Amin A Lakhdhir, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

44084-020 Issued in WI

Practice address

1010 N Washington St.
Mercy Mall Clinic
Janesville, WI 53548-1561

Phone

(608) 741-2430

NPI assigned

Jan 19, 2006

Last updated

Jan 2, 2024By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in IN

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Witham Memorial Hospital

  dba Witham Health Services

  • Family Medicine Physician
  • Lebanon, IN
  • NPI 1083750293
  Medicare reassignment NPD
• Witham Memorial Hospital

  dba Witham Rehabilitation Services, Anson at Whitestown

  • Physical Therapist
  • Zionsville, IN
  • NPI 1952282204
  NPD
• Southern Illinois Medical Care Associates LLC

  • Family Medicine Physician
  • Marion, IL
  • NPI 1720183320
  NPD (past)

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

{
    "created_epoch": "1137628800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704153600000",
    "number": "1356321970",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "933 NEWBURY ST",
            "city": "RIPON",
            "state": "WI",
            "postal_code": "549711730",
            "telephone_number": "920-748-0430",
            "fax_number": "920-748-0533"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1010 N WASHINGTON ST.",
            "address_2": "MERCY MALL CLINIC",
            "city": "JANESVILLE",
            "state": "WI",
            "postal_code": "535481561",
            "telephone_number": "608-741-2430"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "933 Newbury St",
            "address_purpose": "LOCATION",
            "city": "Ripon",
            "state": "WI",
            "postal_code": "549711730",
            "country_code": "US",
            "telephone_number": "920-748-0430",
            "fax_number": "920-748-0533",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LAKHDHIR",
        "first_name": "AMIN",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-19",
        "last_updated": "2024-01-02",
        "certification_date": "2023-12-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "WI",
            "license": "44084-020",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "34180200",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jodi Lynn Kurtz, DNP NP-C, WHNP-BC
• Michael Kwon
• Elizabeth Jane Kyburz, PHARMD
• Jennifer L Laatsch, PA-C
• Amanda Kay Lake
• Leah Lammersfeld, PT
• Jacob A. Landvatter, MD
• Marsha M. Landvatter, MD
• Penny L Landvogt, PH D LLC
• Christine E Langemo, MD

• Internal Medicine Physician in Janesville, WI
• Providers in Janesville, WI by specialty
• Internal Medicine Physician in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2024; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.