Active NPI
Mir Abdul Basir, MD
- Neonatal-Perinatal Medicine Physician
- Milwaukee, WI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neonatal-Perinatal Medicine Physician
- License
- 40577
- Practice address
- 9000 W Wisconsin Ave
Division of Neonatology
Milwaukee, WI 53226-4874 - Phone
- (414) 266-6820
- Fax
- (414) 266-6979
- NPI assigned
- May 12, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neonatal-Perinatal Medicine Physician | 2080N0001X | 40577 | WI | Primary |
Addresses
Primary practice location
9000 W Wisconsin Ave
Division of Neonatology
Milwaukee, WI 53226-4874
Mailing address
9000 W Wisconsin Ave
Division of Neonatology
Milwaukee, WI 53226-4874
Phone (414) 266-6820
Other practice location 1
3200 Pleasant Valley Rd
West Bend, WI 53095-9274
Phone (262) 836-7300
Other practice location 2
W180N8085 Town Hall Rd
Menomonee Falls, WI 53051-3518
Phone (262) 257-5000
Other practice location 3
9200 W Wisconsin Ave
Milwaukee, WI 53226-3522
Phone (414) 805-6600
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 002006261P | Other | HUMANA | |
| 32558800 | Medicaid | WI | |
| 1013967546 | Medicaid | WI |
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 40577 | WI | MD | Neonatal-Perinatal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Medical College of Wisconsin, Inc. | Current | Accepting new patients |
Locations
W180N8085 Town Hall Rd
Menomonee Fls, WI 53051
Phone (262) 257-5000
10911 N Port Washington Rd
Mequon, WI 53092
Phone (262) 241-2080
Bin 88350
Milwaukee, WI 53288
Phone (414) 805-3122
9200 W Wisconsin Ave
Wauwatosa, WI 53226
Phone (414) 259-3000
8701 Watertown Plank Rd
Wauwatosa, WI 53226
Phone (414) 456-4100
9000 W Wisconsin Ave
Wauwatosa, WI 53226
Phone (414) 266-2625
3200 Pleasant Valley Rd
West Bend, WI 53095
Phone (262) 334-5533
Interoperability endpoints
- mbasir6891@direct.chw.org
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Internal Medicine Physician
- Milwaukee, WI
- NPI 1699720086
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147392000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1709251200000",
"number": "1013967546",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9000 W WISCONSIN AVE",
"address_2": "DIVISION OF NEONATOLOGY",
"city": "MILWAUKEE",
"state": "WI",
"postal_code": "532264874",
"telephone_number": "414-266-6820",
"fax_number": "414-266-6979"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9000 W WISCONSIN AVE",
"address_2": "DIVISION OF NEONATOLOGY",
"city": "MILWAUKEE",
"state": "WI",
"postal_code": "532264874",
"telephone_number": "414-266-6820",
"fax_number": "414-266-6979"
}
],
"practiceLocations": [
{
"address_1": "3200 Pleasant Valley Rd",
"address_purpose": "LOCATION",
"city": "West Bend",
"state": "WI",
"postal_code": "530959274",
"country_code": "US",
"telephone_number": "262-836-7300",
"fax_number": "262-836-7301",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "W180N8085 Town Hall Rd",
"address_purpose": "LOCATION",
"city": "Menomonee Falls",
"state": "WI",
"postal_code": "530513518",
"country_code": "US",
"telephone_number": "262-257-5000",
"fax_number": "262-518-5052",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "9200 W Wisconsin Ave",
"address_purpose": "LOCATION",
"city": "Milwaukee",
"state": "WI",
"postal_code": "532263522",
"country_code": "US",
"telephone_number": "414-805-6600",
"fax_number": "414-805-6622",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BASIR",
"first_name": "MIR ABDUL",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-12",
"last_updated": "2024-03-01",
"certification_date": "2024-03-01",
"status": "A"
},
"taxonomies": [
{
"code": "2080N0001X",
"taxonomy_group": "",
"desc": "Pediatrics, Neonatal-Perinatal Medicine",
"state": "WI",
"license": "40577",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HUMANA",
"identifier": "002006261P",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "32558800",
"state": "WI"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1013967546",
"state": "WI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Milwaukee, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.