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

Simonida Kokanovic, MD

Individual provider Family Medicine Physician · NPI 1063709749

Simonida Kokanovic, MD is a Family Practice in Union Grove, Wisconsin. Qualified in 1995, 31 years ago. Practices with State of Wisconsin, an 8-clinician group and accepts Medicare assignment. Licensed in Wisconsin.

Years since qualifying
31
Licensed in
WI
In the registry since
2011
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

21425 Spring St
Union Grove, WI 53182-9707
Phone: (262) 878-2411
Fax: (262) 878-2922
Show map & directions

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

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 50383020 (WI)

Record details

NPI number1063709749
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorYes
NPI enumeratedJuly 1, 2011
Last updated in NPPESJune 11, 2014
Mailing address21425 Spring St, Union Grove, WI 53182-9707

Medicare enrollment

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

Medicare specialtyFAMILY PRACTICE
Medical schoolOTHER
Graduated 1995 (31 years in practice)
Group practice State Of Wisconsin — 8 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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