Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Mark R Kroll, DO

Individual provider Family Medicine Physician · NPI 1124030499

Dr. Mark R Kroll, DO is a Family Practice in Green Bay, Wisconsin. Graduated from Des Moines University of Osteopathic Medicine and Health Sciences in 1988, 38 years ago. Practices with Independent Physicians of Wisconsin LLC, a 41-clinician group and accepts Medicare assignment. Licensed in Wisconsin.

Years since qualifying
38
Trained at
Des Moines University of Osteopathic Medicine and Health Sciences
Licensed in
WI
In the registry since
2006
Specialties on file
2
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

2253 W Mason St
Green Bay, WI 54303-4706
Phone: (920) 327-7000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Emergency Medicine Physician (primary) Taxonomy 207P00000X · Licence 30436-21 (WI)
Family Medicine Physician Taxonomy 207Q00000X · Licence 30436-21 (WI)

Record details

NPI number1124030499
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorNo
NPI enumeratedAugust 13, 2006
Last updated in NPPESMay 19, 2026
Certification dateMay 19, 2026

Medicare enrollment

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

Medicare specialtyFAMILY PRACTICE
Medical schoolDES MOINES UNIVERSITY OF OSTEOPATHIC MEDICINE AND HEALTH SCIENCES
Graduated 1988 (38 years in practice)
Group practice Independent Physicians Of Wisconsin Llc — 41 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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