Individual provider Active NPI

Hoda Ahmadi, M.D.

  • Ophthalmology Physician
  • Elkhorn, WI
National Provider Identifier
1447459912
Registry record updated Feb 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
56317 Issued in WI
Practice address
1311 S Lincoln St
Elkhorn, WI 53121-4375
Phone
(262) 723-4600
Fax
(262) 723-4710
NPI assigned
Jul 16, 2007
Last updated
Feb 28, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 28, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 56317 WI Primary

Addresses

Primary practice location

1311 S Lincoln St
Elkhorn, WI 53121-4375

Mailing address

1311 S Lincoln St
Elkhorn, WI 53121-4375
Phone (262) 723-4600

Other practice location 1

675 W State St
Burlington, WI 53105-1739
Phone (262) 763-7772

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address hahmadi@eps.emadirect.md Direct

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
I20120329000840 WI Practitioner - Ophthalmology 0446410484 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
University of Wisconsin School of Medicine, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Eye Physicians and Surgeons SCGroup PAC ID 6608926084, 5 clinicians

Practice addresses (Care Compare)

1311 S Lincoln St
Elkhorn, WI 53121-4375
Phone (262) 723-4600

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery206

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
56317WIMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Froedtert &the Medical College of Wisconsin Community Physicians, Inc. CurrentSince Mar 18, 2017 Accepting new patients
Eye Physicians and Surgeons SC Ophthalmology CurrentSince Sep 1, 2022 Accepting new patients
Froedtert &the Medical College of Wisconsin Community Physicians, Inc. CurrentSince Mar 18, 2017 Accepting new patients
Eye Physicians & Surgeons SC Ophthalmology CurrentSince Sep 1, 2022 Accepting new patients
The Medical College of Wisconsin, Inc. CurrentSince Feb 17, 2018 Accepting new patients
Eye Physician Associates, S.C. Ophthalmology Past Accepting new patients
Optical Dept. of Eye Clinic of Racine, LTD. PastSince Mar 3, 2014 Accepting new patients
Dr K F Nassif & Associates SC Ophthalmology PastSince Mar 7, 1997 Accepting new patients

Locations

675 W State St
Burlington, WI 53105
Phone (262) 763-7613

709 Spring Valley Rd
Burlington, WI 53105
Phone (262) 767-6020

1311 S Lincoln St
Elkhorn, WI 53121
Phone (262) 723-4600

W168N11237 Western Ave
Germantown, WI 53022
Phone (262) 253-5060

W180N8000 Town Hall Rd
Menomonee Falls, WI 53051
Phone (262) 255-2500

7901 S 6th St
Oak Creek, WI 53154
Phone (414) 346-8000

10625 W North Ave
Ste 200
Wauwatosa, WI 53226
Phone (414) 258-6880

1155 N Mayfair Rd
Wauwatosa, WI 53226
Phone (414) 955-5990

8701 Watertown Plank Rd
Wauwatosa, WI 53226
Phone (414) 456-4100

Interoperability endpoints

  • Direct secure messaging: hahmadi@eps.emadirect.md

Organizations & group practices 8

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.

Hospital & facility affiliations 1

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": "1184544000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1677542400000",
    "number": "1447459912",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1311 S LINCOLN ST",
            "city": "ELKHORN",
            "state": "WI",
            "postal_code": "531214375",
            "telephone_number": "262-723-4600",
            "fax_number": "262-723-4710"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1311 S LINCOLN ST",
            "city": "ELKHORN",
            "state": "WI",
            "postal_code": "531214375",
            "telephone_number": "262-723-4600",
            "fax_number": "262-723-4710"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "675 W State St",
            "address_purpose": "LOCATION",
            "city": "Burlington",
            "state": "WI",
            "postal_code": "531051739",
            "country_code": "US",
            "telephone_number": "262-763-7772",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "AHMADI",
        "first_name": "HODA",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-07-16",
        "last_updated": "2023-02-28",
        "certification_date": "2022-12-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "WI",
            "license": "56317",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "hahmadi@eps.emadirect.md",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "1311 S Lincoln St",
            "city": "Elkhorn",
            "state": "WI",
            "country_code": "US",
            "postal_code": "531214375",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Elkhorn, WI

Sources for this page

Verify at the official NPI Registry.