Active NPI
Umar Shad, MD
- Family Medicine Physician
- Milwaukee, WI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 52104-20
- Practice address
- 5800 W Burleigh St
Milwaukee, WI 53210-1516 - Phone
- (414) 444-7787
- Fax
- (414) 444-8803
- NPI assigned
- Oct 26, 2007
- 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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 52104-20 | WI | Primary |
Addresses
Primary practice location
5800 W Burleigh St
Milwaukee, WI 53210-1516
Mailing address
5800 W Burleigh St
Milwaukee, WI 53210-1516
Phone (414) 444-7787
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043499049 | 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
- Family Practice
- Education
- Other, 1997
- Medicare assignment
- May accept Medicare assignment
- Group practices
Practice addresses (Care Compare)
5434 W Capital Dr
Milwaukee, WI 53216-2298
Phone (414) 442-5400
803 W Layton Ave
Milwaukee, WI 53221-2426
Phone (414) 939-4411
Hospital & facility affiliations
- Ascension SE Wisconsin Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Muslim Community and Health Center of Wisconsin Inc | Current | Accepting new patients | |
| Milwaukee Cardiac Care LLC | Current | Accepting new patients | |
| Comprehensive Podiatry Services | Current | Accepting new patients |
Locations
5800 W Burleigh St
Milwaukee, WI 53210
Phone (414) 444-7787
5434 W Capitol Dr
Milwaukee, WI 53216
Phone (414) 442-5400
803 W Layton Ave
Milwaukee, WI 53221
Phone (414) 253-8330
7733 W Burleigh St
Milwaukee, WI 53222
Phone (262) 328-4232
5434 W Capitol Dr
Ste 1
Milwaukee, WI 53216
Phone (414) 251-3500
2603 W Rawson Ave
Ste 135
Oak Creek, WI 53154
Phone (414) 271-8181
Interoperability endpoints
- ushad724225@direct.ochin.org
- umar.shad.1@22338.direct.athenahealth.com
Organizations & group practices 3
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.
-
- Cardiovascular Disease Physician
- Milwaukee, WI
- NPI 1982625885
-
- Community Health Clinic/Center
- Milwaukee, WI
- NPI 1962850768
-
- Foot & Ankle Surgery Podiatrist
- Milwaukee, WI
- NPI 1134885809
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Milwaukee, WI
- NPI 1427007384
-
- Rehabilitation Hospital Unit
- Brookfield, WI
- NPI 1861417362
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1193356800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1448496000000",
"number": "1043499049",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5800 W BURLEIGH ST",
"city": "MILWAUKEE",
"state": "WI",
"postal_code": "532101516",
"telephone_number": "414-444-7787",
"fax_number": "414-444-8803"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5800 W BURLEIGH ST",
"city": "MILWAUKEE",
"state": "WI",
"postal_code": "532101516",
"telephone_number": "414-444-7787",
"fax_number": "414-444-8803"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHAD",
"first_name": "UMAR",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-10-26",
"last_updated": "2015-11-26",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "WI",
"license": "52104-20",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1043499049",
"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 Nov 26, 2015; 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.