Organization Active NPI

My Health Clinic Corp

  • Multi-Specialty Clinic/Center
  • Milwaukee, WI
National Provider Identifier
1346882693
Registry record updated Dec 18, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X
Legal business name
MY HEALTH CLINIC CORP
Practice address
7235 W Appleton Ave
Milwaukee, WI 53216-1932
Phone
(414) 800-9924
NPI assigned
Oct 8, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 18, 2023

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

Authorized official

Name
Mrs. Aaila Elahi
Title
Administrator
Phone
(414) 248-1238

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Multi-Specialty Clinic/Center 261QM1300X Primary

Addresses

Primary practice location

7235 W Appleton Ave
Milwaukee, WI 53216-1932

Mailing address

S76W20310 Hillendale Dr
Muskego, WI 53150-9526
Phone (414) 248-1238

Other identifiers 2

IdentifierTypeStateIssuer
1023562758MedicaidWI
1457666315MedicaidWI

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20191031000435 WI Part B Supplier - Clinic/Group Practice 6608108261 Receives reassigned benefits from 7 practitioners
Practice locations: Milwaukee, WI

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
52D2180286My Health Clinic7235 W Appleton Ave, Milwaukee, WI 53216Certificate of waiverMar 10, 2028

National Provider Directory

National Provider Directory

Locations

7115 W Capitol Dr
Milwaukee, WI 53216
Phone (414) 600-2000

6300 N 76th St
Milwaukee, WI 53218
Phone (414) 800-9924

2906 S 20th St
Milwaukee, WI 53215
Phone (414) 385-8800

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/26204/brand/1/csg/1/fhir/r4

Practitioners & affiliated clinicians

Practitioners 8

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1570492800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1702857600000",
    "number": "1346882693",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "S76W20310 HILLENDALE DR",
            "city": "MUSKEGO",
            "state": "WI",
            "postal_code": "531509526",
            "telephone_number": "414-248-1238",
            "fax_number": "414-448-6848"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7235 W APPLETON AVE",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532161932",
            "telephone_number": "414-800-9924"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MY HEALTH CLINIC CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-10-08",
        "last_updated": "2023-12-18",
        "certification_date": "2023-12-18",
        "status": "A",
        "authorized_official_last_name": "ELAHI",
        "authorized_official_first_name": "AAILA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "414-248-1238",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1023562758",
            "state": "WI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1457666315",
            "state": "WI"
        }
    ],
    "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 Dec 18, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.

Verify at the official NPI Registry.