STEPHEN E SMETANA I DO
NPI 1972208189
Internal Medicine in Milwaukee, WI
About Stephen E Smetana I Do NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
STEPHEN E SMETANA I DO (NPI 1972208189) is an individual internal medicine provider in Milwaukee, Wisconsin, licensed in Wisconsin (81838-21) and active in the NPI registry since April 2023. He is enrolled in Medicare PECOS, is affiliated with Aurora St Lukes Medical Center, and is a graduate of Other (2023).
NPPES Registry Identity
Specialties & Licenses 2
Other Identifiers 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
Stephen E Smetana I Do 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 Reassignment
Medicare enrollment records show Stephen Smetana reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Milwaukee, WI 53215
- Reassigned Medicare billing, Wisconsin enrollment
- 4,609 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.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Aurora St Lukes Medical Center
Acute Care Hospitals · Milwaukee, WIPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 53233 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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 53233
MILWAUKEE, WI 53233
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 Stephen Smetana's NPI number?
The NPI number for Stephen Smetana is 1972208189. It was assigned to this individual provider in the NPPES registry on April 5, 2023.
Where is Stephen Smetana located?
Stephen Smetana practices at 945 N 12th St, Milwaukee, WI 53233. The listed phone number is (414) 219-7635.
What is Stephen Smetana's specialty?
The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.
Is Stephen Smetana enrolled in Medicare?
Yes. Stephen Smetana 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 organization bills Medicare for Stephen Smetana's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Stephen Smetana reassigns Medicare benefits to Aurora Medical Group, Inc. (Milwaukee, WI). The 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 Stephen Smetana's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Stephen Smetana accept?
Health plans from CareSource (Common Ground Healthcare) and Quartz list Stephen Smetana 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 Stephen Smetana affiliated with any hospitals?
According to CMS data, Stephen Smetana is affiliated with Aurora St Lukes Medical Center.
When was this NPI record last updated?
The NPPES record for Stephen Smetana was last updated on August 25, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# Stephen E Smetana I, DO · NPI 1972208189
Internal Medicine physician in Milwaukee, Wisconsin. Individual provider, active in the CMS NPPES registry since April 5, 2023.
## Identity
- **NPI:** 1972208189 (Entity type: Individual)
- **Enumerated:** April 5, 2023
- **Primary specialty:** Internal Medicine · taxonomy 207R00000X
- **State license:** 81838-21 (Wisconsin)
- **Sole proprietor:** No
## Practice location
- **Address:** 945 N 12TH ST, Milwaukee, WI 53233-1305
- **Phone:** (414) 219-7635
## 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:** Aurora Medical Group, Inc. (NPI 1427271378, Milwaukee, WI), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2023
## Record status
- **NPPES last updated:** August 25, 2026
- **Other identifiers:** Medicaid 100333444 (WI)
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Source: [NPI Profile](https://npiprofile.com/npi/1972208189) · Data from the CMS NPPES public registry.