Midwest Nephrology Associates, S.C.

Primary specialty

Nephrology PhysicianTaxonomy code 207RN0300X

Legal business name

MIDWEST NEPHROLOGY ASSOCIATES, S.C.

Practice address

3120 S 27TH St
Milwaukee, WI 53215-4338

Phone

(414) 672-8282

Fax

(414) 672-8284

NPI assigned

Jul 8, 2006

Last updated

Jan 3, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Christine Herbst

Title

VP Operations

Phone

(414) 762-2020

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in WI

Enrollment records 1

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

• Midwest Nephrology Associates, SC

  • Ambulatory Surgical Clinic/Center
  • Milwaukee, WI
  • NPI 1558807131

  8527045236

  Same PAC ID

Locations

Practitioners 36

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.

• Omer Afzal, M.D.

  • Nephrology Physician
  • Waukesha, WI
  • NPI 1952393944
  Medicare reassignment Care Compare group NPD
• Motasem Mohd F Ghazi Alkhasoneh

  • Nephrology Physician
  • Milwaukee, WI
  • NPI 1023533403
  Medicare reassignment Care Compare group NPD
• Nawras Alshoubaki, MD

  • Nephrology Physician
  • Oak Creek, WI
  • NPI 1003290586
  Medicare reassignment Care Compare group NPD
• Ezzideen Barjes Alrawi, MD

  • Nephrology Physician
  • Waukesha, WI
  • NPI 1366732752
  Medicare reassignment Care Compare group NPD
• Kevin Andrew Bodker, DO

  • Nephrology Physician
  • Milwaukee, WI
  • NPI 1508326505
  Medicare reassignment Care Compare group NPD
• Kayla Cramer, APNP

  • Nurse Practitioner
  • Milwaukee, WI
  • NPI 1457943037
  Medicare reassignment Care Compare group NPD
• Paige Dewane, APNP

  • Nurse Practitioner
  • Milwaukee, WI
  • NPI 1285302455
  Medicare reassignment Care Compare group NPD
• Megan Freimuth, APNP

  • Nurse Practitioner
  • Milwaukee, WI
  • NPI 1386476075
  Medicare reassignment Care Compare group NPD
• Brittany Marie Galewski, APNP

  • Nurse Practitioner
  • Oak Creek, WI
  • NPI 1598419160
  Medicare reassignment Care Compare group NPD
• Vasundhara Ganne, MD

  • Nephrology Physician
  • Milwaukee, WI
  • NPI 1053303057
  Medicare reassignment Care Compare group NPD
• Fadi Amin Hussein, M.D.

  • Nephrology Physician
  • Milwaukee, WI
  • NPI 1902004096
  Medicare reassignment Care Compare group NPD
• Anas Kizawi, M.D

  • Nephrology Physician
  • Milwaukee, WI
  • NPI 1154771772

  Single Specialty

  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1152316800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1735862400000",
    "number": "1659304467",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "335 MAHN CT",
            "city": "OAK CREEK",
            "state": "WI",
            "postal_code": "531542155",
            "telephone_number": "414-762-2020",
            "fax_number": "414-762-2024"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3120 S 27TH ST",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532154338",
            "telephone_number": "414-672-8282",
            "fax_number": "414-672-8284"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "111 Ann St",
            "address_purpose": "LOCATION",
            "city": "Waukesha",
            "state": "WI",
            "postal_code": "531882263",
            "country_code": "US",
            "telephone_number": "414-393-9810",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7793 W Appleton Ave",
            "address_purpose": "LOCATION",
            "city": "Milwaukee",
            "state": "WI",
            "postal_code": "532222009",
            "country_code": "US",
            "telephone_number": "414-393-9810",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MIDWEST NEPHROLOGY ASSOCIATES, S.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-08",
        "last_updated": "2025-01-03",
        "certification_date": "2025-01-03",
        "status": "A",
        "authorized_official_last_name": "HERBST",
        "authorized_official_first_name": "CHRISTINE",
        "authorized_official_title_or_position": "VP OPERATIONS",
        "authorized_official_telephone_number": "414-762-2020"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "32796300",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Midwest Foot & Ankle Surgical Center
• Midwest Heart Surgery Institute, LTD
• Midwest Infectious Disease
• Midwest Medical Supply Co. Inc.
• Midwest Medical Transport Company LLC
• Midwest Nephrology Associates, SC
• Midwest Orthopedic Specialty Hospital, LLC
• Midwest Outpatient Therapy
• Midwest Pulmonary Consultants LLC
• Midwest Rockets HH, LLC (Heartland)

• Nephrology Physician in Milwaukee, WI
• Providers in Milwaukee, WI by specialty
• Nephrology Physician in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2025; 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.

Verify at the official NPI Registry.