Mary's Hospital Milwaukee Inc (NPI 1225071491, Milwaukee, WI); Gundersen Lutheran Medical Center Inc (NPI 1548992316, Elm Grove, WI); Midwest Critical Care Sc (NPI 1093425647, Mount Pleasant, WI); Endeavor Health Medical Group (NPI 1265695944, Evanston, IL); and 3 more · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2013
## Record status
- **NPPES last updated:** September 15, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1962829994) · Data from the CMS NPPES public registry.