MEDICARE: ADVANCED FOOT & ANKLE OF WISCONSIN LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	213ES0103X	Foot & Ankle Surgery Podiatrist

General Provider Information

NPI Number	:	1427900992
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ADVANCED FOOT & ANKLE OF WISCONSIN LLC

Provider Business Mailing Address
First Line	:	4600 W LOOMIS RD STE 218
Second Line	:
City	:	MILWAUKEE
State	:	WI
Zip	:	53220-4858
Country	:	US
Telephone Number	:	414-281-1500
Fax Number	:	414-281-9120

Provider Business Practice Location Address
First Line	:	4600 W LOOMIS RD STE 218
Second Line	:
City	:	MILWAUKEE
State	:	WI
Zip	:	53220-4858
Country	:	US
Telephone Number	:	414-281-1500
Fax Number	:	414-281-9120

Authorized Official
Title or Position	:	OWNER
Name	:	MICHAEL EDWARD KOKAT
Credential	:	DPM
Telephone Number	:	262-763-9007

Provider Enumeration Date	:	02/09/2026
Last Update Date	:	02/09/2026

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Directions to “ADVANCED FOOT & ANKLE OF WISCONSIN LLC ” Practice Location

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