Active NPI
Abdul Ghaffar Durrani, MD
- Hospitalist Physician
- Kenosha, WI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hospitalist Physician
- License
- 34697-20
- Practice address
- 4824 Green Bay Road
Kenosha, WI 53144-1789 - Phone
- (262) 658-3994
- Fax
- (262) 658-0300
- NPI assigned
- Oct 3, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 34697-020 | WI | |
| Family Medicine Physician | 207Q00000X | 34697 | WI | |
| Hospitalist Physician | 208M00000X | 34697-20 | WI | Primary |
Addresses
Primary practice location
4824 Green Bay Road
Kenosha, WI 53144-1789
Mailing address
4824 Green Bay Road
Kenosha, WI 53144-1789
Phone (262) 658-3994
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 32086900 | Medicaid | WI |
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20040821000100 | WI | Practitioner - Hospitalist | 2860384807 | Reassigns benefits to 3 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Hospitalist
- Education
- Other, 1986
- Medicare assignment
- May accept Medicare assignment
- Group practices
- Advantage Physical Therapy and Sports Rehab, LLCKenosha Community Health Center, Inc.Vituity-Wisconsin HM SC
Practice addresses (Care Compare)
10222 74TH St
Kenosha, WI 53142-6810
Phone (262) 925-5020
3620 57TH Ave
Kenosha, WI 53144-4925
Phone (262) 925-5250
6127 Green Bay Rd
Suite 600
Kenosha, WI 53142-2930
Phone (262) 658-3994
6226 14TH Ave
Kenosha, WI 53143-4413
Phone (262) 656-0044
7137 236TH Ave
Salem, WI 53168-8975
Phone (262) 925-5060
9555 76TH St
Pleasant Prairie, WI 53158-1984
Phone (262) 577-8000
9809 39TH Ave
Pleasant Prairie, WI 53158-3733
Phone (262) 925-5080
Hospital & facility affiliations
- Horizon Home Care and Hospice
- Hospice Alliance
- Froedtert South Inc.
- Aurora Medical Center Kenosha
- Clairidge House
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 34697 | WI | MD | Family Medicine Physician |
| 34697-020 | WI | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kenosha Community Health Center, Inc | Current | Accepting new patients | |
| Kenosha Community Health Center, Inc. | Family Medicine | Current | Accepting new patients |
| Abdul G. Durrani MD SC | Family Medicine | Current | Accepting new patients |
| Kenosha Community Health Center, Inc. | Family Medicine | Current | Accepting new patients |
| Vituity-Wisconsin HM SC | Hospitalist | Current | Accepting new patients |
| Midway Manor Corp. | Past | Accepting new patients | |
| City of Hope Medical Group of Illinois PLLC | Past | Accepting new patients | |
| United Occupational Medicine and Walk in Services, LLC | Past | Accepting new patients | |
| Hospitalist Medicine Physicians of Wisconsin, LTD | Past | Accepting new patients |
Locations
2100 Powell St
Ste 400
Emeryville, CA 94608
Phone (510) 350-2638
1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 851-7423
4824 Green Bay Rd
Kenosha, WI 53144
Phone (262) 299-6199
4536 22nd Ave
Kenosha, WI 53140
Phone (262) 656-0044
4006 Washington Rd
Kenosha, WI 53144
Phone (262) 652-4006
6127 Green Bay Rd
Ste 600
Kenosha, WI 53142
Phone (262) 653-9221
1519 60th St
Kenosha, WI 53140
Phone (262) 656-7500
6226 14th Ave
Kenosha, WI 53143
Phone (262) 656-0044
9555 76th St
Pleasant Prairie, WI 53158
Phone (262) 577-8000
903 S 2nd St
Silver Lake, WI 53170
Phone (262) 656-0044
Interoperability endpoints
- adurrani632604@direct.ochin.org
- adurrani347636@direct.froedtert.com
Organizations & group practices 14
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.
-
- Federally Qualified Health Center (FQHC)
- Kenosha, WI
- NPI 1265435960
Family Medicine, WI
-
- Federally Qualified Health Center (FQHC)
- Kenosha, WI
- NPI 1710635677
-
- Federally Qualified Health Center (FQHC)
- Racine, WI
- NPI 1215823406
Family Medicine
-
- Rehabilitation Clinic/Center
- Cudahy, WI
- NPI 1194396002
-
- Rehabilitation Clinic/Center
- Spooner, WI
- NPI 1215687314
-
- Rehabilitation Clinic/Center
- Burlington, WI
- NPI 1881773463
-
- Federally Qualified Health Center (FQHC)
- Silver Lake, WI
- NPI 1568931541
-
- Federally Qualified Health Center (FQHC)
- Kenosha, WI
- NPI 1770789489
-
- Internal Medicine Physician
- Kenosha, WI
- NPI 1699902809
-
- Skilled Nursing Facility
- Kenosha, WI
- NPI 1801006978
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Kenosha, WI
- NPI 1225156888
Hospital
-
- Home Health Agency
- Milwaukee, WI
- NPI 1780687327
-
- Community Based Hospice Care Agency
- Pleasant Prairie, WI
- NPI 1053314252
Hospice
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1128297600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1692921600000",
"number": "1306833686",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4824 GREEN BAY ROAD",
"city": "KENOSHA",
"state": "WI",
"postal_code": "531441789",
"telephone_number": "262-658-3994",
"fax_number": "262-658-0300"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4824 GREEN BAY ROAD",
"city": "KENOSHA",
"state": "WI",
"postal_code": "531441789",
"telephone_number": "262-658-3994",
"fax_number": "262-658-0300"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DURRANI",
"first_name": "ABDUL",
"middle_name": "GHAFFAR",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-10-03",
"last_updated": "2023-08-25",
"certification_date": "2023-08-25",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "WI",
"license": "34697-020",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "WI",
"license": "34697",
"primary": false
},
{
"code": "208M00000X",
"taxonomy_group": "",
"desc": "Hospitalist",
"state": "WI",
"license": "34697-20",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "32086900",
"state": "WI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Kenosha, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 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.