MEDICARE: DR. MICHAEL EDWARD KOKAT D.P.M.

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	332B00000X	Durable Medical Equipment & Medical Supplies		WI
2	213ES0103X	Foot & Ankle Surgery Podiatrist	924-025	WI

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	000054100	OTHER	WI	MEDICARE, WPS

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1780607200
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MICHAEL EDWARD KOKAT D.P.M.

Provider Business Mailing Address
First Line	:	1050 S MILWAUKEE AVENUE
Second Line	:	STE 102
City	:	BURLINGTON
State	:	WI
Zip	:	53105-1380
Country	:	US
Telephone Number	:	262-763-9007
Fax Number	:	262-758-6134

Provider Business Practice Location Address
First Line	:	1050 S MILWAUKEE AVE
Second Line	:	SUITE 102
City	:	BURLINGTON
State	:	WI
Zip	:	53105-1362
Country	:	US
Telephone Number	:	262-763-9007
Fax Number	:	262-758-6134

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/25/2006
Last Update Date	:	02/05/2026

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Directions to “ DR. MICHAEL EDWARD KOKAT D.P.M.” Practice Location

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