NPIMap

Individual provider Active NPI

Faisal Anwar, M.D.

  • Internal Medicine Physician
  • Baldwin, WI
National Provider Identifier
1558655878
Registry record updated Dec 30, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
64743 Issued in WI
Practice address
1100 Bergslien St
Baldwin, WI 54002-2600
Phone
(715) 684-1111
Fax
(715) 684-1119
NPI assigned
Jun 3, 2011
Last updated
Dec 30, 2021By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 30, 2021

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 0101258797 VA
Internal Medicine Physician 207R00000X ME127879 FL
Internal Medicine Physician 207R00000X 01076090A IN
Internal Medicine Physician 207R00000X 64743 WI Primary

Addresses

Primary practice location

1100 Bergslien St
Baldwin, WI 54002-2600

Mailing address

1100 Bergslien St
Baldwin, WI 54002-2600
Phone (715) 684-1111

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address fanwar321277@excellian.direct.allina.com Direct

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160301000585 WI Practitioner - Internal Medicine 4880998327 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Eastern Virginia Medical School, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Baldwin Area Medical Center IncGroup PAC ID 7911800586, 88 clinicians
Ladd Memorial HospitalGroup PAC ID 9931092848, 69 clinicians

Practice addresses (Care Compare)

1100 Bergslien St
Baldwin, WI 54002-2600
Phone (715) 684-1555

2600 65TH Ave
Osceola, WI 54020-4370
Phone (715) 294-2111

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME127879FLMDInternal Medicine Physician
01076090AINMDInternal Medicine Physician
64743WIMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Baldwin Area Medical Center Inc. CurrentSince Feb 15, 2016 Accepting new patients
Baldwin Area Medical Center, Inc. CurrentSince Feb 15, 2016 Accepting new patients
Ladd Memorial Hospital CurrentSince Sep 2, 2023 Accepting new patients
Spooner Health System, Inc. CurrentSince Jun 22, 2022 Accepting new patients
Ladd Memorial Hospital CurrentSince Sep 2, 2023 Accepting new patients

Locations

1100 Bergslien St
Baldwin, WI 54002
Phone (715) 684-1111

2600 65th Ave
Osceola, WI 54020
Phone (705) 268-8000

1280 Chandler Dr
Spooner, WI 54801
Phone (715) 635-2111

Interoperability endpoints

  • Direct secure messaging: fanwar321277@excellian.direct.allina.com
  • Direct secure messaging: fanwar707868@direct.ochin.org

Organizations & group practices 5

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.

Hospital & facility affiliations 25

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

View all 25

NPI Registry JSON

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

{
    "created_epoch": "1307059200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1640822400000",
    "number": "1558655878",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1100 BERGSLIEN ST",
            "city": "BALDWIN",
            "state": "WI",
            "postal_code": "540022600",
            "telephone_number": "715-684-1111",
            "fax_number": "715-684-1119"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 BERGSLIEN ST",
            "city": "BALDWIN",
            "state": "WI",
            "postal_code": "540022600",
            "telephone_number": "715-684-1111",
            "fax_number": "715-684-1119"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANWAR",
        "first_name": "FAISAL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-06-03",
        "last_updated": "2021-12-30",
        "certification_date": "2021-12-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "VA",
            "license": "0101258797",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME127879",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IN",
            "license": "01076090A",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "WI",
            "license": "64743",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "fanwar321277@excellian.direct.allina.com",
            "affiliation": "N",
            "endpointDescription": "Faisal Anwar",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CDA/PDF/TXT",
            "address_1": "1100 Bergslien St",
            "city": "Baldwin",
            "state": "WI",
            "country_code": "US",
            "postal_code": "540022600",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Baldwin, WI

Sources for this page

Verify at the official NPI Registry.