Individual provider Active NPI

Kamal Amin, M.D.

  • Nephrology Physician
  • Glendale, WI
National Provider Identifier
1265406516
Registry record updated Jun 15, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
43796 Issued in WI
Practice address
5650 N Green Bay Ave Ste 210
Glendale, WI 53209-4447
Phone
(414) 431-5971
Fax
(414) 434-0354
NPI assigned
Feb 14, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 15, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X 43796 WI Primary

Addresses

Primary practice location

5650 N Green Bay Ave Ste 210
Glendale, WI 53209-4447

Mailing address

2514 S 102ND St Ste 120
West Allis, WI 53227-2142
Phone (414) 259-8917

Other identifiers 1

IdentifierTypeStateIssuer
34179700MedicaidWI

Electronic endpoints 3

TypeEndpointUseAffiliation
Direct Messaging Address kamin9654@direct.myadvocateaurora.org Direct
FHIR URL https://EpicFHIR.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/
Direct Messaging Address kamin43415@direct.davitaphysiciansolutions.com Health Information Exchange (HIE)

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI
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 1

Enrollment IDStateProvider typePAC IDDetails
I20050608001149 WI Practitioner - Nephrology 8820031941 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nephrology
Education
Other, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ascension Medical Group-Southeast Wisconsin IncGroup PAC ID 8628980943, 551 clinicians
Independent Physicians of Wisconsin LLCGroup PAC ID 3274842034, 42 clinicians
Milwaukee Nephrologists SCGroup PAC ID 4385538446, 21 clinicians
Aurora Advanced Healthcare, Inc.Group PAC ID 3375625833, 1,107 clinicians
My Health Clinic CorpGroup PAC ID 6608108261, 7 clinicians

Practice addresses (Care Compare)

201 N Mayfair Rd
Wauwatosa, WI 53226-4216

2501 W Silver Spring Dr
Glendale, WI 53209-4217
Phone (414) 461-9250

2901 W Kinnickinnic River Pkwy
Milwaukee, WI 53215-3660
Phone (414) 259-8917

3003 W Good Hope Rd
Milwaukee, WI 53209-2042
Phone (414) 352-3100

7235 W Appleton Ave
Milwaukee, WI 53216-1932
Phone (414) 800-9924

Hospital & facility affiliations

  • DaVita Bay Shore Dialysis Dialysis facility, Glendale, WI, CCN 522554
  • DaVita Humboldt Ridge Dialysis Dialysis facility, Milwaukee, WI, CCN 522577
  • DaVita Capitol Court Dialysis Dialysis facility, Milwaukee, WI, CCN 522598
  • DaVita Wisconsin Avenue Dialysis Dialysis facility, Milwaukee, WI, CCN 522502
  • DaVita West Appleton Dialysis Dialysis facility, Milwaukee, WI, CCN 522548
  • Aurora St Lukes Medical Center Hospital, Milwaukee, WI, CCN 520138
  • Ascension SE Wisconsin Hospital Hospital, Milwaukee, WI, CCN 520136
  • West Allis Memorial Hospital Hospital, West Allis, WI, CCN 520139
  • Ascension Columbia St Marys Hospital Milwaukee Hospital, Milwaukee, WI, CCN 520051
  • Froedtert Memorial Lutheran Hospital Hospital, Milwaukee, WI, CCN 520177

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
43796WIMDNephrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
My Health Clinic Corp CurrentSince Apr 1, 2025 Accepting new patients
Aurora Advanced Healthcare, Inc. CurrentSince Jul 1, 2014 Accepting new patients
Aurora Advanced Healthcare Inc CurrentSince Jul 1, 2014 Accepting new patients
Milwaukee Nephrologists, S.C. Nephrology CurrentSince Sep 18, 2017 Accepting new patients
Ascension Medical Group-Southeast Wisconsin Inc CurrentSince Sep 25, 2017 Accepting new patients
Garfield Dialysis Venture LLC Past Accepting new patients
Ascension All Saints Hospital, Inc Past Accepting new patients

Locations

13950 W Capitol Dr
Brookfield, WI 53005
Phone (414) 302-5400

5650 N Green Bay Ave
Ste 210
Glendale, WI 53209
Phone (414) 247-9530

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

2501 W Silver Spring Dr
Glendale, WI 53209
Phone (414) 461-8250

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

2901 W Kinnickinnic River Pkwy
Ste 413
Milwaukee, WI 53215
Phone (414) 259-8917

2901 W Kinnickinnic River Pkwy
Milwaukee, WI 53215
Phone (414) 385-3084

945 N 12th St
Milwaukee, WI 53233
Phone (414) 219-5800

7235 W Appleton Ave
Milwaukee, WI 53216
Phone (414) 434-8517

2901 W Kinnickinnic River Pkwy
Ste 405
Milwaukee, WI 53215
Phone (414) 383-7744

601 N 99th St
Ste 302
Wauwatosa, WI 53226
Phone (414) 431-2186

201 N Mayfair Rd
Fl 2
Wauwatosa, WI 53226
Phone (414) 771-8228

2514 S 102nd St
Ste 120
West Allis, WI 53227

Interoperability endpoints

  • Direct secure messaging: kamal.amin@milwaukeenephrologists.directbygreenway.com
  • Direct secure messaging: kamin43415@direct.davitaphysiciansolutions.com
  • FHIR API: https://api.platform.athenahealth.com/26204/brand/1/csg/1/fhir/r4
  • Direct secure messaging: kamin151343@direct.froedtert.com
  • FHIR API: https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.140.71975

Organizations & group practices 8

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 13

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1139875200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1781481600000",
    "number": "1265406516",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2514 S 102ND ST STE 120",
            "city": "WEST ALLIS",
            "state": "WI",
            "postal_code": "532272142",
            "telephone_number": "414-259-8917",
            "fax_number": "414-777-5210"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5650 N GREEN BAY AVE STE 210",
            "city": "GLENDALE",
            "state": "WI",
            "postal_code": "532094447",
            "telephone_number": "414-431-5971",
            "fax_number": "414-434-0354"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AMIN",
        "first_name": "KAMAL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-14",
        "last_updated": "2026-06-15",
        "certification_date": "2026-06-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "WI",
            "license": "43796",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "34179700",
            "state": "WI"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kamin9654@direct.myadvocateaurora.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "5650 N Green Bay Ave Ste 210",
            "city": "Glendale",
            "state": "WI",
            "country_code": "US",
            "postal_code": "532094447",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://EpicFHIR.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/",
            "affiliation": "N",
            "address_1": "5650 N Green Bay Ave Ste 210",
            "city": "Glendale",
            "state": "WI",
            "country_code": "US",
            "postal_code": "532094447",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kamin43415@direct.davitaphysiciansolutions.com",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "5650 N Green Bay Ave Ste 210",
            "city": "Glendale",
            "state": "WI",
            "country_code": "US",
            "postal_code": "532094447",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Glendale, WI

Sources for this page

Verify at the official NPI Registry.