DR. KATHLEEN A SHALLOW (MD) – Emergency Medicine Physician, NPI 1063433837

DR. KATHLEEN A SHALLOW (MD) is a healthcare provider. based in Milwaukee, Wisconsin. specializing in EMERGENCY MEDICINE. They hold the professional credentials MD. They hold a License No. 35968-020 (WI). The NPI Number for DR. KATHLEEN A SHALLOW (MD) is 1063433837

Main info

Female
33 Years Of Experience
Accepts Medicare Assignment
Name
DR. KATHLEEN A SHALLOW (MD)
NPI
1063433837
Phone
(414) 877-5350
Address
10625 W NORTH AVE
Enumeration Date
21 July 2006
Last Update Date
7 April 2017

Doctor Profile

Medical School Name
MEDICAL COLLEGE OF WISCONSIN
Secondary Phone
2627542220
Graduation Year
1993 (33 years ago)
PAC ID
6800896341
Group Practice PAC ID
8729975461
Professional Enrollment ID
I20070308000191
Address ID
WI530054423BR17000AVEX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

1,324 EMERGENCY MEDICINE in WI

Loading map...

Provider Addresses for DR. KATHLEEN A SHALLOW (MD)

  • West North Avenue, Brewers Hill, Milwaukee, Milwaukee County, Wisconsin, 53226, United States

    102

    MILWAUKEE, WI 532262315

    Phone: (414) 877-5350

    Fax: (414) 877-5360

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

Loading prescription activity...

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: 2007-03-08

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
I20070308000191IEmergency 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
93010Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only6156$0
99285Emergency department visit with high level of medical decision making5655$0
99284Emergency department visit with moderate level of medical decision making4140$0
99291Critical care, first 30-74 minutes2525$0
View full utilization report →

Insurance plans in this area (ZIP 53226)

Loading plans...

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: 8729975461View full group profile
NameSpecialtyState
Emergency MedicineMA
Physician AssistantWI
Emergency MedicineWI
Emergency MedicineWI
Physician AssistantWI
Emergency MedicineWI
-WA
Emergency MedicineWI
Emergency MedicineWI
Physician AssistantWI

Reviews

All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.

No reviews yet. Be the first to share your experience — your opinion helps families compare providers.

Frequently asked questions

What is the standard ID for DR. KATHLEEN A SHALLOW (MD) in the U.S.?
In the U.S., DR. KATHLEEN A SHALLOW (MD) is identified by NPI 1063433837.
Quick check: is DR. KATHLEEN A SHALLOW (MD) active?
Public NPPES data shows DR. KATHLEEN A SHALLOW (MD) with an active NPI status right now.
What services align with DR. KATHLEEN A SHALLOW (MD)'s listing?
DR. KATHLEEN A SHALLOW (MD)'s public classification highlights Emergency Medicine Physician. Clinical services aligned with this taxonomy classification.
Which community is linked to DR. KATHLEEN A SHALLOW (MD)?
DR. KATHLEEN A SHALLOW (MD) shows a connection to Milwaukee, Wisconsin in registry-derived data.
Why is information missing for DR. KATHLEEN A SHALLOW (MD)?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

Similar Providers

JON D RAWLING (MD)

Emergency Medicine Physician
PO BOX 88215
NPI: 1912907403

STEVEN J MCINTYRE (MD)

Emergency Medical Services (Emergency Medicine) Physician
PO BOX 88215
NPI: 1306846894

CYRIL WALSH (MD)

Emergency Medical Services (Emergency Medicine) Physician
PO BOX 88215
NPI: 1194725879

BRAD SANDLEBACK (MD)

Emergency Medical Services (Emergency Medicine) Physician
PO BOX 88215
NPI: 1902806698

ERICA R MEYER (MD)

Emergency Medical Services (Emergency Medicine) Physician
ThedaCare Regional Medical Center-Appleton, 1818, North Meade Street, Erb Park, Appleton, Outagamie County, Wisconsin, 54911, United States
NPI: 1770583353

GREGORY J HUNTER (MD)

Emergency Medical Services (Emergency Medicine) Physician
ThedaCare Regional Medical Center-Appleton, 1818, North Meade Street, Erb Park, Appleton, Outagamie County, Wisconsin, 54911, United States
NPI: 1699775064

DANIEL PERRAULT (MD)

Family Medicine Physician
ThedaCare Medical Center-Berlin, 225, Memorial Drive, City of Berlin, Green Lake County, Wisconsin, 54923, United States
NPI: 1790777423

MITCHELL HUGH LEAVITT (M.D.)

Emergency Medicine Physician
8001, Ridges Road, Baileys Harbor, Town of Baileys Harbor, Door County, Wisconsin, 54202, United States
NPI: 1598752719

MR. PAUL EVERETT MITTELSTADT (M.D.)

Emergency Medicine Physician
Milwaukee, Milwaukee County, Wisconsin, United States
NPI: 1295725513