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

Kartik Kesavabhotla

Individual provider Neurological Surgery Physician · NPI 1548689144

Kartik Kesavabhotla is a Neurology in Milwaukee, Wisconsin. Qualified in 2014, 12 years ago. Practices with Lakeshore Medical Clinic LLC, a 379-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in Illinois and Wisconsin.

Years since qualifying
12
Licensed in
IL, WI
In the registry since
2014
Specialties on file
2
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Practice location Address checks out

2901 W Kinnickinnic River Pkwy
Milwaukee, WI 53215-3677
Phone: (414) 385-1922
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 6705 Ravens Crest Drive, Plainsboro, NJ 08536 — (609) 647-9543

Specialties & licences

Neurological Surgery Physician (primary) Taxonomy 207T00000X · Licence 21035 (WI)
Neurological Surgery Physician Taxonomy 207T00000X · Licence 125066065 (IL)

Record details

NPI number1548689144
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedApril 10, 2014
Last updated in NPPESAugust 19, 2024
Certification dateAugust 19, 2024

Medicare enrollment

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

Medicare specialtyNEUROLOGY
Medical schoolOTHER
Graduated 2014 (12 years in practice)
Group practice Lakeshore Medical Clinic Llc — 379 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

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