Medzone LLC
Organization Active NPI General Practice Physician · Milwaukee, WI
NPI 1003569328 · NPPES record last updated Jun 29, 2026
Key facts
- NPI
- 1003569328
- Entity type
- Organization (NPI type 2)
- Primary specialty
- General Practice Physician 208D00000X
- Legal business name
- MEDZONE LLC
- Practice address
- 1919 W North Ave Ste 150
Milwaukee, WI 53205-1101 - Phone
- (414) 395-0009
- NPI assigned
- Jan 27, 2022
- Organization subpart
- No
Authorized official
- Name
- Marwan Aly
- Title
- Owner
- Phone
- (414) 395-0009
Corporate family (same tax ID) 1
Practitioners 1
-
Marwan Aly, M.D., MPAS, PA-C
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in WI
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20251020000854 | WI | Part B Supplier - Clinic/Group Practice | 9830687144 |
Receives reassigned benefits from 1 practitioner Practice locations: Milwaukee, WI |
National Provider Directory
- Tax ID family
- Medzone LLC
Interoperability endpoints
- info@medzone.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Physician |
208D00000X | Yes |
Addresses
Primary practice location
1919 W North Ave Ste 150
Milwaukee, WI 53205-1101
Mailing address
1919 W North Ave Ste 150
Milwaukee, WI 53205-1101
Phone (414) 395-0009
Other names
- MedZone LLC
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | info@medzone.com | Direct |
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All providers in Milwaukee, WI · General Practice Physician in Wisconsin
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 29, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.