Individual provider Active NPI

Waleed S. Najeeb, M.D.

  • Pulmonary Disease Physician
  • Glendale, WI
National Provider Identifier
1407879877
Registry record updated Sep 14, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
32123 Issued in WI
Practice address
2501 W Silver Spring Dr
Glendale, WI 53209-4217
Phone
(414) 461-9250
Fax
(414) 461-3553
NPI assigned
Jul 25, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 14, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pulmonary Disease Physician 207RP1001X 32123 WI Primary

Addresses

Primary practice location

2501 W Silver Spring Dr
Glendale, WI 53209-4217

Mailing address

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

Other identifiers 1

IdentifierTypeStateIssuer
31707500MedicaidWI

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
I20040518001033 WI Practitioner - Internal MedicinePractitioner - Pulmonary Disease 2860309796 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Pulmonary Disease
Education
Other, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Independent Physicians of Wisconsin LLCGroup PAC ID 3274842034, 42 clinicians

Practice addresses (Care Compare)

5434 W Capitol Dr
Suite 3
Milwaukee, WI 53216-2298
Phone (414) 875-0505

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
32123WIMDPulmonary Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Independent Physicians of Wisconsin, LLC Pulmonary Disease CurrentSince Sep 1, 2015 Accepting new patients
Independent Physicians of Wisconsin, LLC CurrentSince Jun 9, 2015 Accepting new patients
US DME Inc PastSince Dec 1, 2016 Accepting new patients

Locations

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

5434 W Capitol Dr
Ste 3
Milwaukee, WI 53216
Phone (414) 217-1229

5233 S 27th St
Milwaukee, WI 53221
Phone (414) 270-4444

Interoperability endpoints

  • Direct secure messaging: waleed.najeeb.1@18758.direct.athenahealth.com

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1153785600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1315958400000",
    "number": "1407879877",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2501 W SILVER SPRING DR",
            "city": "GLENDALE",
            "state": "WI",
            "postal_code": "532094217",
            "telephone_number": "414-461-9250",
            "fax_number": "414-461-3553"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2501 W SILVER SPRING DR",
            "city": "GLENDALE",
            "state": "WI",
            "postal_code": "532094217",
            "telephone_number": "414-461-9250",
            "fax_number": "414-461-3553"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NAJEEB",
        "first_name": "WALEED",
        "middle_name": "S.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-25",
        "last_updated": "2011-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "WI",
            "license": "32123",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "31707500",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Glendale, WI

Sources for this page

Verify at the official NPI Registry.