Individual provider Active NPI

Siamak Arassi, MD

  • Addiction Medicine (Internal Medicine) Physician
  • Brookfield, WI
National Provider Identifier
1083680417
Registry record updated Aug 22, 2018
On this page

OIG exclusion record

The HHS Office of Inspector General’s List of Excluded Individuals/Entities (LEIE) contains a record with this NPI:

  • Section 1128b(4) exclusion effective Jun 20, 2023.

Matched on NPI only. Confirm current status with the OIG exclusions search before relying on it.

Key facts

NPPES NPI Registry
Primary specialty
Addiction Medicine (Internal Medicine) PhysicianTaxonomy code 207RA0401X
License
41661-21 Issued in WI
Practice address
19115 W Capitol Dr
117
Brookfield, WI 53045
Phone
(262) 781-0240
Fax
(262) 373-0148
NPI assigned
Feb 26, 2006
Last updated
Aug 22, 2018By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction Medicine (Internal Medicine) Physician 207RA0401X 41661-21 WI Primary
Addiction Medicine (Family Medicine) Physician 207QA0401X 41661 WI

Addresses

Primary practice location

19115 W Capitol Dr
117
Brookfield, WI 53045

Mailing address

19115 W Capitol Dr
117
Brookfield, WI 53045-2754
Phone (262) 781-0240

Other identifiers 2

IdentifierTypeStateIssuer
32527500MedicaidWI
1083680417OtherWIBLUE SHIELD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
41661WIMDAddiction Medicine (Family Medicine) Physician
41661-21WIMDAddiction Medicine (Internal Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Aurora Medical Group, Inc. Past Accepting new patients
Aurora Medical Group, Inc. Past Accepting new patients
Green Bay Emergency Medicine Services S.C. Past Accepting new patients
Med Alliance S.C. Past Accepting new patients

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1140912000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1534896000000",
    "number": "1083680417",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19115 W CAPITOL DR",
            "address_2": "117",
            "city": "BROOKFIELD",
            "state": "WI",
            "postal_code": "530452754",
            "telephone_number": "262-781-0240",
            "fax_number": "262-373-0148"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19115 W CAPITOL DR",
            "address_2": "117",
            "city": "BROOKFIELD",
            "state": "WI",
            "postal_code": "53045",
            "telephone_number": "262-781-0240",
            "fax_number": "262-373-0148"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ARASSI",
        "first_name": "SIAMAK",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-26",
        "last_updated": "2018-08-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RA0401X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Addiction Medicine",
            "state": "WI",
            "license": "41661-21",
            "primary": true
        },
        {
            "code": "207QA0401X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Addiction Medicine",
            "state": "WI",
            "license": "41661",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "32527500",
            "state": "WI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "1083680417",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brookfield, WI

Sources for this page

Verify at the official NPI Registry.