Individual provider Active NPI

Abdul Ghaffar Durrani, MD

  • Hospitalist Physician
  • Kenosha, WI
National Provider Identifier
1306833686
Registry record updated Aug 25, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospitalist PhysicianTaxonomy code 208M00000X
License
34697-20 Issued in WI
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

Updated by the provider on Aug 25, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
32086900MedicaidWI

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
I20040821000100 WI Practitioner - HospitalistPractitioner - Family Practice 2860384807 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
HospitalistAlso: Family Practice
Education
Other, 1986
Medicare assignment
May accept Medicare assignment
Group practices
Advantage Physical Therapy and Sports Rehab, LLCGroup PAC ID 8022016336, 289 clinicians
Kenosha Community Health Center, Inc.Group PAC ID 0941195168, 19 clinicians
Vituity-Wisconsin HM SCGroup PAC ID 4880056126, 29 clinicians

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 Home health agency, Milwaukee, WI, CCN 527083
  • Hospice Alliance Hospice, Pleasant Prairie, WI, CCN 521502
  • Froedtert South Inc. Hospital, Kenosha, WI, CCN 520021
  • Aurora Medical Center Kenosha Hospital, Kenosha, WI, CCN 520189
  • Clairidge House Nursing home, Kenosha, WI, CCN 525431

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
34697WIMDFamily Medicine Physician
34697-020WIMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Kenosha Community Health Center, Inc CurrentSince Apr 20, 2023 Accepting new patients
Kenosha Community Health Center, Inc. Family Medicine CurrentSince Apr 20, 2023 Accepting new patients
Abdul G. Durrani MD SC Family Medicine CurrentSince Jul 19, 2004 Accepting new patients
Kenosha Community Health Center, Inc. Family Medicine Current Accepting new patients
Vituity-Wisconsin HM SC Hospitalist CurrentSince Aug 15, 2023 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

  • Direct secure messaging: adurrani632604@direct.ochin.org
  • Direct secure messaging: 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.

View all 14

Hospital & facility affiliations 5

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

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

Verify at the official NPI Registry.