Active NPI
Talal R Khairi, MD
- Nephrology Physician
- Glendale, WI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nephrology Physician
- License
- 64355
- Practice address
- 5650 N Green Bay Ave Ste 210
Glendale, WI 53209-4447 - Phone
- (414) 431-5971
- Fax
- (414) 434-0354
- NPI assigned
- Jun 19, 2008
- 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 |
|---|---|---|---|---|
| Nephrology Physician | 207RN0300X | 64355 | WI | Primary |
Addresses
Primary practice location
5650 N Green Bay Ave Ste 210
Glendale, WI 53209-4447
Mailing address
5650 N Green Bay Ave Ste 210
Glendale, WI 53209-4447
Phone (414) 431-5971
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 10045943 | Medicaid | WI |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | tkhairi43433@direct.davitaphysiciansolutions.com | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL, WI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Nephrology
- Education
- Other, 2000
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3003 W Good Hope Rd
Milwaukee, WI 53209-2042
Phone (414) 352-3100
5650 N Green Bay Ave
Suite 210
Glendale, WI 53209-4447
Phone (414) 259-8917
Hospital & facility affiliations
- DaVita Bay Shore Dialysis
- DaVita Mill Street Home Training (PD)
- DaVita Cedarburg Dialysis
- Ara - Milwaukee
- DaVita Mequon Road Dialysis
- Ascension Columbia St Marys Hospital Milwaukee
- Aurora Medical Center
- Aurora St Lukes Medical Center
- Aurora Medical Center Sheboygan County
- Holy Family Memorial
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Endeavor Health Medical Group | Current | Accepting new patients | |
| Aurora Advanced Healthcare, Inc. | Current | Accepting new patients | |
| Endeavor Health Medical Group | Current | Accepting new patients | |
| Milwaukee Nephrologists, S.C. | Nephrology | Current | Accepting new patients |
| Aurora Advanced Healthcare Inc | Current | Accepting new patients | |
| Baystate Affiliated Practice Organization | Hospitalist | Past | Accepting new patients |
Locations
9532 Eagle Way
Chicago, IL 60678
2650 Ridge Ave
Ste 2218A
Evanston, IL 60201
Phone (847) 503-4222
2650 Ridge Ave
Evanston, IL 60201
Phone (847) 570-1206
19333 W North Ave
Brookfield, WI 53045
Phone (262) 785-2000
N54W6135 Mill St
Ste 600
Cedarburg, WI 53012
Phone (262) 261-0094
3003 W Good Hope Rd
Glendale, WI 53209
Phone (414) 352-3100
5650 N Green Bay Ave
Ste 210
Glendale, WI 53209
Phone (414) 247-9530
12203 N Corporate Pkwy
Mequon, WI 53092
Phone (262) 387-8200
2901 W Kinnickinnic River Pkwy
Ste 413
Milwaukee, WI 53215
Phone (414) 259-8917
9200 W Wisconsin Ave
Wauwatosa, WI 53226
Phone (414) 259-3000
2514 S 102nd St
Ste 120
West Allis, WI 53227
Interoperability endpoints
- tkhairi43433@direct.davitaphysiciansolutions.com
- https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.140.71975
- talal.khairi@milwaukeenephrologists.directbygreenway.com
Organizations & group practices 6
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.
-
- Family Medicine Physician
- Milwaukee, WI
- NPI 1265629133
-
- Nephrology Physician
- Milwaukee, WI
- NPI 1982763405
-
- Emergency Medicine Physician
- Evanston, IL
- NPI 1497701882
-
- Durable Medical Equipment & Medical Supplies
- Summit, WI
- NPI 1477186633
-
- Anesthesiology Physician
- Evanston, IL
- NPI 1265695944
-
- Internal Medicine Physician
- Springfield, MA
- NPI 1043256043
Hospitalist
Hospital & facility affiliations 9
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Milwaukee, WI
- NPI 1275644171
Dialysis facility
-
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Glendale, WI
- NPI 1235457508
Dialysis facility
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Sheboygan, WI
- NPI 1902023955
Hospital
-
- General Acute Care Hospital
- Sheboygan, WI
- NPI 1922053107
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Cudahy, WI
- NPI 1235355983
Hospital
-
- General Acute Care Hospital
- Milwaukee, WI
- NPI 1861447179
-
- General Acute Care Hospital
- Grafton, WI
- NPI 1265740195
-
- General Acute Care Hospital
- Milwaukee, WI
- NPI 1871656082
-
- General Acute Care Hospital
- Manitowoc, WI
- NPI 1700998697
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1213833600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1782864000000",
"number": "1043471436",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5650 N GREEN BAY AVE STE 210",
"city": "GLENDALE",
"state": "WI",
"postal_code": "532094447",
"telephone_number": "414-431-5971",
"fax_number": "414-434-0354"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5650 N GREEN BAY AVE STE 210",
"city": "GLENDALE",
"state": "WI",
"postal_code": "532094447",
"telephone_number": "414-431-5971",
"fax_number": "414-434-0354"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KHAIRI",
"first_name": "TALAL",
"middle_name": "R",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-06-19",
"last_updated": "2026-07-01",
"certification_date": "2026-07-01",
"status": "A"
},
"taxonomies": [
{
"code": "207RN0300X",
"taxonomy_group": "",
"desc": "Internal Medicine, Nephrology",
"state": "WI",
"license": "64355",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "10045943",
"state": "WI"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "tkhairi43433@direct.davitaphysiciansolutions.com",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "5650 N Green Bay Ave Ste 210",
"city": "Glendale",
"state": "WI",
"country_code": "US",
"postal_code": "532094447",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Glendale, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2026; 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.