DR. DAVID ALAN SORRENTINO (D.O.) – Emergency Medicine Physician, NPI 1053495846

DR. DAVID ALAN SORRENTINO (D.O.) is a healthcare provider. based in Green bay, Wisconsin. specializing in EMERGENCY MEDICINE. They hold the professional credentials D.O.. They hold a License No. 2012039492 (MO). The NPI Number for DR. DAVID ALAN SORRENTINO (D.O.) is 1053495846

Main info

Male
Sole Proprietor
22 Years Of Experience
Accepts Medicare Assignment
Name
DR. DAVID ALAN SORRENTINO (D.O.)
NPI
1053495846
Phone
(920) 288-4060
Address
164 N BROADWAY
Enumeration Date
25 October 2006
Last Update Date
10 April 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9203038700
Graduation Year
2004 (22 years ago)
PAC ID
0143323824
Group Practice PAC ID
6709794258
Professional Enrollment ID
I20180423000685
Address ID
WI549047668OS855XXDRXX400

Contacts

Secure Messaging
dsorrentino198401@aurora.direct-ci.com
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience71
Completeness85
Years active:19State licenses:2Other namesUpdated within 12 months

1,324 EMERGENCY MEDICINE in WI

Provider Addresses for DR. DAVID ALAN SORRENTINO (D.O.)

  • Green Bay, Broadway, Queens, New York, 11373, United States

    GREEN BAY, WI 543032728

    Phone: (920) 288-4060

    Fax: (920) 288-4067

    Type: Mailing

  • 9200 W Wisconsin Ave

    Milwaukee, WI 532263522

    Phone: (414) 805-6480

    Type: Location

  • 12303 DePaul Dr

    Bridgeton, MO 63044

    Phone: (314) 344-7011

    Type: Location

  • 2845, Greenbrier Road, Bucktown, Dorchester County, Maryland, 21613, United States

    GREEN BAY, WI 543116519

    Phone: (920) 288-4060

    Fax: (920) 288-4067

    Type: Location

  • 1035 KEPLER DR

    GREEN BAY, WI 543118320

    Phone:

    Fax: (920) 288-4067

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2018-04-23

PECOS data refreshed: 2026-06-15

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20180423000685IEmergency MedicineWITBD

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.

Verify on CMS Revalidation Lookup Tool

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99285Emergency department visit with high level of medical decision making154149$0
99284Emergency department visit with moderate level of medical decision making10097$0
99291Critical care, first 30-74 minutes3232$0
99283Emergency department visit with low level of medical decision making2120$0
View full utilization report →

Insurance plans in this area (ZIP 54303)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 6709794258View full group profile
NameSpecialtyState
Nurse PractitionerWI
Family PracticeWI
Family PracticeIL
Geriatric Medicine, Internal MedicineWI
-WI
-WI
-IL
Certified Registered Nurse Anesthetist (Crna)IL
Family PracticeWI
-OH

Reviews

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Frequently asked questions

Where can patients find DR. DAVID ALAN SORRENTINO (D.O.)'s NPI?
You can confirm DR. DAVID ALAN SORRENTINO (D.O.) with NPI 1053495846; it appears in the national provider directory.
Is DR. DAVID ALAN SORRENTINO (D.O.) active in the national directory?
DR. DAVID ALAN SORRENTINO (D.O.)'s public NPI profile is in an active state.
Can you summarize DR. DAVID ALAN SORRENTINO (D.O.)'s specialty in plain language?
Clinically, the directory lists DR. DAVID ALAN SORRENTINO (D.O.) with Emergency Medicine Physician. Clinical services aligned with this taxonomy classification.
Does DR. DAVID ALAN SORRENTINO (D.O.) practice in Wisconsin?
You will see Green Bay, Wisconsin on file for DR. DAVID ALAN SORRENTINO (D.O.) alongside any extra practice locations.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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