NPIMap

Individual provider Active NPI

Aggeliki Zikos, M.D.

  • Internal Medicine Physician
  • Waukesha, WI
National Provider Identifier
1447471677
Registry record updated Feb 25, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
51651 Issued in WI
Practice address
2315 E Moreland Blvd
Westbrook Health Center
Waukesha, WI 53186-2939
Phone
(262) 532-5700
Fax
(262) 532-5701
NPI assigned
May 2, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 25, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 125051683 IL
Internal Medicine Physician 207R00000X 51651 WI Primary

Addresses

Primary practice location

2315 E Moreland Blvd
Westbrook Health Center
Waukesha, WI 53186-2939

Mailing address

2315 E Moreland Blvd
Westbrook Health Center
Waukesha, WI 53186-2939
Phone (262) 532-5700

Other identifiers 1

IdentifierTypeStateIssuer
1447471677MedicaidWI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090828000527 WI Practitioner - Internal Medicine 3971658824 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

2315 E Moreland Blvd
Waukesha, WI 53186-2939
Phone (262) 532-5700

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
125051683ILMDInternal Medicine Physician
51651WIMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Froedtert &the Medical College of Wisconsin Community Physicians, Inc. Internal Medicine CurrentSince Feb 5, 2017 Accepting new patients
Froedtert &the Medical College of Wisconsin Community Physicians, Inc. CurrentSince Feb 5, 2017 Accepting new patients
The Medical College of Wisconsin, Inc. Internal Medicine CurrentSince Sep 1, 2009 Accepting new patients

Locations

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

10911 N Port Washington Rd
Mequon, WI 53092
Phone (262) 241-2080

Bin 88350
Milwaukee, WI 53288
Phone (414) 805-3122

210 NW Barstow St
Ste 201
Waukesha, WI 53188
Phone (262) 548-6903

2315 E Moreland Blvd
Waukesha, WI 53186
Phone (262) 532-5700

840 N 87th St
Wauwatosa, WI 53226
Phone (414) 805-5540

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

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

1155 N Mayfair Rd
Fl 2
Wauwatosa, WI 53226
Phone (414) 805-5440

Interoperability endpoints

  • Direct secure messaging: azikosmd32502@direct.froedtert.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.

Hospital & facility affiliations 7

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": "1178064000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1361750400000",
    "number": "1447471677",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2315 E MORELAND BLVD",
            "address_2": "WESTBROOK HEALTH CENTER",
            "city": "WAUKESHA",
            "state": "WI",
            "postal_code": "531862939",
            "telephone_number": "262-532-5700",
            "fax_number": "262-532-5701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2315 E MORELAND BLVD",
            "address_2": "WESTBROOK HEALTH CENTER",
            "city": "WAUKESHA",
            "state": "WI",
            "postal_code": "531862939",
            "telephone_number": "262-532-5700",
            "fax_number": "262-532-5701"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZIKOS",
        "first_name": "AGGELIKI",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-02",
        "last_updated": "2013-02-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "125051683",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "WI",
            "license": "51651",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1447471677",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Waukesha, WI

Sources for this page

Verify at the official NPI Registry.