Active NPI
Mohammed Adlan
- Emergency Medical Services (Emergency Medicine) Physician
- Milwaukee, WI
National Provider Identifier
1164137121
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medical Services (Emergency Medicine) Physician
- License
- G068512
- Practice address
- 6650 W Barnard Ave Apt 111
Milwaukee, WI 53220-4559 - Phone
- (319) 383-9085
- NPI assigned
- Jan 13, 2023
- Last updated
- Jan 13, 2023
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Emergency Medical Services (Emergency Medicine) Physician | 207PE0004X | G068512 | WI | Primary |
Addresses
Primary practice location
6650 W Barnard Ave Apt 111
Milwaukee, WI 53220-4559
Mailing address
6650 W Barnard Ave Apt 111
Milwaukee, WI 53220-4559
Phone (319) 383-9085
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 921711518 | Medicaid | WI |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| G068512 | WI | MD | Emergency Medical Services (Emergency Medicine) Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1673568000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1673568000000",
"number": "1164137121",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6650 W BARNARD AVE APT 111",
"city": "MILWAUKEE",
"state": "WI",
"postal_code": "532204559",
"telephone_number": "319-383-9085"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6650 W BARNARD AVE APT 111",
"city": "MILWAUKEE",
"state": "WI",
"postal_code": "532204559",
"telephone_number": "319-383-9085"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ADLAN",
"first_name": "MOHAMMED",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2023-01-13",
"last_updated": "2023-01-13",
"certification_date": "2023-01-13",
"status": "A"
},
"taxonomies": [
{
"code": "207PE0004X",
"taxonomy_group": "",
"desc": "Emergency Medicine, Emergency Medical Services",
"state": "WI",
"license": "G068512",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "921711518",
"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 Jan 13, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.