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NEDA NADERI
NPI 1992360804
Internal Medicine in Kenosha, WI

Active since May 06, 2019PECOS EnrolledAccepts Medicare Assignment
79.61/100
CMS Quality Rating
3400 MARKET LN, KENOSHA, WI 53144(262) 551-4600(262) 551-4635 Get Directions Write a Review

NPPES record last updated: May 2, 2023. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: May 2, 2023, May 6, 2019 (2 updates tracked since 2019).

About Neda Naderi NPPES

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

NEDA NADERI (NPI 1992360804) is an individual internal medicine provider in Kenosha, Wisconsin, licensed in Wisconsin (81033) and active in the NPI registry since May 2019. She is enrolled in Medicare PECOS, is affiliated with Froedtert South Inc., and is a graduate of Nova Southeastern College Of Osteo Medicine (2019).

NPPES Registry Identity

NPI1992360804
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameNEDA NADERI
Location Address3400 MARKET LNKenosha, WI 53144-3430
Mailing Address3400 Market LnKenosha, WI 53144-3430 · (262) 551-4600 · Fax (262) 551-4635
Phone(262) 551-4600
Fax(262) 551-4635
Sole ProprietorYes
Medical School CMSNova Southeastern College Of Osteo MedicineGraduated 2019
Enumeration DateMay 6, 2019
Last NPPES UpdateMay 2, 20232 updates tracked since enumeration
NPPES CertifiedMay 2, 2023
✔ NPI 1992360804 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in WI · 81033
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.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
3400 MARKET LN, Kenosha, WI 53144
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Accepted Insurance

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

Neda Naderi 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 ID547592404
PECOS Enrollment IDI20230425000210
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.

Medicare Billing Reassignment

Medicare enrollment records show Neda Naderi reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Froedtert South, Inc.
3.7 mi
Family Medicine
6308 8TH AVE
Kenosha, WI 53143
  • Reassigned Medicare billing, Wisconsin enrollment
  • 212 clinicians in this Medicare group
NPI 1558305284 (262) 656-2718

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 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.

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.
34 services21 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.
28 services25 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
15 services15 patients
Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit G0438
An annual wellness visit is a yearly appointment with your doctor to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's an opportunity to discuss your health status and goals and get a plan tailored for you.
13 services13 patients
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.
12 services12 patients

Hospital Affiliations CMS Care Compare

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

Froedtert South Inc.

Acute Care Hospitals · Pleasant Prairie, WI
1/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number520021
Location9555 76th StPleasant Prairie, WI 53158 · Kenosha County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 53144 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.

79.61/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality70.88
Promoting Interoperability100
Improvement Activities40
Cost61.15

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.

AMANDA QUINONEZ APNP
Nurse Practitioner
3400 MARKET LN
KENOSHA, WI 53144
Kenosha County (262) 551-4600
SABRINA BROWN
Nurse Practitioner (Family)
3400 MARKET LN
KENOSHA, WI 53144
Kenosha County (262) 551-4600
KEVEN R MOTTINGER PAC
Physician Assistant
3400 MARKET LN
KENOSHA, WI 53144
Kenosha County (262) 551-4600
CLAIRE NICOLE STABLEIN DNP, APRN, FNP-C
Nurse Practitioner (Family)
3400 MARKET LN
KENOSHA, WI 53144
Kenosha County (262) 551-4600
JESSICA M ALLES FNP
Nurse Practitioner (Family)
3400 MARKET LN
KENOSHA, WI 53144
Kenosha County (262) 612-2350
REBEKAH COSTELLO DO
Family Medicine
3400 MARKET LN
KENOSHA, WI 53144
Kenosha County (262) 551-4600
NEIL A SHEPLER MD
Family Medicine
3400 MARKET LN
KENOSHA, WI 53144
Kenosha County (262) 551-4600
COLIN MICHAEL MCCREADY DPT
Physical Therapist
3400 MARKET LN
KENOSHA, WI 53144
Kenosha County (262) 551-4600

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 Neda Naderi's NPI number?

The NPI number for Neda Naderi is 1992360804. It was assigned to this individual provider in the NPPES registry on May 6, 2019.

Where is Neda Naderi located?

Neda Naderi practices at 3400 Market Ln, Kenosha, WI 53144. The listed phone number is (262) 551-4600.

What is Neda Naderi's specialty?

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

Is Neda Naderi enrolled in Medicare?

Yes. Neda Naderi 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 Neda Naderi's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Neda Naderi reassigns Medicare benefits to Froedtert South, Inc. (Kenosha, 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 Neda Naderi's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Neda Naderi accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Anthem Blue Cross and Blue Shield and Network Health list Neda Naderi 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 Neda Naderi affiliated with any hospitals?

According to CMS data, Neda Naderi is affiliated with Froedtert South Inc..

When was this NPI record last updated?

The NPPES record for Neda Naderi was last updated on May 2, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.