Organization Active NPI

Milwaukee Medical Associates, SC

  • Pulmonary Disease Physician
  • Milwaukee, WI
National Provider Identifier
1497091003
Registry record updated May 17, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
49355 Issued in WI
Legal business name
MILWAUKEE MEDICAL ASSOCIATES, SC
Practice address
2741 W Layton Ave
#201
Milwaukee, WI 53221-2600
Phone
(414) 672-9940
Fax
(414) 672-9941
NPI assigned
Dec 31, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 17, 2013

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

Authorized official

Name
Fouad Husnain, MDNPI 1295899854
Title
Owner/President
Phone
(414) 672-9940

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pulmonary Disease PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RP1001X 49355 WI Primary

Addresses

Primary practice location

2741 W Layton Ave
#201
Milwaukee, WI 53221-2600

Mailing address

2741 W Layton Ave
Suite 201
Milwaukee, WI 53221-2600
Phone (414) 672-9940

Other identifiers 1

IdentifierTypeStateIssuer
1295899854MedicaidWI

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20130507000051 WI Part B Supplier - Clinic/Group Practice 9537306899 Receives reassigned benefits from 9 practitioners
Practice locations: West Allis, WI; Milwaukee, WI; Elkhorn, WI; Burlington, WI; Kenosha, WI

National Provider Directory

National Provider Directory

Locations

116 N Dodge St
Ste 1
Burlington, WI 53105
Phone (262) 661-4000

116 N Dodge St
Ste 201
Burlington, WI 53105
Phone (414) 672-9940

Practitioners & affiliated clinicians

Practitioners 9

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": "1356912000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1368748800000",
    "number": "1497091003",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2741 W LAYTON AVE",
            "address_2": "SUITE 201",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532212600",
            "telephone_number": "414-672-9940",
            "fax_number": "414-672-9941"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2741 W LAYTON AVE",
            "address_2": "#201",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532212600",
            "telephone_number": "414-672-9940",
            "fax_number": "414-672-9941"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MILWAUKEE MEDICAL ASSOCIATES, SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-12-31",
        "last_updated": "2013-05-17",
        "status": "A",
        "authorized_official_last_name": "HUSNAIN",
        "authorized_official_first_name": "FOUAD",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "414-672-9940",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "WI",
            "license": "49355",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1295899854",
            "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 May 17, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.