Active NPI
Muhammad Y Khan MD SC
- Vascular Surgery Physician
- Milwaukee, WI
National Provider Identifier
1558429282
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Vascular Surgery Physician
- Legal business name
- MUHAMMAD Y KHAN MD SC
- Practice address
- 1218 W Kilbourn Ave
Ste 409
Milwaukee, WI 53233 - Phone
- (414) 271-1900
- Fax
- (414) 271-8087
- NPI assigned
- Dec 5, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Muahmmad Yousaf Khan, MD SC
- Title
- Owner
- Phone
- (414) 271-1900
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | |||
| Vascular Surgery Physician | 2086S0129X | Primary |
Addresses
Primary practice location
1218 W Kilbourn Ave
Ste 409
Milwaukee, WI 53233
Mailing address
1218 W Kilbourn Ave
#409
Milwaukee, WI 53233-1330
Phone (414) 271-1900
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 30887200 | Medicaid | WI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WI
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
1218 W Kilbourn Ave
Ste 409
Milwaukee, WI 53233
Phone (414) 271-1900
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165276800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1403049600000",
"number": "1558429282",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1218 W KILBOURN AVE",
"address_2": "#409",
"city": "MILWAUKEE",
"state": "WI",
"postal_code": "532331330",
"telephone_number": "414-271-1900",
"fax_number": "414-271-8087"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1218 W KILBOURN AVE",
"address_2": "STE 409",
"city": "MILWAUKEE",
"state": "WI",
"postal_code": "53233",
"telephone_number": "414-271-1900",
"fax_number": "414-271-8087"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MUHAMMAD Y KHAN MD SC",
"organizational_subpart": "NO",
"enumeration_date": "2006-12-05",
"last_updated": "2014-06-18",
"status": "A",
"authorized_official_last_name": "KHAN",
"authorized_official_first_name": "MUAHMMAD",
"authorized_official_middle_name": "YOUSAF",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "414-271-1900",
"authorized_official_credential": "MD SC"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Family Medicine",
"state": null,
"license": null,
"primary": false
},
{
"code": "2086S0129X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Surgery, Vascular Surgery",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "30887200",
"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 Jun 18, 2014; 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.