DR. SAMUEL PATRICK ENGLE D.O.
NPI 1326314170
Pediatrics - Pediatric Endocrinology in Milwaukee, WI
NPI Status: Active since March 27, 2012
Contact Information
9000 W WISCONSIN AVE
MILWAUKEE, WI
ZIP 53226
Phone: (414) 266-6750
Fax: (414) 266-6749
- Individual
- Male
- Pediatrics
- Pediatric Endocrinology
- Accepts Insurance
- PECOS Enrolled
About SAMUEL ENGLE
This page provides the complete NPI Profile along with additional information for Samuel Engle, a pediatrician established in Milwaukee, Wisconsin with a medical specialization in Pediatrics, focusing in pediatric endocrinology . The healthcare provider is registered in the NPI registry with number 1326314170 assigned on March 2012. The practitioner's primary taxonomy code is 2080P0205X with license number 63801 (WI). The provider is registered as an individual and his NPI record was last updated 7 years ago.
- NPI
- 1326314170
- Provider Name
- DR. SAMUEL PATRICK ENGLE D.O.
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 9000 W WISCONSIN AVE MILWAUKEE, WI 53226
- Location Phone
- (414) 266-6750
- Location Fax
- (414) 266-6749
- Mailing Address
- 999 N 92ND ST SUITE # 520 MILWAUKEE, WI 53226
- Mailing Phone
- (414) 266-6750
- Is Sole Proprietor?
- No
- Enumeration Date
- 03-27-2012
- Last Update Date
- 07-05-2018
- Code Navigator
A pediatrician like Samuel Engle is a physician who has completed a pediatric residency and is board-certified or board-eligible in a pediatric specialty. Pediatric care providers are trained to care for newborns, infants, children and adolescents. A pediatrician could perform physical exams, manage vaccinations, monitor development milestones, diagnose illnesses, infections, injuries or other health problems, etc.
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Pediatrics Pediatric Endocrinology
- Taxonomy Code
- 2080P0205X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- 63801
- License State
- WI
- Taxonomy Description
- A pediatrician who provides expert care to infants, children and adolescents who have diseases that result from an abnormality in the endocrine glands (glands which secrete hormones). These diseases include diabetes mellitus, growth failure, unusual size for age, early or late pubertal development, birth defects, the genital region and disorders of the thyroid, the adrenal and pituitary glands.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 208000000X | Allopathic & Osteopathic Physicians | Pediatrics | 63801-21 (WI) |
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Anthem Bronze Pathway/Lean 5000 (3 Free PCP Visits + $0 Select Drugs + Incentives) - HMO
- Anthem Bronze Pathway/Lean HSA (+ Incentives) - HMO
- Anthem Bronze Pathway/Lean Standard ($0 Virtual PCP + $0 Select Drugs + Incentives) - HMO
- Anthem Bronze Preferred/Broad 5000 (3 Free PCP Visits + $0 Select Drugs + Incentives) - POS
- Anthem Bronze Preferred/Broad HSA (+ Incentives) - POS
- Anthem Bronze Preferred/Broad Standard ($0 Virtual PCP + $0 Select Drugs + Incentives) - POS
- Anthem Bronze Priority/Lean 5000 (3 Free PCP Visits + $0 Select Drugs + Incentives) - HMO
- Anthem Bronze Priority/Lean HSA (+ Incentives) - HMO
- Anthem Bronze Priority/Lean Standard ($0 Virtual PCP + $0 Select Drugs + Incentives) - HMO
- Anthem Gold Pathway/Lean 1000 ($0 Virtual PCP + $0 Select Drugs + Incentives) - HMO
- HMO Bronze $0 Medical Deductible - HMO
- HMO Bronze 7500 - HMO
- HMO Catstrophic 9200 with 3 Free PCP Visits - HMO
- HMO Gold 1500 - HMO
- HMO Gold 2400 - HMO
- HMO HDHP Bronze 7200 - HMO
- HMO HDHP Silver 5400 - HMO
- HMO Silver 5000 - HMO
- HMO Silver 6600 - HMO
- POS Bronze 7500 - POS
- Chorus Bronze Complete - EPO
- Chorus Bronze HDHP - EPO
- Chorus Catastrophic - EPO
- Chorus Core Bronze - EPO
- Chorus Core Gold - EPO
- Chorus Core Silver - EPO
- Chorus Elite Gold - EPO
- Chorus Gold - EPO
- Chorus Silver - EPO
- Chorus Silver Select - EPO
- CGHC Bronze $0 Ded / $2250 Rx Ded - Envision Network - EPO
- CGHC Bronze $0 Ded / $2250 Rx Ded - Envision Network (Vision Exam) - EPO
- CGHC Bronze $9200 ($40 PCP Copay) - Envision Network - EPO
