TITO LAMONT IZARD (M.D.) – Family Medicine Physician, NPI 1013947662
Family Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
3,050 FAMILY PRACTICE in WI
Provider Addresses for TITO LAMONT IZARD (M.D.)
8200 W Silver Spring Dr
Milwaukee, WI 532182552
Phone: (414) 760-3900
Fax: (414) 464-6321
Type: Location
MLK Heritage Health Center, 2555, North Doctor Martin Luther King Junior Drive, Bronzeville, Harambee, Milwaukee, Milwaukee County, Wisconsin, 53212, United States
MILWAUKEE HEALTH SERVICES INC
MILWAUKEE, WI 532122709
Phone: (414) 372-8080
Fax: (414) 372-1705
Type: Mailing
2555 N DR MARTIN LUTHER KING JR DR
MILWAUKEE, WI 532122709
Phone: (414) 372-8080
Fax: (414) 464-6321
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 3 Open Payments records for all available years, with a total value of $328.
Total Amount is formed as General ($328) + Research ($0) + Ownership ($0) = $328.
Last reported payment date: 2024-07-25 • Largest payer in this snapshot: ABBVIE INC. ($125).
Total Amount
$328
General + Research + Ownership
Payments
3
Total payment records
General Amount
$328
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-07-25
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABBVIE INC. | $125 |
| Novo Nordisk Inc | $125 |
| Melinta Therapeutics, LLC | $78 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2004-01-20
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20040120000346 | I | Family Practice | WI | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 53218)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Certified Nurse Midwife (Cnm) | WI | |
| - | WI | |
| - | WI | |
| - | WI | |
| - | WI | |
| Nurse Practitioner | WI | |
| Nurse Practitioner | WI | |
| Obstetrics/Gynecology, Hospitalist, Gynecological Oncology, Obstetrics/Gynecology | WI | |
| Internal Medicine | WI | |
| Physician Assistant | WI |
Reviews
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