Organization Active NPI

Raed Hamed MD LLC

  • Pulmonary Disease Physician
  • Milwaukee, WI
National Provider Identifier
1154699072
Registry record updated Jan 2, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
46321-20 Issued in WI
Legal business name
RAED HAMED MD LLC
Practice address
8500 W Capitol Dr
Suite 202B
Milwaukee, WI 53222-1869
Phone
(414) 461-1133
Fax
(414) 461-1156
NPI assigned
Dec 6, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 2, 2015

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

Authorized official

Name
Dr. Raed Hamed, MDNPI 1740241793
Title
President/Owner
Phone
(414) 461-1133

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 3

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Care Medicine (Internal Medicine) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RC0200X 46321-20 WI
Pulmonary Disease PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RP1001X 46321-20 WI Primary
Sleep Medicine (Internal Medicine) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RS0012X 46321-20 WI

Addresses

Primary practice location

8500 W Capitol Dr
Suite 202B
Milwaukee, WI 53222-1869

Mailing address

PO Box 639
Thiensville, WI 53092-0639
Phone (414) 247-9005

Other identifiers 1

IdentifierTypeStateIssuer
34506100MedicaidWI

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120221000896 WI Part B Supplier - Clinic/Group Practice 6204094345 Receives reassigned benefits from 2 practitioners
Practice locations: Edgerton, WI; Milwaukee, WI; West Allis, WI

National Provider Directory

National Provider Directory

Locations

8500 W Capitol Dr
Ste 202B
Milwaukee, WI 53222
Phone (414) 461-1133

3237 S 16th St
Ste 200
Milwaukee, WI 53215
Phone (414) 389-3060

2801 W KK Pkwy
#445
Milwaukee, WI 53215
Phone (414) 736-6296

8500 W Capitol Dr
#202A
Milwaukee, WI 53222
Phone (414) 431-1133

3237 S 16th St
Milwaukee, WI 53215
Phone (414) 647-5000

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Maplewood CenterWest Allis, WI, CCN 525069 Skilled nursing facility Adp of the SNF Aug 1, 2017

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1323129600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1420156800000",
    "number": "1154699072",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 639",
            "city": "THIENSVILLE",
            "state": "WI",
            "postal_code": "530920639",
            "telephone_number": "414-247-9005",
            "fax_number": "414-247-9004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8500 W CAPITOL DR",
            "address_2": "SUITE 202B",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532221869",
            "telephone_number": "414-461-1133",
            "fax_number": "414-461-1156"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RAED HAMED MD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-12-06",
        "last_updated": "2015-01-02",
        "status": "A",
        "authorized_official_last_name": "HAMED",
        "authorized_official_first_name": "RAED",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "414-461-1133",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RC0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "WI",
            "license": "46321-20",
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "WI",
            "license": "46321-20",
            "primary": true
        },
        {
            "code": "207RS0012X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Sleep Medicine",
            "state": "WI",
            "license": "46321-20",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "34506100",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Milwaukee, WI

Sources for this page

Verify at the official NPI Registry.