Individual provider Active NPI

Talal R Khairi, MD

  • Nephrology Physician
  • Glendale, WI
National Provider Identifier
1043471436
Registry record updated Jul 1, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
64355 Issued in WI
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

Updated by the provider on Jul 1, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
10045943MedicaidWI

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address tkhairi43433@direct.davitaphysiciansolutions.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL, WI2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20141218002590 IL Practitioner - Internal Medicine 5597830471 Reassigns benefits to 1 organization
I20150716000863 WI Practitioner - NephrologyPractitioner - Internal Medicine 5597830471 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
NephrologyAlso: Internal Medicine
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Aurora Advanced Healthcare, Inc.Group PAC ID 3375625833, 1,107 clinicians
Milwaukee Nephrologists SCGroup PAC ID 4385538446, 21 clinicians

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 Dialysis facility, Glendale, WI, CCN 522554
  • DaVita Mill Street Home Training (PD) Dialysis facility, Cedarburg, WI, CCN 522595
  • DaVita Cedarburg Dialysis Dialysis facility, Cedarburg, WI, CCN 522529
  • Ara - Milwaukee Dialysis facility, Milwaukee, WI, CCN 522565
  • DaVita Mequon Road Dialysis Dialysis facility, Germantown, WI, CCN 522579
  • Ascension Columbia St Marys Hospital Milwaukee Hospital, Milwaukee, WI, CCN 520051
  • Aurora Medical Center Hospital, Grafton, WI, CCN 520207
  • Aurora St Lukes Medical Center Hospital, Milwaukee, WI, CCN 520138
  • Aurora Medical Center Sheboygan County Hospital, Sheboygan, WI, CCN 520035
  • Holy Family Memorial Hospital, Manitowoc, WI, CCN 520107

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Endeavor Health Medical Group CurrentSince Dec 3, 2014 Accepting new patients
Aurora Advanced Healthcare, Inc. CurrentSince Dec 4, 2023 Accepting new patients
Endeavor Health Medical Group CurrentSince Dec 3, 2014 Accepting new patients
Milwaukee Nephrologists, S.C. Nephrology CurrentSince Aug 1, 2021 Accepting new patients
Aurora Advanced Healthcare Inc CurrentSince Dec 4, 2023 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

  • Direct secure messaging: tkhairi43433@direct.davitaphysiciansolutions.com
  • FHIR API: https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.140.71975
  • Direct secure messaging: 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.

Hospital & facility affiliations 9

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": "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

Verify at the official NPI Registry.