Active NPI
Nancy E Havas, MD
- Family Medicine Physician
- Milwaukee, WI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 42777
- Practice address
- 9200 W Wisconsin Ave
Milwaukee, WI 53226-3522 - Phone
- (414) 955-8664
- Fax
- (414) 955-0064
- NPI assigned
- May 15, 2006
- Last updated
- Aug 10, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 42777 | WI | Primary |
| Hospice and Palliative Medicine (Family Medicine) Physician | 207QH0002X | 42777 | WI |
Addresses
Primary practice location
9200 W Wisconsin Ave
Milwaukee, WI 53226-3522
Mailing address
9200 W Wisconsin Ave
Milwaukee, WI 53226-3522
Phone (414) 955-8664
Other practice location 1
7210 N 76th St
Milwaukee, WI 53223-4502
Phone (262) 754-8000
Other practice location 2
W180N8000 Town Hall Rd
Menomonee Falls, WI 53051-4002
Phone (262) 255-2500
Other practice location 3
1121 E North Ave
Milwaukee, WI 53212-3515
Phone (414) 267-6502
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255382081 | Medicaid | WI | |
| 003258245A | Medicaid | GA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WI, GA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Medical College of Wisconsin, 1999
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3801 Spring St
Mount Pleasant, WI 53405-1667
Phone (262) 687-4011
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 42777 | WI | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Au Medical Associates Inc | Current | Accepting new patients | |
| Froedtert &the Medical College of Wisconsin Community Physicians, Inc. | Current | Accepting new patients | |
| Ascension Medical Group-Southeast Wisconsin Inc | Family Medicine | Current | Accepting new patients |
| Au Medical Associates Inc | Current | Accepting new patients | |
| Ascension All Saints Hospital, Inc | Past | Accepting new patients | |
| The Medical College of Wisconsin Inc | Past | Accepting new patients |
Locations
1120 15th St
Augusta, GA 30912
Phone (706) 721-3873
1120 15th St
#6000
Augusta, GA 30912
Phone (706) 721-3813
1120 15th St
Ste OR6000
Augusta, GA 30912
Phone (706) 721-3813
13950 W Capitol Dr
Brookfield, WI 53005
Phone (414) 302-5400
W168N11237 Western Ave
Germantown, WI 53022
Phone (262) 253-5060
2400 W Villard Ave
Glendale, WI 53209
Phone (414) 527-8000
W180N8000 Town Hall Rd
Menomonee Falls, WI 53051
Phone (262) 255-2500
10911 N Port Washington Rd
Mequon, WI 53092
Phone (262) 241-2080
7210 N 76th St
Milwaukee, WI 53223
Phone (262) 754-8000
3801 Spring St
Mount Pleasant, WI 53405
Phone (262) 636-4011
1320 Wisconsin Ave
Racine, WI 53403
Phone (262) 687-2222
1155 N Mayfair Rd
Wauwatosa, WI 53226
Phone (414) 955-5990
201 N Mayfair Rd
Fl 2
Wauwatosa, WI 53226
Phone (414) 771-8228
840 N 87th St
Wauwatosa, WI 53226
Phone (414) 805-5540
8701 Watertown Plank Rd
Wauwatosa, WI 53226
Phone (414) 456-4100
9200 W Wisconsin Ave
Wauwatosa, WI 53226
Phone (414) 805-8700
Interoperability endpoints
- nhavas662771@direct.ochin.org
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Ascension Medical Group
- Internal Medicine Physician
- Glendale, WI
- NPI 1609881077
Family Medicine
-
- Internal Medicine Physician
- Menomonee Falls, WI
- NPI 1568787448
-
- Multi-Specialty Clinic/Center
- Augusta, GA
- NPI 1841230620
-
- Internal Medicine Physician
- Milwaukee, WI
- NPI 1699720086
-
dba Augusta University Health West Wheeler
- Durable Medical Equipment & Medical Supplies
- Augusta, GA
- NPI 1114574126
-
dba Ascension All Saints Hospital
- Rehabilitation Hospital Unit
- Racine, WI
- NPI 1417966540
-
- Case Management Agency
- Milwaukee, WI
- NPI 1649521105
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Ascension All Saints Hospital
- General Acute Care Hospital
- Racine, WI
- NPI 1639123284
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147651200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1691625600000",
"number": "1255382081",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9200 W WISCONSIN AVE",
"city": "MILWAUKEE",
"state": "WI",
"postal_code": "532263522",
"telephone_number": "414-955-8664",
"fax_number": "414-955-0064"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9200 W WISCONSIN AVE",
"city": "MILWAUKEE",
"state": "WI",
"postal_code": "532263522",
"telephone_number": "414-955-8664",
"fax_number": "414-955-0064"
}
],
"practiceLocations": [
{
"address_1": "7210 N 76th St",
"address_purpose": "LOCATION",
"city": "Milwaukee",
"state": "WI",
"postal_code": "532234502",
"country_code": "US",
"telephone_number": "262-754-8000",
"fax_number": "262-780-3396",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "W180N8000 Town Hall Rd",
"address_purpose": "LOCATION",
"city": "Menomonee Falls",
"state": "WI",
"postal_code": "530514002",
"country_code": "US",
"telephone_number": "262-255-2500",
"fax_number": "262-253-9501",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1121 E North Ave",
"address_purpose": "LOCATION",
"city": "Milwaukee",
"state": "WI",
"postal_code": "532123515",
"country_code": "US",
"telephone_number": "414-267-6502",
"fax_number": "414-267-3892",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HAVAS",
"first_name": "NANCY",
"middle_name": "E",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-05-15",
"last_updated": "2023-08-10",
"certification_date": "2023-08-10",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "WI",
"license": "42777",
"primary": true
},
{
"code": "207QH0002X",
"taxonomy_group": "",
"desc": "Family Medicine, Hospice and Palliative Medicine",
"state": "WI",
"license": "42777",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1255382081",
"state": "WI"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "003258245A",
"state": "GA"
}
],
"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 Aug 10, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.