KELLY SANDBERG NPI 1841615754

NPI Information

  • NPI: 1841615754
  • Provider Name: KELLY SANDBERG
  • Classification: Surgery - 208600000X
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 2801 W KINNICKINNIC RIVER PKWY STE 145
    MILWAUKEE, WI
    ZIP 53215
  • Phone: (414) 649-3240

Map and Directions

Get Directions

NPI Details

Kelly Sandberg is a surgery in Milwaukee, WI with 12 years of experience. The provider is a general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. Kelly Sandberg NPI is 1841615754. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: KANSAS CITY UNIVERSITY OF MED & BIOSCIENCES, COLLEGE OF OSTEO MED
Graduation Year:2014

The provider's business location address is:

2801 W KINNICKINNIC RIVER PKWY STE 145
MILWAUKEE, WI
ZIP 53215-624
Phone: (414) 649-3240
Fax: (414) 649-3244

The NPI 1841615754 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, 20-29 minutes (HCPCS:99213)
  • Biopsy or removal of deep lymph nodes of underarm (HCPCS:38525)
  • Imaging of lymph nodes during surgery (HCPCS:38900)
  • New patient office or other outpatient visit, 60-74 minutes (HCPCS:99205)
  • Partial removal of breast (HCPCS:19301)
  • Mastectomy (HCPCS:NAN04)

The enumeration date for this NPI number is 2/28/2014 and was last updated on 6/8/2023.

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
1208600000XSurgery036.150493ILLINOISNo
2208600000XSurgeryO-1388IDAHONo
3208600000XSurgery23036WISCONSINYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1100215196MEDICAIDWISCONSIN

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: 11/21/2025

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.