NPIMap

Individual provider Active NPI

Eman Wja Jammali

  • Family Medicine Physician
  • Kiel, WI
National Provider Identifier
1508249681
Registry record updated Dec 6, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
69584 Issued in WI
Practice address
1001 Service Rd
Kiel, WI 53042-1297
Phone
(920) 894-2636
NPI assigned
Jul 7, 2015
Sex
Female
Sole proprietor
No

Organizations & group practices 26

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.

View all 26

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
The Metrohealth System 1,150 clinicians

Practice addresses (Care Compare)

2500 Metrohealth Dr
Cleveland, OH 44109-1900
Phone (216) 778-7800

Hospital & facility affiliations

  • Metrohealth System Hospital, Cleveland, OH, CCN 360059

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI, OH2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Medicare enrollment records 2

Medicare enrollment files
Enrollment IDStateProvider typePAC IDDetails
I20181213001851 WI Practitioner - Family Practice 6709193477 Reassigns benefits to 1 organization
I20250806001824 OH Practitioner - Family Practice 6709193477 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
69584WIMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
The Metrohealth System Current Accepting new patients
Columbia St. Mary'S Hospital Milwaukee, Inc Family Medicine CurrentSince Apr 26, 2023 Accepting new patients
The Metrohealth System CurrentSince May 29, 2025 Accepting new patients
Columbia St. Mary'S Hospital Milwaukee Inc CurrentSince Apr 26, 2023 Accepting new patients
The Metrohealth System Family Medicine CurrentSince May 29, 2025 Accepting new patients

Locations

2500 Metrohealth Dr
Cleveland, OH 44109
Phone (216) 778-2348

3838 W 150th St
Cleveland, OH 44111
Phone (216) 957-5000

N143W6515 Pioneer Rd
Cedarburg, WI 53012
Phone (262) 377-2495

13111 N Port Washington Rd
Thiensville, WI 53097
Phone (262) 243-7300

801 S 70th St
West Allis, WI 53214
Phone (414) 773-6600

Interoperability endpoints

  • Direct secure messaging: ejammali136097@direct.ascension.org
  • Direct secure messaging: ejammali281264@direct.metrohealth.org

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 69584 WI Primary

Addresses

NPPES NPI Registry

Primary practice location

1001 Service Rd
Kiel, WI 53042-1297

Mailing address

1001 Service Rd
Kiel, WI 53042-1297
Phone (920) 894-2636

Electronic endpoints 2

NPPES NPI Registry
TypeEndpointUseAffiliation
FHIR URL https://EpicFHIR.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/
Direct Messaging Address ejammali219015@direct.myadvocateaurora.org Direct

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Dec 6, 2021.

{
    "created_epoch": "1436227200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1638748800000",
    "number": "1508249681",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1001 SERVICE RD",
            "city": "KIEL",
            "state": "WI",
            "postal_code": "530421297",
            "telephone_number": "920-894-2636"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 SERVICE RD",
            "city": "KIEL",
            "state": "WI",
            "postal_code": "530421297",
            "telephone_number": "920-894-2636"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JAMMALI",
        "first_name": "EMAN",
        "middle_name": "WJA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-07-07",
        "last_updated": "2021-12-06",
        "certification_date": "2021-12-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WI",
            "license": "69584",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://EpicFHIR.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/",
            "affiliation": "N",
            "address_1": "1001 Service Rd",
            "city": "Kiel",
            "state": "WI",
            "country_code": "US",
            "postal_code": "530421297",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ejammali219015@direct.myadvocateaurora.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "1001 Service Rd",
            "city": "Kiel",
            "state": "WI",
            "country_code": "US",
            "postal_code": "530421297",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Kiel, WI

Sources for this page

Verify at the official NPI Registry.