TONI-DENISE PANGANIBAN ESPINA MD
NPI 1962829994
Internal Medicine - Pulmonary Disease in Milwaukee, WI

Q: 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.

Q: 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.

Active since March 27, 2014PECOS EnrolledAccepts Medicare Assignment

3070 N 51ST ST, MILWAUKEE, WI 53210(414) 874-4774 Get Directions Write a Review

NPPES record last updated: September 15, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Sep 15, 2025, Sep 11, 2025, Jan 8, 2023 and 3 more (6 updates tracked since 2016).

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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

NPI1962829994

Entity TypeIndividualFemale

Primary Taxonomy207RP1001X

Provider Legal NameTONI-DENISE PANGANIBAN ESPINACredential: MD

Location Address3070 N 51ST STMilwaukee, WI 53210-1645

Mailing Address29373 Network PlChicago, IL 60673-1293

Phone(414) 874-4774

Sole ProprietorNo

Medical School CMSOtherGraduated 2013

Enumeration DateMarch 27, 2014

Last NPPES UpdateSeptember 15, 20256 updates tracked since enumeration

NPPES CertifiedSeptember 15, 2025

✔ NPI 1962829994 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyInternal Medicine · Pulmonary DiseaseAllopathic & Osteopathic Physicians

Taxonomy Code207RP1001X

License✔ Licensed in WI · 75

Definition

An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs.

Also ListedInternal Medicine · Critical Care MedicineTaxonomy 207RC0200X · License 036-141570 (IL), 75-320 (WI)

Also ListedHospitalistTaxonomy 208M00000X · License 036.141570 (IL)

3070 N 51ST ST, Milwaukee, WI 53210

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Secondary Practice Location 1

Location 1450 W Highway 22Barrington, IL 60010-1919 · Phone (708) 283-5500

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource (Common Ground Healthcare), Medica, 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

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.

PECOS PAC ID6204130594

PECOS Enrollment IDI20170613001459, I20210520000279, I20250919001400

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 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.

Critical care, first 30-74 minutes 99291

Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.

73 services65 patients

Critical care, each additional 30 minutes 99292

Critical care refers to special attention given to patients facing life-threatening conditions. Each additional 30 minutes indicates the extension of this specialized care. This might include close monitoring, medication adjustments, and immediate interventions as needed.

60 services36 patients

Insertion of artery tube for blood sampling or infusion through skin 36620

This procedure involves placing a small tube into an artery, usually in the wrist or elbow, to collect blood samples or administer medication. It's done under local anesthesia and is a common, safe practice.

13 services13 patients

Emergent insertion of breathing tube into windpipe using an endoscope 31500

This is a procedure where a thin tube is inserted into your windpipe to aid in breathing. It's done in emergency situations, using an endoscope, a tool with a light and camera, to ensure correct placement.

12 services12 patients

Hospital Affiliations CMS Care Compare 3

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

Advocate Sherman Hospital

Acute Care Hospitals · Elgin, IL

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number140030

Location1425 North Randall RoadElgin, IL 60123 · Kane County

Emergency services Birthing friendly

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

Physician 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.

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.

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.

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

2 suppliers22 claims22 services$69.97 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 20

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

JOSEPH C. BATTISTA MD SC

Surgery

3070 N 51ST ST
MILWAUKEE, WI 53210

Milwaukee County (414) 871-9500

MICHAEL R. SWEEN PA

Physician Assistant (Medical)

3070 N 51ST ST, #406
MILWAUKEE, WI 53210

Milwaukee County (414) 447-5040

RICHARD A STELIGA MD SC

Surgery

3070 N 51ST ST, STE 405
MILWAUKEE, WI 53210

Milwaukee County (414) 871-8888

EMAD BOTROS, M.D., S.C.

Internal Medicine (Pulmonary Disease)

3070 N 51ST ST, SUITE 402
MILWAUKEE, WI 53210

Milwaukee County (414) 871-2673

DR. MARTA VIVIANA THAKKAR M.D.

Pediatrics (Neonatal-Perinatal Medicine)

3070 N 51ST ST, STE P309
MILWAUKEE, WI 53210

Milwaukee County (414) 447-2674

ADVANCED HEALTHCARE, S.C.

Durable Medical Equipment & Medical Supplies

3070 N 51ST ST
MILWAUKEE, WI 53210

Milwaukee County (414) 873-7768

THOMAS H MAHN MD

Internal Medicine (Interventional Cardiology)

3070 N 51ST ST, SUITE 106
MILWAUKEE, WI 53210

Milwaukee County (414) 442-9911

MARTA V THAKKAR, MD,SC

Pediatrics (Neonatal-Perinatal Medicine)

3070 N 51ST ST, P309
MILWAUKEE, WI 53210

Milwaukee County (414) 447-2764

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.

What insurance does Toni-denise Espina accept?

Health plans from CareSource (Common Ground Healthcare), Medica 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, Ascension Columbia St Mary's Hospital Milwaukee and Ascension SE Wisconsin Hospital.

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 10 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.