Individual provider Active NPI

Aboud Affi, M.D.

  • Gastroenterology Physician
  • Milwaukee, WI
National Provider Identifier
1003891250
Registry record updated Nov 18, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
35075 Issued in WI
Practice address
1218 W Kilbourn Ave
Suite 404
Milwaukee, WI 53233-1330
Phone
(414) 291-3100
NPI assigned
Dec 9, 2005
Last updated
Nov 18, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 18, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X 35075 WI Primary

Addresses

Primary practice location

1218 W Kilbourn Ave
Suite 404
Milwaukee, WI 53233-1330

Mailing address

3003 W Good Hope Rd
Milwaukee, WI 53209-2042
Phone (414) 352-3100

Other identifiers 2

IdentifierTypeStateIssuer
P00941424OtherWIRR MEDICARE
32224500MedicaidWI

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address aaffi14207@direct.myadvocateaurora.org Direct
FHIR URL https://EpicFHIR.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060410000181 WI Practitioner - Gastroenterology 2365451036 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Gastroenterology
Education
Other, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Aurora Advanced Healthcare, Inc.Group PAC ID 3375625833, 1,107 clinicians

Practice addresses (Care Compare)

1218 W Kilbourn Ave
Suite 404
Milwaukee, WI 53233-1325
Phone (414) 219-4700

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy167
Upper gastrointestinal (GI) endoscopy for acid reflux155

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
35075WIMDGastroenterology Physician
J7595TXMDCytopathology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Aurora Advanced Healthcare, Inc. CurrentSince Mar 14, 2011 Accepting new patients
Aurora Medical Group, Inc. CurrentSince Jan 12, 2010 Accepting new patients
Aurora Medical Group, Inc. CurrentSince Jan 12, 2010 Accepting new patients
Aurora Advanced Healthcare Inc CurrentSince Mar 14, 2011 Accepting new patients
Aurora Health Care Metro, Inc. CurrentSince Jan 1, 2009 Accepting new patients
Digestive Disease Specialists of Wi PastSince Apr 10, 2006 Accepting new patients
Diagnostic Clinic of Houston Past Accepting new patients
Diagnostic Clinic of Houston Lab Past Accepting new patients

Locations

3003 W Good Hope Rd
Glendale, WI 53209
Phone (414) 352-3100

2733 S Ridge Rd
Green Bay, WI 54304
Phone (920) 497-6200

12203 N Corporate Pkwy
Mequon, WI 53092
Phone (262) 387-8200

1020 N 12th St
Milwaukee, WI 53233
Phone (414) 219-3056

1218 W Kilbourn Ave
Ste 402
Milwaukee, WI 53233
Phone (414) 219-7108

1218 W Kilbourn Ave
Ste 404
Milwaukee, WI 53233
Phone (414) 219-4700

1575 N Rivercenter Dr
#132
Milwaukee, WI 53212
Phone (414) 291-3100

2900 W Oklahoma Ave
Milwaukee, WI 53215
Phone (414) 385-2590

950 N 12th St
Milwaukee, WI 53233
Phone (414) 219-6036

915 Summit Ave
Summit, WI 53066
Phone (262) 569-2300

W231N1440 Corporate Ct
Waukesha, WI 53186
Phone (262) 896-6000

W231N1440 Corporate Ct
Ste 307
Waukesha, WI 53186
Phone (262) 569-0454

Networks

  • IL PPO Downstate
  • IL HMO C-SNP
  • devoted network organization-1baeae7e-6b6f-49f9-a562-1b2d2e55c806

Interoperability endpoints

  • Direct secure messaging: aaffi14207@direct.myadvocateaurora.org

Organizations & group practices 8

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1134086400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1637193600000",
    "number": "1003891250",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3003 W GOOD HOPE RD",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532092042",
            "telephone_number": "414-352-3100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1218 W KILBOURN AVE",
            "address_2": "SUITE 404",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532331330",
            "telephone_number": "414-291-3100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AFFI",
        "first_name": "ABOUD",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-09",
        "last_updated": "2021-11-18",
        "certification_date": "2021-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "WI",
            "license": "35075",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "P00941424",
            "state": "WI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "32224500",
            "state": "WI"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "aaffi14207@direct.myadvocateaurora.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "1218 W Kilbourn Ave",
            "address_2": "Suite 404",
            "city": "Milwaukee",
            "state": "WI",
            "country_code": "US",
            "postal_code": "532331330",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://EpicFHIR.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/",
            "affiliation": "N",
            "address_1": "1218 W Kilbourn Ave",
            "address_2": "Suite 404",
            "city": "Milwaukee",
            "state": "WI",
            "country_code": "US",
            "postal_code": "532331330",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Milwaukee, WI

Sources for this page

Verify at the official NPI Registry.