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

Richard Gregg Kishaba, MD

Individual provider Pediatrics Physician · NPI 1477532794

Richard Gregg Kishaba, MD is a Pediatric Medicine in Eau Claire, Wisconsin. Graduated from Medical College of Wisconsin in 1984, 42 years ago. Practices with Mayo Clinic Health System-Northwest Wisconsin Region Inc, a 799-clinician group and accepts Medicare assignment. Licensed in Wisconsin.

Years since qualifying
42
Trained at
Medical College of Wisconsin
Licensed in
WI
In the registry since
2006
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

733 W Clairemont Ave
Eau Claire, WI 54701-6101
Phone: (715) 838-5222
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatrics Physician (primary) Taxonomy 208000000X · Licence 27007 (WI)

Record details

NPI number1477532794
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJanuary 13, 2006
Last updated in NPPESJune 30, 2021
Certification dateJune 30, 2021
Mailing address200 1st St Sw, Rochester, MN 55905-0001

Medicare enrollment

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

Medicare specialtyPEDIATRIC MEDICINE
Medical schoolMEDICAL COLLEGE OF WISCONSIN
Graduated 1984 (42 years in practice)
Group practice Mayo Clinic Health System-Northwest Wisconsin Region Inc — 799 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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