Individual provider Active NPI

Anas Kizawi, M.D

  • Nephrology Physician
  • Milwaukee, WI
National Provider Identifier
1154771772
Registry record updated Jan 13, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
1008-320 Issued in WI
Practice address
3120 S 27TH St
Milwaukee, WI 53215-4338
Phone
(414) 672-8282
Fax
(414) 672-8284
NPI assigned
Jun 14, 2016
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 13, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X 036.147812 IL
Nephrology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RN0300X 1008-320 WI Primary

Addresses

Primary practice location

3120 S 27TH St
Milwaukee, WI 53215-4338

Mailing address

335 Mahn Court
Oak Creek, WI 53154
Phone (414) 762-2020

Other identifiers 1

IdentifierTypeStateIssuer
100165136MedicaidWI

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address akizawi@mnawi.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
I20200102002042 IL Practitioner - Internal Medicine 8820329204 Reassigns benefits to 1 organization
I20210517002442 WI Practitioner - Nephrology 8820329204 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nephrology
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Aurora Medical Group, Inc.Group PAC ID 6709794258, 3,764 clinicians
Midwest Nephrology Associates SCGroup PAC ID 8527045236, 30 clinicians

Practice addresses (Care Compare)

36500 Aurora Dr
Summit, WI 53066-4899
Phone (262) 434-5000

7793 W Appleton Ave
Milwaukee, WI 53222-2009
Phone (414) 393-9810

Hospital & facility affiliations

  • Fresenius Medical Care Midwest South Dialysis facility, Milwaukee, WI, CCN 522506
  • FMC - Centre Point Dialysis facility, West Allis, WI, CCN 522530
  • Concerto Wisconsin LLC Dialysis facility, Brookfield, WI, CCN 522617
  • Aurora St Lukes Medical Center Hospital, Milwaukee, WI, CCN 520138
  • Aurora Medical Center - Summit Hospital, Summit, WI, CCN 520206
  • Aurora Medical Center Kenosha Hospital, Kenosha, WI, CCN 520189
  • West Allis Memorial Hospital Hospital, West Allis, WI, CCN 520139

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Midwest Nephrology Associates, SC CurrentSince Jul 1, 2021 Accepting new patients
Midwest Nephrology Associates, S.C. Single Specialty CurrentSince Jul 1, 2021 Accepting new patients
Aurora Advanced Healthcare, Inc. Single Specialty CurrentSince Jul 8, 2021 Accepting new patients
Kidney and Hypertension Associates LTD Single Specialty CurrentSince Apr 21, 2024 Accepting new patients
Aurora Advanced Healthcare Inc Single Specialty CurrentSince Jul 8, 2021 Accepting new patients
Aurora Medical Group, Inc. Single Specialty CurrentSince Jul 8, 2021 Accepting new patients
Aurora Medical Group, Inc. Single Specialty CurrentSince Jul 8, 2021 Accepting new patients

Locations

3913 W 95th St
Evergreen Pk, IL 60805
Phone (708) 229-1444

14640 John Humphrey Dr
Orland Park, IL 60462
Phone (708) 403-8130

W3985 Highway NN
Elkhorn, WI 53121
Phone (262) 741-2000

3003 W Good Hope Rd
Glendale, WI 53209
Phone (414) 352-3100

10400 75th St
Kenosha, WI 53142
Phone (262) 697-7000

12203 N Corporate Pkwy
Mequon, WI 53092
Phone (262) 387-8200

3120 S 27th St
Uppr
Milwaukee, WI 53215

3120 S 27th St
Milwaukee, WI 53215
Phone (414) 672-8282

1020 N 12th St
Milwaukee, WI 53233
Phone (414) 219-3056

7793 W Appleton Ave
Milwaukee, WI 53222
Phone (414) 393-9810

14555 W National Ave
Ste 160
New Berlin, WI 53151
Phone (262) 827-2975

2700 W Honadel Blvd
Oak Creek, WI 53154
Phone (414) 203-8310

335 E Mahn Ct
Oak Creek, WI 53154
Phone (414) 762-2020

36500 Aurora Dr
Summit, WI 53066
Phone (262) 434-1000

9200 W Wisconsin Ave
Wauwatosa, WI 53226
Phone (414) 259-3000

Interoperability endpoints

  • Direct secure messaging: akizawi18627@uihealth.direct-ci.com

Organizations & group practices 7

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": "1465862400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1642032000000",
    "number": "1154771772",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "335 MAHN COURT",
            "city": "OAK CREEK",
            "state": "WI",
            "postal_code": "53154",
            "telephone_number": "414-762-2020",
            "fax_number": "414-762-2024"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3120 S 27TH ST",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532154338",
            "telephone_number": "414-672-8282",
            "fax_number": "414-672-8284"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIZAWI",
        "first_name": "ANAS",
        "name_prefix": "Dr.",
        "credential": "M.D",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-06-14",
        "last_updated": "2022-01-13",
        "certification_date": "2022-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "036.147812",
            "primary": false
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Nephrology",
            "state": "WI",
            "license": "1008-320",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100165136",
            "state": "WI"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "akizawi@mnawi.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "3120 S 27th St",
            "city": "Milwaukee",
            "state": "WI",
            "country_code": "US",
            "postal_code": "532154338",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Milwaukee, WI

Sources for this page

Verify at the official NPI Registry.