Kalpana Ajjampore, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

38369 Issued in WI

Practice address

2727 N Mayfair Rd
Suite I
Wauwatosa, WI 53222-4400

Phone

(414) 773-6300

NPI assigned

Jun 20, 2006

Last updated

May 24, 2011By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Kalpana Dixit-Ajjampore Other name

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Wisconsin Health Fund

  • Multi-Specialty Clinic/Center
  • Milwaukee, WI
  • NPI 1497768659
  Medicare reassignment NPD
• Wisconsin Health Fund

  • Dental Clinic/Center
  • Milwaukee, WI
  • NPI 1598951246
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1150761600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1306195200000",
    "number": "1518903665",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4425 N PORT WASHINGTON RD",
            "address_2": "ATTN: CSMCP CLINIC CREDENTIALING",
            "city": "GLENDALE",
            "state": "WI",
            "postal_code": "532121082",
            "telephone_number": "414-773-6300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2727 N MAYFAIR RD",
            "address_2": "SUITE I",
            "city": "WAUWATOSA",
            "state": "WI",
            "postal_code": "532224400",
            "telephone_number": "414-773-6300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AJJAMPORE",
        "first_name": "KALPANA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-20",
        "last_updated": "2011-05-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "WI",
            "license": "38369",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "32580900",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KALPANA",
            "last_name": "DIXIT-AJJAMPORE",
            "credential": "MD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Jordan Airola, DO
• Kiera Lyn Akers, DNP, CPNP-PC, APNP
• Abigail Alyse Akins
• Khalid Ghazi Al Abdul Raheem, B.S
• Khaled Al-Zubaidi
• Kimberly Jean Albatche, PHARMD

• Internal Medicine Physician in Wauwatosa, WI
• Providers in Wauwatosa, WI by specialty
• Internal Medicine Physician in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2011; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.