Active NPI
Ngii N Tazeh, M.D., PH.D
- Urology Physician
- Monroe, WI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Urology Physician
- License
- 61264
- Practice address
- 515 22ND Ave
Monroe, WI 53566-1569 - Phone
- (608) 324-2222
- NPI assigned
- Apr 12, 2012
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Urology Physician | 208800000X | 61264 | WI | Primary |
Addresses
Primary practice location
515 22ND Ave
Monroe, WI 53566-1569
Mailing address
515 22ND Ave
Monroe, WI 53566-1569
Phone (608) 628-3965
Other names 1
- Ngii Nkhanglefack Tazeh
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | ntazeh9632@direct.monroeclinic.org | Direct | |
| FHIR URL | https://webproxyprd.monroeclinic.org/FHIR-PRD/api/FHIR/DSTU2/ | Other |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WI, IL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Urology
- Education
- University of Iowa, RJ & L Carver College of Medicine, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- The Monroe Clinic, Inc.
Practice addresses (Care Compare)
1301 Kiwanis Dr
Freeport, IL 61032-6907
Phone (815) 235-1406
515 22ND Ave
Monroe, WI 53566-1569
Phone (608) 324-2000
Hospital & facility affiliations
- The Monroe Clinic
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Prostate resection | 1-10 |
| Melanoma (skin cancer) excision | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine, Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 61264 | WI | MD | Urology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Monroe Clinic, Inc. | Current | Accepting new patients | |
| The Monroe Clinic, Inc. | Current | Accepting new patients | |
| The Monroe Clinic, Inc. | Current | Accepting new patients |
Locations
1301 Kiwanis Dr
Freeport, IL 61032
Phone (815) 235-1406
515 22nd Ave
Monroe, WI 53566
Phone (608) 324-1000
2009 5th St
Monroe, WI 53566
Phone (608) 324-1454
225 Church St
Stoughton, WI 53589
Phone (608) 877-2700
Interoperability endpoints
- ntazeh386557@direct-ehr-ssmhc.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.
-
- Specialist
- Monroe, WI
- NPI 1386720548
-
- Family Medicine Physician
- Freeport, IL
- NPI 1831254036
-
- General Acute Care Hospital
- Monroe, WI
- NPI 1740291491
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Monroe, WI
- NPI 1740291491
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1334188800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1682553600000",
"number": "1508123787",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "515 22ND AVE",
"city": "MONROE",
"state": "WI",
"postal_code": "535661569",
"telephone_number": "608-628-3965"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "515 22ND AVE",
"city": "MONROE",
"state": "WI",
"postal_code": "535661569",
"telephone_number": "608-324-2222"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TAZEH",
"first_name": "NGII",
"middle_name": "N",
"name_prefix": "Dr.",
"credential": "M.D., PH.D",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-04-12",
"last_updated": "2023-04-27",
"certification_date": "2023-04-27",
"status": "A"
},
"taxonomies": [
{
"code": "208800000X",
"taxonomy_group": "",
"desc": "Urology",
"state": "WI",
"license": "61264",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "ntazeh9632@direct.monroeclinic.org",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "ntazeh9632@direct.monroeclinic.org",
"address_1": "515 22nd Ave",
"city": "Monroe",
"state": "WI",
"country_code": "US",
"postal_code": "535661569",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "FHIR",
"endpointTypeDescription": "FHIR URL",
"endpoint": "https://webproxyprd.monroeclinic.org/FHIR-PRD/api/FHIR/DSTU2/",
"affiliation": "N",
"use": "OTHER",
"useDescription": "Other",
"useOtherDescription": "FHIR API",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "CCD",
"address_1": "515 22nd Ave",
"city": "Monroe",
"state": "WI",
"country_code": "US",
"postal_code": "535661569",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"first_name": "NGII",
"last_name": "TAZEH",
"middle_name": "NKHANGLEFACK",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Monroe, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2023; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.