DENISE KOHL DO
NPI 1972986511
Family Medicine in Milwaukee, WI

Active since July 01, 2015PECOS EnrolledAccepts Medicare Assignment
80.46/100
CMS Quality Rating
2400 W VILLARD AVE, MILWAUKEE, WI 53209(414) 527-8348(414) 527-8046 Get Directions Write a Review

NPPES record last updated: April 22, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Apr 22, 2021, Apr 8, 2021 (2 updates tracked since 2021).

About Denise Kohl Do NPPES

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

DENISE KOHL DO (NPI 1972986511) is an individual family medicine provider in Milwaukee, Wisconsin, licensed in Wisconsin (74781) and active in the NPI registry since July 2015. She is enrolled in Medicare PECOS, maintains a secondary practice location in Lansing, and is a graduate of Other (2015).

NPPES Registry Identity

NPI1972986511
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameDENISE KOHLCredential: DO
Location Address2400 W VILLARD AVEMilwaukee, WI 53209-4901
Mailing Address2400 W Villard AveMilwaukee, WI 53209-4901 · (414) 527-8348 · Fax (414) 527-8046
Fax(414) 527-8046
Sole ProprietorNo
Medical School CMSOtherGraduated 2015
Enumeration DateJuly 1, 2015
Last NPPES UpdateApril 22, 20212 updates tracked since enumeration
NPPES CertifiedApril 22, 2021
NPI 1972986511 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in WI · 74781
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
2400 W VILLARD AVE, Milwaukee, WI 53209

Secondary Practice Location 1

Location 11215 East Michigan Ave., Sparrow Health SystemsLansing, MI 48909 · Phone (517) 364-2583

Other Identifiers 1

Medicaid1972986511WI

Accepted 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

Denise Kohl 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.

PECOS PAC ID9032447347
PECOS Enrollment IDI20210420000979
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

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.

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.
21 services18 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 53209 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
$82.92 typical visit price
range $53.90 – $163.24
Typical copayment $20.73 (range $13.47 – $40.81)
Most-billed visit code 99203
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.

80.46/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality66.24
Promoting Interoperability100
Improvement Activities40
Cost68.64

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.

Family Medicine
2400 W VILLARD AVE, WFHC GLENDALE FAMILY CENTER
MILWAUKEE, WI 53209
Case Manager/Care Coordinator
2400 W VILLARD AVE, WFHC GLENDALE FAMILY CENTER
MILWAUKEE, WI 53209
Student in an Organized Health Care Education/Training Program
2400 W VILLARD AVE
MILWAUKEE, WI 53209
Family Medicine
2400 W VILLARD AVE
MILWAUKEE, WI 53209
Student in an Organized Health Care Education/Training Program
2400 W VILLARD AVE
MILWAUKEE, WI 53209
Student in an Organized Health Care Education/Training Program
2400 W VILLARD AVE
MILWAUKEE, WI 53209
Family Medicine
2400 W VILLARD AVE, WFHC GLENDALE FAMILY CENTER
MILWAUKEE, WI 53209
Student in an Organized Health Care Education/Training Program
2400 W VILLARD AVE
MILWAUKEE, WI 53209

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 Denise Kohl's NPI number?

The NPI number for Denise Kohl is 1972986511. It was assigned to this individual provider in the NPPES registry on July 1, 2015.

Where is Denise Kohl located?

Denise Kohl practices at 2400 W Villard Ave, Milwaukee, WI 53209. The listed phone number is (414) 527-8348.

What is Denise Kohl's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Denise Kohl enrolled in Medicare?

Yes. Denise Kohl 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 Denise Kohl accept?

Health plans from Anthem Blue Cross and Blue Shield, Aspirus Health Plan and Network Health list Denise Kohl 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.

When was this NPI record last updated?

The NPPES record for Denise Kohl was last updated on April 22, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.