- CGHC Bronze $9200 ($40 PCP Copay) - Envision Network (Vision Exam) - EPO
- CGHC Bronze Standard $7500 - Envision Network - EPO
- CGHC Bronze Standard $7500 - Envision Network (Vision Exam) - EPO
- CGHC Catastrophic $9200 - Envision Network - EPO
- CGHC Gold $0 Ded - Envision Network - EPO
- CGHC Gold $0 Ded - Envision Network (Vision Exam) - EPO
- CGHC Gold $3000 - Envision Network - EPO
- Robin Oak $1,000 Gold - PPO
- Robin Oak $1,500 Standard Gold - PPO
- Robin Select $2,800 Plus Silver - PPO
- Robin Select $3,500 HSA Silver - PPO
- Robin Select $5,000 Standard Silver - PPO
- Robin Select $6,500 Plus Bronze - PPO
- Robin Select $7,500 Standard Bronze - PPO
- Robin Select $8,200 HSA Bronze - PPO
- Robin Select $9,200 Catastrophic - PPO
- Gold 1 - HMO
- Gold 1 with Adult Vision Services - HMO
- Gold 8 - HMO
- Silver 1 - HMO
- Silver 1 with Adult Vision Services - HMO
- Silver 12 with First 4 Primary Care Visits Free - HMO
- Silver 8 - HMO
- Prestige Bronze Essential + 3 Free PCP Visits - HMO
- Prestige Bronze Essential + Dental + Vision + 3 Free PCP Visits - HMO
- Prestige Bronze Plus - HMO
- Prestige Gold - HMO
- Prestige Gold 50 + 1 Free PCP Visit - HMO
- Prestige Gold 50 + Dental + Vision + 1 Free PCP Visit - HMO
- Prestige Gold Essential + 3Free PCP Visits - HMO
- Prestige Gold Essential + Dental + Vision + 3 Free PCP Visits - HMO
- Prestige Silver - HMO
- Prestige Silver Essential + 3 Free PCP Visits - HMO
- UHC Bronze Copay Focus $0 Indiv Med Ded ($0 Virtual Urgent Care, No Referrals) - HMO
- UHC Bronze Copay Focus+ $0 Indiv Med Ded ($0 Virtual Urgent Care, Dental + Vision, No Referrals) - HMO
- UHC Bronze Standard (No Referrals) - HMO
- UHC Bronze Value HSA (No Referrals) - HMO
- UHC Gold Advantage ($0 Virtual Urgent Care, $3 Tier 2 Rx, No Referrals) - HMO
- UHC Gold Advantage+ ($0 Virtual Urgent Care, $3 Tier 2 Rx, Dental + Vision, No Referrals) - HMO
- UHC Gold Copay Focus $0 Indiv Med Ded ($0 Virtual Urgent Care, $3 Tier 2 Rx, No Referrals) - HMO
- UHC Gold Standard (No Referrals) - HMO
- UHC Silver Advantage ($0 Virtual Urgent Care, $3 Tier 2 Rx, No Referrals) - HMO
- UHC Silver Advantage+ ($0 Virtual Urgent Care, $3 Tier 2 Rx, Dental + Vision, No Referrals) - HMO
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Medicare Participation & PECOS Enrollment Status
Samuel Engle is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): Yes
Eligible to Order or Refer Power Mobility Devices: Yes
Physician Visit Costs
The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.
For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.
The prices below reflect the costs for new and established patients in the 53226 ZIP code area.
New Patients Visit Costs *
The most utilized procedure code for new patients office visits is 99204
- Average New Patient Price $123.69
- Minimum New Patient Price $53.9
- Maximum New Patient Price $163.24
- Average New Patient Copayment $30.92
- Minimum New Patient Copayment $13.47
- Maximum New Patient Copayment $40.81
Established Patients Visit Costs *
The most utilized procedure code for established patients office visits is 99214
- Average Established Patient Price $95.41
- Minimum Established Patient Price $17.4
- Maximum Established Patient Price $133.76
- Average Established Patient Copayment $23.85
- Minimum Established Patient Copayment $4.35
- Maximum Established Patient Copayment $33.44
* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 3 | 2 | 6 | 3 | 1 | 4 | 1 | 7 | 0 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 3 | 4 | 6 | 6 | 1 | 8 | 1 | 14 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 3 + 4 + 6 + 6 + 1 + 8 + 1 + 1 + 4 + 24 = 60 | |||||||||
| Step 3: because the number obtained in step 2 ends in zero, the check digit is zero. | |||||||||
| 0 | |||||||||
The NPI number 1326314170 is valid because the calculated check digit 0 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1265413298 | CRAIG C PORTER MD Individual | Pediatrics (Pediatric Nephrology) | 9000 W WISCONSIN AVE PEDIATRIC NEPHROLOGY MILWAUKEE, WI 53226 (414) 337-7702 |
