Active NPI
Azeem S Pasha, M.D.
- Emergency Medicine Physician
- Milwaukee, WI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 0369-105512
- Practice address
- 111 E Wisconsin Ave
Milwaukee, WI 53202-4815 - Phone
- (414) 290-6720
- Fax
- (414) 290-6755
- NPI assigned
- Jun 4, 2006
- Last updated
- Aug 9, 2023
- 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 |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 0369-105512 | IL | Primary |
Addresses
Primary practice location
111 E Wisconsin Ave
Milwaukee, WI 53202-4815
Mailing address
111 E Wisconsin Ave
Milwaukee, WI 53202-4815
Phone (414) 290-6720
Other practice location 1
102 E Culver Rd
Knox, IN 46534-2216
Phone (574) 772-6231
Other practice location 2
901 Grant St
Harvard, IL 60033-1821
Phone (815) 943-5431
Other practice location 3
875 S. Route 31
Crystal Lake, IL 60014
Phone (779) 220-5500
Other practice location 4
922 E Call St
Starke, FL 32091-3616
Phone (904) 368-2300
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 036105512 | Medicaid | IL | |
| 930122927 | Other | IL | MEDICARE RAILROAD |
| P00122906 | Other | IL | MEDICARE RAILROAD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL, IN
- 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
- Emergency Medicine
- Education
- Other, 1999
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3333 N Seminary St
Galesburg, IL 61401-1251
Phone (309) 344-3161
901 Grant St
Harvard, IL 60033-1821
Phone (815) 943-5431
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0369-105512 | IL | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mercy Harvard Hospital Inc | Current | Accepting new patients | |
| North Indiana Emergency Physicians, LLP | Emergency Medicine | Current | Accepting new patients |
| Hoopeston Emergency Medicine Specialists, LTD. | Emergency Medicine | Current | Accepting new patients |
| Mercy Harvard Hospital Inc | Current | Accepting new patients | |
| Central PA Pharmacy LLC. | Current | Accepting new patients | |
| Mercy Health System Corporation | Current | Accepting new patients | |
| Sarah Bush Lincoln Health Center | Current | Accepting new patients | |
| Mercy Health System Corporation | Current | Accepting new patients | |
| Sarah Bush Lincoln Health Center | Current | Accepting new patients | |
| Osf Multi-Specialty Group | Current | Accepting new patients | |
| Scott Palmer, M.D., LLC | Past | Accepting new patients | |
| Health Dynamics, LLC | Past | Accepting new patients | |
| Ihc-Sacred Heart Emergency Physicians, LLC | Emergency Medicine | Past | Accepting new patients |
Locations
29624 Network Pl
Chicago, IL 60673
Phone (608) 741-7652
875 S State Route 31
Crystal Lake, IL 60014
Phone (779) 220-5500
3333 N Seminary St
Galesburg, IL 61401
Phone (309) 344-3161
348 S Division St
Harvard, IL 60033
Phone (815) 943-1122
901 Grant St
Harvard, IL 60033
Phone (815) 943-2961
701 E Orange St
Hoopeston, IL 60942
Phone (217) 283-5531
101 Professional Plz
Mattoon, IL 61938
Phone (217) 238-3730
1420 W Pioneer Pkwy
Peoria, IL 61615
Phone (309) 308-5195
8600 State Route 91
Ste 130
Peoria, IL 61615
Phone (309) 683-5050
102 E Culver Rd
Knox, IN 46534
Phone (574) 772-1580
1007 Lincolnway
Laporte, IN 46350
Phone (219) 325-5474
Interoperability endpoints
- apashamd398931@carlehiedirect.net
Organizations & group practices 13
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.
-
dba MHS Physician Services
- Multi-Specialty Clinic/Center
- Janesville, WI
- NPI 1598718603
IL
-
- Internal Medicine Physician
- Peoria, IL
- NPI 1922445527
-
- Emergency Medicine Physician
- Hoopeston, IL
- NPI 1316965197
-
- Critical Access Hospital
- Harvard, IL
- NPI 1427001445
-
- Emergency Medicine Physician
- La Porte, IN
- NPI 1144691478
-
- General Acute Care Hospital
- Mattoon, IL
- NPI 1669564662
-
dba Mercy Walworth Hospital and Medical Center
- Critical Access Hospital
- Lake Geneva, WI
- NPI 1699728550
-
dba patton pharmacy and v&s variety
- Community/Retail Pharmacy
- Patton, PA
- NPI 1578541413
-
dba Mercy Harvard Care Center
- Skilled Nursing Facility
- Harvard, IL
- NPI 1124195557
-
dba FCH Greenville Family Medicine Clinic
- Rural Health Clinic/Center
- Greenville, IL
- NPI 1811858970
-
- Preventive Medicine/Occupational Environmental Medicine Physician
- Milwaukee, WI
- NPI 1255389581
-
- Emergency Medicine Physician
- Eau Claire, WI
- NPI 1992847826
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Critical Access Hospital
- Harvard, IL
- NPI 1427001445
-
dba OSF Saint Mary Medical Center
- General Acute Care Hospital
- Galesburg, IL
- NPI 1164485363
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149379200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1691539200000",
"number": "1619915147",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "111 E WISCONSIN AVE",
"city": "MILWAUKEE",
"state": "WI",
"postal_code": "532024815",
"telephone_number": "414-290-6720",
"fax_number": "414-290-6755"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "111 E WISCONSIN AVE",
"city": "MILWAUKEE",
"state": "WI",
"postal_code": "532024815",
"telephone_number": "414-290-6720",
"fax_number": "414-290-6755"
}
],
"practiceLocations": [
{
"address_1": "102 E Culver Rd",
"address_purpose": "LOCATION",
"city": "Knox",
"state": "IN",
"postal_code": "465342216",
"country_code": "US",
"telephone_number": "574-772-6231",
"fax_number": "574-772-2885",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "901 Grant St",
"address_purpose": "LOCATION",
"city": "Harvard",
"state": "IL",
"postal_code": "600331821",
"country_code": "US",
"telephone_number": "815-943-5431",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "875 S. Route 31",
"address_purpose": "LOCATION",
"city": "Crystal Lake",
"state": "IL",
"postal_code": "60014",
"country_code": "US",
"telephone_number": "779-220-5500",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "922 E Call St",
"address_purpose": "LOCATION",
"city": "Starke",
"state": "FL",
"postal_code": "320913616",
"country_code": "US",
"telephone_number": "904-368-2300",
"fax_number": "904-368-2306",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PASHA",
"first_name": "AZEEM",
"middle_name": "S",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-04",
"last_updated": "2023-08-09",
"certification_date": "2023-08-07",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "IL",
"license": "0369-105512",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "036105512",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE RAILROAD",
"identifier": "930122927",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE RAILROAD",
"identifier": "P00122906",
"state": "IL"
}
],
"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 Aug 9, 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.