Active NPI
Bhupendra O Khatri, M.D.
- Neurology Physician
- Milwaukee, WI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology Physician
- License
- 24109
- Practice address
- 3237 S 16TH St
Milwaukee, WI 53215-4526 - Phone
- (414) 769-4040
- Fax
- (414) 769-4041
- NPI assigned
- Feb 20, 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 |
|---|---|---|---|---|
| Neurology Physician | 2084N0400X | 24109 | WI | Primary |
Addresses
Primary practice location
3237 S 16TH St
Milwaukee, WI 53215-4526
Mailing address
3237 S 16TH St
Milwaukee, WI 53215-4526
Phone (414) 769-4040
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 30413700 | 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
Care Compare profile
Medicare Care Compare- Specialty
- Neurology
- Education
- Other, 1974
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3237 S 16TH St
Milwaukee, WI 53215-4526
Phone (414) 769-4040
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 24109 | WI | MD | Neurology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Center for Neurological Disorders, SC | Neurology | Current | Accepting new patients |
Locations
3237 S 16th St
Milwaukee, WI 53215
Phone (414) 647-5000
10750 W Howard Ave
Milwaukee, WI 53228
Phone (414) 239-6248
3870 S 108th St
Ste B
Milwaukee, WI 53228
Phone (414) 239-6248
915 Summit Ave
Summit, WI 53066
Phone (262) 569-2300
Interoperability endpoints
- centerforneurological.bhupendrakhatri@115251.advancedmd-direct.com
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.
-
- Neurology Physician
- Milwaukee, WI
- NPI 1649223041
Hospital & facility affiliations 7
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Ascension All Saints Hospital
- General Acute Care Hospital
- Racine, WI
- NPI 1639123284
-
dba Ascension SE Wisconsin Hospital-Elmbrook Campus
- General Acute Care Hospital
- Milwaukee, WI
- NPI 1427007384
-
dba Ascension SE Wisconsin Hospital-Elmbrook Campus
- Rehabilitation Hospital Unit
- Brookfield, WI
- NPI 1861417362
-
dba Ascension St Francis Hospital
- General Acute Care Hospital
- Milwaukee, WI
- NPI 1225087190
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Cudahy, WI
- NPI 1235355983
Hospital
-
- General Acute Care Hospital
- Milwaukee, WI
- NPI 1861447179
-
dba Ascension Columbia St Mary's Hospital Milwaukee Campus
- General Acute Care Hospital
- Milwaukee, WI
- NPI 1871656082
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1140393600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1540944000000",
"number": "1013982594",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3237 S 16TH ST",
"city": "MILWAUKEE",
"state": "WI",
"postal_code": "532154526",
"telephone_number": "414-769-4040",
"fax_number": "414-769-4041"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3237 S 16TH ST",
"city": "MILWAUKEE",
"state": "WI",
"postal_code": "532154526",
"telephone_number": "414-769-4040",
"fax_number": "414-769-4041"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KHATRI",
"first_name": "BHUPENDRA",
"middle_name": "O",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-02-20",
"last_updated": "2018-10-31",
"status": "A"
},
"taxonomies": [
{
"code": "2084N0400X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology",
"state": "WI",
"license": "24109",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "30413700",
"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 Oct 31, 2018; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.