| 1528045911 | ANGELA MARIE PICKART MS Individual | Genetic Counselor, MS | 9000 W WISCONSIN AVE MS 716 MILWAUKEE, WI 53226 (414) 266-2910 |
| 1528039849 | DR. SRIDHAR RAO M.D., PH.D. Individual | Pediatrics (Pediatric Hematology-Oncology) | 9000 W WISCONSIN AVE PEDIATRIC HEMATOLOGY/ONCOLOGY MILWAUKEE, WI 53226 (414) 266-2420 |
| 1396703450 | DR. KEVIN J KELLY MD Individual | Pediatrics (Pediatric Allergy/Immunology) | 9000 W WISCONSIN AVE PEDIATRIC ALLERGY/IMMUNOLOGY MILWAUKEE, WI 53226 (414) 607-5280 |
| 1063461556 | MR. ROGER D. COHEN M.D. Individual | Surgery (Pediatric Surgery) | 9000 W WISCONSIN AVE MILWAUKEE, WI 53226 (414) 805-3666 |
| 1881644318 | DR. BRUCE M CAMITTA MD Individual | Pediatrics (Pediatric Hematology-Oncology) | 9000 W WISCONSIN AVE CHILDREN'S HOSPITAL OF WISCONSIN MILWAUKEE, WI 53226 (414) 456-4170 |
| 1962453407 | DR. CHERYL A MUSZYNSKI MD Individual | Neurological Surgery | 9000 W WISCONSIN AVE CHILDREN'S HEALTH SYS OFFICE BLDG MILWAUKEE, WI 53226 (414) 805-3666 |
| 1750332607 | DR. JENNIFER L FREETO MD Individual | Hospitalist | 9000 W WISCONSIN AVE CHILDREN'S HOSPITAL OF WISCONSIN MILWAUKEE, WI 53226 (414) 805-3666 |
| 1710939319 | DR. ERIC J WALBERGH MD Individual | Anesthesiology (Critical Care Medicine) | 9000 W WISCONSIN AVE PEDIATRIC ANESTHESIOLOGY MILWAUKEE, WI 53226 (414) 266-3560 |
| 1346292828 | DR. ANDREA L WINTHROP MD Individual | Surgery (Pediatric Surgery) | 9000 W WISCONSIN AVE CHILDREN'S HEALTH SYS OFFICE BLDG MILWAUKEE, WI 53226 (414) 805-3666 |
| 1497707236 | DR. MICHAEL B LEVY MD Individual | Allergy & Immunology | 9000 W WISCONSIN AVE CHILDREN'S HEALTH SYS OFFICE BLDG MILWAUKEE, WI 53226 (414) 805-3666 |
| 1346293024 | DR. BARBARA W PALMISANO MD Individual | Anesthesiology | 9000 W WISCONSIN AVE PEDIATRIC ANESTHESIOLOGY MILWAUKEE, WI 53226 (414) 266-3560 |
| 1649222381 | DR. ROBERT R MONTGOMERY MD Individual | Pediatrics (Pediatric Hematology-Oncology) | 9000 W WISCONSIN AVE CHILDREN'S HOSPITAL OF WISCONSIN MILWAUKEE, WI 53226 (414) 805-3666 |
| 1568414308 | MS. KATHY A EGGENER NP Individual | Registered Nurse | 9000 W WISCONSIN AVE CHILDREN'S HOSPITAL OF WISCONSIN MILWAUKEE, WI 53226 (414) 805-3666 |
| 1588618466 | DR. TATYANA C STRONG MD Individual | Anesthesiology | 9000 W WISCONSIN AVE PEDIATRIC ANESTHESIOLOGY MILWAUKEE, WI 53226 (414) 266-3560 |
| 1831146604 | MS. LORI SUE WIOREK MA, CCC-A Individual | Audiologist | 9000 W WISCONSIN AVE MILWAUKEE, WI 53226 (414) 266-2931 |
| 1306893896 | DR. MARK A KOSTIC MD Individual | Emergency Medicine (Medical Toxicology) | 9000 W WISCONSIN AVE MILWAUKEE, WI 53226 (414) 805-3666 |
| 1396792891 | MR. JOHN M. ROUTES M.D. Individual | Pediatrics (Pediatric Allergy/Immunology) | 9000 W WISCONSIN AVE PEDIATRIC ALLERY AND IMMUNOLOGY MILWAUKEE, WI 53226 (414) 266-6450 |
| 1952342347 | MS. DIANE MARIE CONTRERAS AU.D.,CCC-A Individual | Audiologist | 9000 W WISCONSIN AVE MILWAUKEE, WI 53226 (414) 266-7674 |
| 1225071186 | SUSAN M LONG MS Individual | Audiologist | 9000 W WISCONSIN AVE MILWAUKEE, WI 53226 (414) 266-2997 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1326314170, enumerated in the NPI registry as an "individual" on March 27, 2012
The provider is located at 9000 W Wisconsin Ave Milwaukee, Wi 53226 and the phone number is (414) 266-6750
The provider's speciality is Pediatrics with taxonomy code 2080P0205X with a focus in Pediatric Endocrinology
The provider might be accepting Accepts: Anthem Blue Cross and Blue Shield, Aspirus Health. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
Yes, as of June 20, 2025 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
Medicare beneficiaries should expect a typical cost of $123.69 with an average copayment of $30.92 for new patient appointments. Established patients should expect a typical charge of $95.41 and an average copayment of 23.85. Please review your insurance plan or contact the provider directly to determine your specific costs.
This NPI record was last updated on March 27, 2012. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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