Organization Active NPI

Zenith Healthcare SC

  • Cardiovascular Disease Physician
  • Kenosha, WI
National Provider Identifier
1043610280
Registry record updated Apr 25, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
45622 Issued in WI
Legal business name
ZENITH HEALTHCARE SC
Practice address
6121 Green Bay Rd Ste 100
Kenosha, WI 53142-2931
Phone
(262) 359-1652
Fax
(262) 764-7577
NPI assigned
Aug 25, 2014
Last updated
Apr 25, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 25, 2019

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

Authorized official

Name
Raaid Museitif, M.D.NPI 1992974174
Title
President
Phone
(262) 359-1652

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RC0000X 45622 WI Primary

Addresses

Primary practice location

6121 Green Bay Rd Ste 100
Kenosha, WI 53142-2931

Mailing address

6121 Green Bay Rd Ste 100
Kenosha, WI 53142-2931
Phone (262) 359-1652

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20141024001238 WI Part B Supplier - Clinic/Group Practice 3476774001 Receives reassigned benefits from 18 practitioners
Practice locations: Franklin, WI; Waterford, WI; Salem, WI; Racine, WI; Pleasant Prairie, WI; Mount Pleasant, WI; Milwaukee, WI; Kenosha, WI

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
52D2134876Zenith Healthcare, SC6121 Green Bay Rd #100, Kenosha, WI 53142Certificate of waiverAug 9, 2027

National Provider Directory

National Provider Directory

Locations

28063 Network Pl
Chicago, IL 60673

1703 60th St
Kenosha, WI 53140
Phone (262) 658-4125

2801 14th Pl
Kenosha, WI 53140
Phone (262) 553-9325

3203 80th St
Ste C
Kenosha, WI 53142

3203 80th St
Unit C
Kenosha, WI 53142
Phone (262) 764-6070

6121 Green Bay Rd
Ste 140
Kenosha, WI 53142

6121 Green Bay Rd
Ste 150
Kenosha, WI 53142
Phone (262) 553-6400

6127 Green Bay Rd
Ste 100
Kenosha, WI 53142
Phone (262) 652-2887

2801 W Kinnickinnic River Pkwy
Ste 446
Milwaukee, WI 53215

8500 W Capitol Dr
Ste 202
Milwaukee, WI 53222
Phone (414) 527-1000

3805 Spring St
Ste 130
Mount Pleasant, WI 53405

8400 Washington Ave
Ste 304
Mount Pleasant, WI 53406
Phone (262) 321-3065

7137 236th Ave
Salem, WI 53168
Phone (262) 800-4672

Practitioners & affiliated clinicians

Practitioners 27

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 27

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1408924800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1556150400000",
    "number": "1043610280",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6121 GREEN BAY RD STE 100",
            "city": "KENOSHA",
            "state": "WI",
            "postal_code": "531422931",
            "telephone_number": "262-359-1652",
            "fax_number": "262-764-7577"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6121 GREEN BAY RD STE 100",
            "city": "KENOSHA",
            "state": "WI",
            "postal_code": "531422931",
            "telephone_number": "262-359-1652",
            "fax_number": "262-764-7577"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ZENITH HEALTHCARE SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-08-25",
        "last_updated": "2019-04-25",
        "status": "A",
        "authorized_official_last_name": "MUSEITIF",
        "authorized_official_first_name": "RAAID",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "262-359-1652",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "WI",
            "license": "45622",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kenosha, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.

Verify at the official NPI Registry.