DANIEL T KOPESKY (DO) – Obstetrics & Gynecology Physician, NPI 1114034659

DANIEL T KOPESKY (DO) is a healthcare provider. based in Milwaukee, Wisconsin. specializing in OBSTETRICS/GYNECOLOGY. They hold the professional credentials DO. They hold a License No. 37816 (WI). The NPI Number for DANIEL T KOPESKY (DO) is 1114034659

Main info

Male
34 Years Of Experience
Name
DANIEL T KOPESKY (DO)
NPI
1114034659
Phone
(414) 352-3100
Address
3003 W GOOD HOPE RD
Enumeration Date
23 August 2006
Last Update Date
31 January 2014

Doctor Profile

Medical School Name
OTHER
Secondary Phone
-
Graduation Year
1992 (34 years ago)
PAC ID
9133206428
Group Practice PAC ID
0840189718
Professional Enrollment ID
I20080410000722
Address ID
WI535380000FOPOXXXBOXX201
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

798 OBSTETRICS/GYNECOLOGY in WI

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Provider Addresses for DANIEL T KOPESKY (DO)

  • Aurora Health Center, 3003, West Good Hope Road, Town & Country Manor, Glendale, Milwaukee County, Wisconsin, 53209, United States

    MILWAUKEE, WI 532092042

    Phone: (414) 352-3100

    Type: Mailing

  • East Sumner Street, Hartford, Washington County, Wisconsin, 53027, United States

    HARTFORD, WI 53027

    Phone: (262) 670-4000

    Fax: (262) 670-4451

    Type: Location

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: 2008-04-10

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
I20080410000722IObstetrics/GynecologyWITBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 53209)

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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: 0840189718View full group profile
NameSpecialtyState
Hospitalist, Internal MedicineMI
General SurgeryIL
-WI
General SurgeryWI
Certified Registered Nurse Anesthetist (Crna)WI
Certified Registered Nurse Anesthetist (Crna)WI
Diagnostic RadiologyWI
-WI
-WI
Diagnostic RadiologyMA

Reviews

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Frequently asked questions

What is the 10-digit NPI for DANIEL T KOPESKY (DO)?
DANIEL T KOPESKY (DO) — NPI 1114034659 — is the standard way to identify this listing.
Does the file indicate DANIEL T KOPESKY (DO) is practicing under active NPI?
Directory data currently reports DANIEL T KOPESKY (DO) as active.
What taxonomy line describes DANIEL T KOPESKY (DO)?
For research purposes, treat DANIEL T KOPESKY (DO) as Obstetrics & Gynecology Physician in this dataset. Clinical services aligned with this taxonomy classification.
Does DANIEL T KOPESKY (DO) list a practice location?
Patients near Milwaukee, Wisconsin may find DANIEL T KOPESKY (DO) in results; validate coverage separately.
How many locations tie to this NPI?
2 practice locations appear in the available data.

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