Gabriela Espinoza-candelaria, MD - Medicare Pediatric Medicine in Milwaukee, WI

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Gabriela Espinoza-candelaria, MD is a medicare enrolled "Pediatrics - Pediatric Infectious Diseases" physician in Milwaukee, Wisconsin. She went to Baylor College Of Medicine and graduated in 2018 and has 7 years of diverse experience with area of expertise as Pediatric Medicine. She is a member of the group practice University Hospitals Medical Group Inc and her current practice location is 9000 W Wisconsin Ave, Milwaukee, Wisconsin. You can reach out to her office (for appointments etc.) via phone at (414) 337-7070.

Gabriela Espinoza-candelaria is licensed to practice in Wisconsin (license number 86181-20) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1679077168.

Contact Information

Gabriela Espinoza-candelaria, MD
9000 W Wisconsin Ave,
Milwaukee, WI 53226-4874
(414) 337-7070
(414) 337-7093

Map and Direction




Physician's Profile

Full NameGabriela Espinoza-candelaria
GenderFemale
SpecialityPediatric Medicine
Experience7 Years
Location9000 W Wisconsin Ave, Milwaukee, Wisconsin
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Gabriela Espinoza-candelaria attended and graduated from Baylor College Of Medicine in 2018
  NPI Data:
  • NPI Number: 1679077168
  • Provider Enumeration Date: 03/20/2018
  • Last Update Date: 10/18/2025
  Medicare PECOS Information:
  • PECOS PAC ID: 8527477900
  • Enrollment ID: I20240410001013

Medical Identifiers

Medical identifiers for Gabriela Espinoza-candelaria such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1679077168NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2080P0208XPediatrics - Pediatric Infectious Diseases 86181-20 (Wisconsin)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
University Hospitals Medical Group Inc47896824931735

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Gabriela Espinoza-candelaria allows following entities to bill medicare on her behalf.
Entity NameThe Metrohealth System
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1053353896
PECOS PAC ID: 8628982949
Enrollment ID: O20031119000355
Entity NameUniversity Hospitals Medical Group Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1669499414
PECOS PAC ID: 4789682493
Enrollment ID: O20061113000301

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Gabriela Espinoza-candelaria is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Gabriela Espinoza-candelaria, MD
9000 W Wisconsin Ave,
Milwaukee, WI 53226-4874

Ph: (414) 337-7070		Gabriela Espinoza-candelaria, MD
9000 W Wisconsin Ave,
Milwaukee, WI 53226-4874

Ph: (414) 337-7070

Reviews and Comments


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Austin Cummings,
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Dr. Swati Kumar, M.D.
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Practice Location: 9000 W Wisconsin Ave, Pediatric Infectious Diseases, Milwaukee, WI 53226
Phone: 414-337-7070    Fax: 414-337-7093

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.