KANE LAKS (MD) – Family Medicine Physician, NPI 1104455609

KANE LAKS (MD) is a healthcare provider. based in Belleville, Wisconsin. specializing in FAMILY PRACTICE. They hold the professional credentials MD. They hold a License No. 76397-20 (WI). The NPI Number for KANE LAKS (MD) is 1104455609

Main info

Male
Sole Proprietor
6 Years Of Experience
Accepts Medicare Assignment
Name
KANE LAKS (MD)
NPI
1104455609
Phone
(608) 424-3384
Address
1121 BELL WEST BLVD
Enumeration Date
6 April 2020
Last Update Date
20 November 2024

Doctor Profile

Medical School Name
UNIVERSITY OF MISSOURI, KANSAS CITY, SCHOOL OF MEDICINE
Secondary Phone
-
Graduation Year
2020 (6 years ago)
PAC ID
0244654879
Group Practice PAC ID
2668459264
Professional Enrollment ID
I20230704000059
Address ID
WI541350970KEW3275BOXX701
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience45
Completeness75
Years active:6State licenses:2Digital endpointsOther names

3,050 FAMILY PRACTICE in WI

Provider Addresses for KANE LAKS (MD)

  • 1121 BELL WEST BLVD

    BELLEVILLE, WI 53508

    Phone: (608) 424-3384

    Fax: (608) 424-6353

    Type: Mailing

  • 6749 PINELAKE DR

    MADISON, WI 537195645

    Phone:

    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: 2023-07-04

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

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

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20230704000059IFamily PracticeWITBD

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
36415Insertion of needle into vein for collection of blood sample3827$0
99213Established patient office or other outpatient visit, 20-29 minutes3737$0
99214Established patient office or other outpatient visit, 30-39 minutes2726$0
View full utilization report →

Insurance plans in this area (ZIP 53508)

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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: 2668459264View full group profile
NameSpecialtyState
Clinical Social WorkerWI
Family PracticeWI
-WI
P S Y C H I A T R YWI
Family PracticeWI
Nurse PractitionerWI
Family Practice, Osteopathic Manipulative MedicineWI
O P T O M E T R YWI
Family PracticeWI
P O D I A T R YWI

Reviews

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Frequently asked questions

What identifier follows KANE LAKS (MD) across health systems?
The NPI 1104455609 uniquely identifies KANE LAKS (MD) in U.S. healthcare data.
Quick check: is KANE LAKS (MD) active?
Public NPPES data shows KANE LAKS (MD) with an active NPI status right now.
What does the directory say KANE LAKS (MD) does?
Insurance directories may phrase it differently, but here KANE LAKS (MD) maps to Family Medicine Physician. Clinical services aligned with this taxonomy classification.
Can patients visit KANE LAKS (MD) in Belleville, Wisconsin?
For routing, start with Belleville, Wisconsin for KANE LAKS (MD), then verify phone and hours locally.
Who maintains KANE LAKS (MD)'s record?
Providers certify NPPES data; CMS hosts the public file you are viewing.