Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
NPIDirectory

Dr. Kenneth Alan Iczkowski, MD

Individual provider Anatomic Pathology Physician · NPI 1699702373

Dr. Kenneth Alan Iczkowski, MD practises Pathology in Milwaukee, Wisconsin. Graduated from Saint Louis University School of Medicine in 1992, 34 years ago. Practices with Regents of the Univ of Ca, a 1,578-clinician group and accepts Medicare assignment. Licensed in Colorado, Ohio, Pennsylvania and Wisconsin and 1 more.

Years since qualifying
34
Trained at
Saint Louis University School of Medicine
Licensed in
CO, OH, PA, WI, WV
In the registry since
2006
Specialties on file
5
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

9200 W Wisconsin Ave Dept OF Pathology
Milwaukee, WI 53226-3522 Not confirmed with CMS for 12 years — call before visiting
Phone: (414) 805-6966
Fax: (414) 805-6980
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Anatomic Pathology Physician (primary) Taxonomy 207ZP0101X · Licence 60981 (WI)
Anatomic Pathology Physician Taxonomy 207ZP0101X · Licence 45517 (CO)
Anatomic Pathology Physician Taxonomy 207ZP0101X · Licence 097071 (OH)
Anatomic Pathology Physician Taxonomy 207ZP0101X · Licence 24404 (WV)
Anatomic Pathology Physician Taxonomy 207ZP0101X · Licence 065446-L (PA)

Record details

NPI number1699702373
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 27, 2006
Last updated in NPPESNovember 14, 2013

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPATHOLOGY
Medical schoolSAINT LOUIS UNIVERSITY SCHOOL OF MEDICINE
Graduated 1992 (34 years in practice)
Group practice Regents Of The Univ Of Ca — 1578 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Medicare patients and services, 2024

From the CMS Medicare Physician & Other Practitioners file for calendar year 2024. It counts Original Medicare patients only, so a practice that mostly sees Medicare Advantage or privately insured patients looks smaller here than it is.

Medicare patients462
Services billed 800 a service is one billed item, such as a visit, a test or a procedure
Average patient age73

Dollar amounts are not shown. What Medicare pays a practice is gross billings, before staff, premises and tax and including the cost of any drugs it administers, so it is not what a clinician earns.

Practises at

Facilities the CMS Facility Affiliation file lists for this clinician. Those with a page here are linked.

  • University Of California Davis Medical Center Hospital · Sacramento, CA · listed as University of California, Davis Medical Center
  • Adventist Health And Rideout Hospital · Marysville, CA
  • Enloe Health Hospital · Chico, CA

Colleagues at Regents of the Univ of Ca

Clinicians the CMS Doctors & Clinicians file lists under the same group practice. CMS counts 1578 clinicians in the practice; 12 are shown here.

Other providers in Milwaukee