MR. DOUGLAS WILLIAM MIELKE MD NPI 1104878149

NPI Information

  • NPI: 1104878149
  • Provider Name: MR. DOUGLAS WILLIAM MIELKE, MD
  • Classification: Internal Medicine - 207RI0011X
  • Specialization: Interventional Cardiology
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 5045 W GRANDE MARKET DR
    APPLETON, WI
    ZIP 54913
  • Phone: (920) 886-9380

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NPI Details

MR. Douglas William Mielke, MD is an interventional cardiology internal medicine in Appleton, WI with 38 years of experience. The provider is an area of medicine within the subspecialty of cardiology, which uses specialized imaging and other diagnostic techniques to evaluate blood flow and pressure in the coronary arteries and chambers of the heart and uses technical procedures and medications to treat abnormalities that impair the function of the cardiovascular system. MR. Douglas William Mielke, MD NPI is 1104878149. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: UNIVERSITY OF WISCONSIN SCHOOL OF MEDICINE
Graduation Year:1987

The provider's business location address is:

5045 W GRANDE MARKET DR
APPLETON, WI
ZIP 54913-517
Phone: (920) 886-9380
Fax: (920) 886-9381

The NPI 1104878149 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
  • Ultrasound of heart with color-depicted blood flow, rate, direction and valve function (HCPCS:93306)
  • Injection, propofol, 10 mg (HCPCS:J2704)
  • Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month (HCPCS:99490)
  • Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
  • Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report (HCPCS:93000)
  • Blood test, basic group of blood chemicals (calcium, total) (HCPCS:80048)
  • Injection, octafluoropropane microspheres, per ml (HCPCS:Q9956)
  • Insertion of needle into vein for collection of blood sample (HCPCS:36415)
  • Ultrasound of heart with color-depicted blood flow, rate, direction and valve function (HCPCS:93306)
  • Chronic care management services for two or more chronic conditions, additional 20 minutes of clinical staff time directed by health care professional, per calendar month (HCPCS:99439)
  • Electrocardiogram (ecg) 2-day continuous with review and report by health care professional (HCPCS:93224)
  • New patient office or other outpatient visit, 45-59 minutes (HCPCS:99204)
  • Programming of dual lead pacemaker system (HCPCS:93280)
  • Natriuretic peptide (heart and blood vessel protein) level (HCPCS:83880)
  • Blood creatinine level (HCPCS:82565)
  • X-ray of chest, 2 views (HCPCS:71046)
  • Complex chronic care management services for two or more chronic conditions, first 60 minutes of clinical staff time directed by health care professional, per calendar month (HCPCS:99487)
  • Follow-up hospital inpatient care per day, typically 25 minutes (HCPCS:99232)
  • Magnesium level (HCPCS:83735)
  • Programming of single lead pacemaker system (HCPCS:93279)
  • Ultrasound of heart with color-depicted blood flow, rate and valve function (HCPCS:93325)
  • Ultrasound of heart with color-depicted blood flow, rate and valve function (HCPCS:93325)
  • Ultrasound of heart, follow-up (HCPCS:93308)
  • Liver enzyme (sgpt), level (HCPCS:84460)
  • Blood test, thyroid stimulating hormone (tsh) (HCPCS:84443)
  • Ultrasound of heart with probe in esophagus, with report (HCPCS:93312)
  • External shock to heart to regulate heart beat (HCPCS:92960)
  • Initial hospital inpatient care per day, typically 50 minutes (HCPCS:99222)
  • Comprehensive assessment of and care planning for patients requiring chronic care management services (list separately in addition to primary monthly care management service) (HCPCS:G0506)
  • Ultrasound of heart blood flow, valves and chambers, follow-up (HCPCS:93321)

The enumeration date for this NPI number is 5/17/2006 and was last updated on 3/26/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207R00000XInternal Medicine35277-020WISCONSINNo
2207RC0000XInternal MedicineCardiovascular Disease35277-020WISCONSINNo
3207RI0011XInternal MedicineInterventional Cardiology35277-020WISCONSINYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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