Masood Wasiullah, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

26343-20 Issued in WI

Practice address

2000 E Layton Ave
St Francis, WI 53235-6053

Phone

(414) 744-6589

Fax

(414) 747-8848

NPI assigned

Nov 1, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Phoenixc Healthcare, SC

  • Clinical Cardiac Electrophysiology Physician
  • Kenosha, WI
  • NPI 1821591710
  NPD
• Sleep Wellness Southshore, LLC

  • Sleep Disorder Diagnostic Clinic/Center
  • South Milwaukee, WI
  • NPI 1629137039
  NPD (past)

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

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1366588800000",
    "number": "1194803692",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100-15TH AVE",
            "address_2": "#180",
            "city": "SOUTH MILWAUKEE",
            "state": "WI",
            "postal_code": "531721160",
            "telephone_number": "414-744-6589",
            "fax_number": "414-747-8848"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2000 E LAYTON AVE",
            "city": "ST FRANCIS",
            "state": "WI",
            "postal_code": "532356053",
            "telephone_number": "414-744-6589",
            "fax_number": "414-747-8848"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WASIULLAH",
        "first_name": "MASOOD",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-01",
        "last_updated": "2013-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WI",
            "license": "26343-20",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anil Tumu, MD
• Kristin Vetter
• Sonya Marie Videkovich, PA-C, MPAS
• Kristina M Wargin, RN
• Karin Lee Wasiullah, FNP
• Joseph James Willerth
• Ravn Williams
• Lorenna Wilson, LPN
• Christopher J. Zellmer, M.D.

• Family Medicine Physician in St Francis, WI
• Providers in St Francis, WI by specialty
• Family Medicine Physician in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.