Active NPI
Alexander Joseph Khammar, MD
- Ophthalmology Physician
- Milwaukee, WI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- 63552
- Practice address
- 9000 W Wisconsin Ave
Pediatric Ophthalmology
Milwaukee, WI 53226-4874 - Phone
- (414) 607-5280
- Fax
- (414) 266-2027
- NPI assigned
- Dec 21, 2005
- Last updated
- Mar 2, 2024
- 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 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | 63552 | WI | Primary |
| Optometric Technician | 156FX1202X | IL | ||
| Ophthalmology Physician | 207W00000X | 01058559A | IN | |
| Ophthalmology Physician | 207W00000X | 036107142 | IL |
Addresses
Primary practice location
9000 W Wisconsin Ave
Pediatric Ophthalmology
Milwaukee, WI 53226-4874
Mailing address
9000 W Wisconsin Ave
Pediatric Ophthalmology
Milwaukee, WI 53226-4874
Phone (414) 607-5280
Other practice location 1
3801 Spring St
Mount Pleasant, WI 53405-1667
Phone (262) 687-8282
Other practice location 2
9200 W Wisconsin Ave
Milwaukee, WI 53226-3522
Phone (414) 955-2020
Other identifiers 15
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200815870 | Other | IN | MEDICARE LEGACY PROVIDER NUMBER |
| 200871680B | Other | IN | MEDICAID LOCATION CHICAGO RIDGE |
| 180046209 | Other | IL | MEDICARE RAILROAD |
| 205785 | Other | IL | PTAN MEDICARE COOK COUNTY IL |
| DR4230 | Other | IL | MEDICARE RAILROAD DUPAGE CO GROUP PTAN |
| 036107142 | Medicaid | IL | |
| 1083684922 | Other | IL | GROUP NPI |
| 200871680D | Other | IN | MEDICAID LOCATION HINSDALE |
| 1649256512 | Medicaid | WI | |
| 200871680C | Other | IN | MEDICAID LOCATION ORLAND PARK |
| P00932398 | Other | IL | MEDICARE RAILROAD DUPAGE CO INDIVIDUAL PTAN |
| 253350 | Other | IN | PTAN MEDICARE GROUP PRACTICE |
| 200871680A | Other | IN | MEDICAID LOCATION MUNSTER |
| 205786 | Other | IL | MEDICARE DUPAGE CO GRP PTAN |
| 01621679 | Other | IL | BC/BS OF IL |
Medicare participation
Medicare enrollment files- 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
Enrollment records 1
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 87.99 of 100
- Quality
- 82.81
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 77.15
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036107142 | IL | MD | Ophthalmology Physician |
| 01058559A | IN | MD | Ophthalmology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Medical College of Wisconsin, Inc. | Current | Accepting new patients | |
| MCHS Hospitals Inc | Current | Accepting new patients | |
| Briggs Ophthalmology & Associates, S.C. | Ophthalmology | Past | Accepting new patients |
Locations
3801 Spring St
Mount Pleasant, WI 53405
Phone (262) 636-4011
9200 W Wisconsin Ave
Wauwatosa, WI 53226
Phone (414) 259-3000
8701 Watertown Plank Rd
Wauwatosa, WI 53226
Phone (414) 456-4100
9000 W Wisconsin Ave
Wauwatosa, WI 53226
Phone (414) 266-2625
Interoperability endpoints
- alex.khammar@marshfieldclinichealthsystem.cernerdirect.com
- akhammar35375@direct.chw.org
Organizations & group practices 3
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.
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- Ophthalmology Physician
- Dyer, IN
- NPI 1609840925
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1135123200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1709337600000",
"number": "1649256512",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9000 W WISCONSIN AVE",
"address_2": "PEDIATRIC OPHTHALMOLOGY",
"city": "MILWAUKEE",
"state": "WI",
"postal_code": "532264874",
"telephone_number": "414-607-5280",
"fax_number": "414-266-2027"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9000 W WISCONSIN AVE",
"address_2": "PEDIATRIC OPHTHALMOLOGY",
"city": "MILWAUKEE",
"state": "WI",
"postal_code": "532264874",
"telephone_number": "414-607-5280",
"fax_number": "414-266-2027"
}
],
"practiceLocations": [
{
"address_1": "3801 Spring St",
"address_purpose": "LOCATION",
"city": "Mount Pleasant",
"state": "WI",
"postal_code": "534051667",
"country_code": "US",
"telephone_number": "262-687-8282",
"fax_number": "262-687-3931",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "9200 W Wisconsin Ave",
"address_purpose": "LOCATION",
"city": "Milwaukee",
"state": "WI",
"postal_code": "532263522",
"country_code": "US",
"telephone_number": "414-955-2020",
"fax_number": "414-955-6300",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KHAMMAR",
"first_name": "ALEXANDER",
"middle_name": "JOSEPH",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-12-21",
"last_updated": "2024-03-02",
"certification_date": "2024-03-02",
"status": "A"
},
"taxonomies": [
{
"code": "207W00000X",
"taxonomy_group": "",
"desc": "Ophthalmology",
"state": "WI",
"license": "63552",
"primary": true
},
{
"code": "156FX1202X",
"taxonomy_group": "",
"desc": "Technician/Technologist, Optometric Technician",
"state": "IL",
"license": null,
"primary": false
},
{
"code": "207W00000X",
"taxonomy_group": "",
"desc": "Ophthalmology",
"state": "IN",
"license": "01058559A",
"primary": false
},
{
"code": "207W00000X",
"taxonomy_group": "",
"desc": "Ophthalmology",
"state": "IL",
"license": "036107142",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE LEGACY PROVIDER NUMBER",
"identifier": "200815870",
"state": "IN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICAID LOCATION CHICAGO RIDGE",
"identifier": "200871680B",
"state": "IN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE RAILROAD",
"identifier": "180046209",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PTAN MEDICARE COOK COUNTY IL",
"identifier": "205785",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE RAILROAD DUPAGE CO GROUP PTAN",
"identifier": "DR4230",
"state": "IL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "036107142",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GROUP NPI",
"identifier": "1083684922",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICAID LOCATION HINSDALE",
"identifier": "200871680D",
"state": "IN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1649256512",
"state": "WI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICAID LOCATION ORLAND PARK",
"identifier": "200871680C",
"state": "IN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE RAILROAD DUPAGE CO INDIVIDUAL PTAN",
"identifier": "P00932398",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PTAN MEDICARE GROUP PRACTICE",
"identifier": "253350",
"state": "IN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICAID LOCATION MUNSTER",
"identifier": "200871680A",
"state": "IN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE DUPAGE CO GRP PTAN",
"identifier": "205786",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BC/BS OF IL",
"identifier": "01621679",
"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 Mar 2, 2024; 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.