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

Kelly T Novak, DO

Individual provider Surgery Physician · NPI 1902293145

Kelly T Novak, DO is a General Surgery in Milwaukee, Wisconsin. Graduated from Lincoln Memorial University Medical Department in 2015, 11 years ago. Practices with Aurora Medical Group, Inc, a 3,741-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in Michigan and Wisconsin.

Years since qualifying
11
Trained at
Lincoln Memorial University Medical Department
Licensed in
MI, WI
In the registry since
2015
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

2801 W Kinnickinnic River Pkwy Ste 575
Milwaukee, WI 53215-5200
Phone: (414) 649-3240
Fax: (414) 649-3244
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1 Genesys Pkwy, Grand Blanc, MI 48439-8065 — (810) 606-5000

Specialties & licences

Surgery Physician (primary) Taxonomy 208600000X · Licence 71000 (WI)
Surgery Physician Taxonomy 208600000X · Licence 5101021502 (MI)

Record details

NPI number1902293145
Entity typeIndividual (Type 1)
GenderFemale
Credentials DO
Sole proprietorNo
NPI enumeratedApril 24, 2015
Last updated in NPPESMay 30, 2025
Certification dateMay 30, 2025

Medicare enrollment

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

Medicare specialtyGENERAL SURGERY
Medical schoolLINCOLN MEMORIAL UNIVERSITY MEDICAL DEPARTMENT
Graduated 2015 (11 years in practice)
Group practice Aurora Medical Group, Inc. — 3741 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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