Individual provider Active NPI

Sheeba A. Minhas-Pannu, MD

  • Family Medicine Physician
  • West Allis, WI
National Provider Identifier
1669425344
Registry record updated Sep 28, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
47821 Issued in WI
Practice address
2323 S 102ND St
West Allis, WI 53227-2103
Phone
(414) 541-9900
NPI assigned
May 17, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 28, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 47821 WI Primary

Addresses

Primary practice location

2323 S 102ND St
West Allis, WI 53227-2103

Mailing address

PO Box 241393
Milwaukee, WI 53224-9032
Phone (414) 732-0790

Other practice location 1

12800 N Port Washington Rd
Mequon, WI 53097-2415
Phone (262) 243-9600

Other identifiers 1

IdentifierTypeStateIssuer
34836000MedicaidWI

Other names 1

  • Sheeba A Minhas-Pannu Other name

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060713000318 WI Practitioner - Family Practice 6406869569 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

11430 N Port Washington Rd
Mequon, WI 53092-3414
Phone (262) 518-1900

Hospital & facility affiliations

  • Froedtert Memorial Lutheran Hospital Hospital, Milwaukee, WI, CCN 520177

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Columbia St. Mary'S Hospital Milwaukee Inc CurrentSince Aug 1, 2006 Accepting new patients
The Medical College of Wisconsin, Inc. Family Medicine Current Accepting new patients
Froedtert &the Medical College of Wisconsin Community Physicians, Inc. CurrentSince Jun 10, 2021 Accepting new patients
Columbia St. Mary'S Hospital Milwaukee, Inc Family Medicine CurrentSince Aug 1, 2006 Accepting new patients
DRS. Massaro & Kalenak S C Current Accepting new patients
Columbia St. Mary'S Hospital Milwaukee, Inc Family Medicine Current Accepting new patients
Froedtert &the Medical College of Wisconsin Community Physicians, Inc. CurrentSince Jun 10, 2021 Accepting new patients

Locations

N112W15415 Mequon Rd
Germantown, WI 53022
Phone (262) 250-7800

W168N11237 Western Ave
Germantown, WI 53022
Phone (262) 253-5060

N74W12501 Leatherwood Ct
Menomonee Falls, WI 53051
Phone (414) 454-4744

11430 N Port Washington Rd
Mequon, WI 53092
Phone (262) 518-1900

12800 N Port Washington Rd
Mequon, WI 53097
Phone (262) 243-3655

830 E Green Bay Ave
Saukville, WI 53080
Phone (262) 284-7117

9200 W Wisconsin Ave
Wauwatosa, WI 53226
Phone (414) 259-3000

1155 N Mayfair Rd
Wauwatosa, WI 53226
Phone (414) 955-5990

801 S 70th St
West Allis, WI 53214
Phone (414) 773-6600

2323 S 102nd St
West Allis, WI 53227
Phone (414) 541-9900

Interoperability endpoints

  • Direct secure messaging: spannu152440@direct.froedtert.com

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 1

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

NPI Registry JSON

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

{
    "created_epoch": "1147824000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1632787200000",
    "number": "1669425344",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 241393",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532249032",
            "telephone_number": "414-732-0790"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2323 S 102ND ST",
            "city": "WEST ALLIS",
            "state": "WI",
            "postal_code": "532272103",
            "telephone_number": "414-541-9900"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "12800 N Port Washington Rd",
            "address_purpose": "LOCATION",
            "city": "Mequon",
            "state": "WI",
            "postal_code": "530972415",
            "country_code": "US",
            "telephone_number": "262-243-9600",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MINHAS-PANNU",
        "first_name": "SHEEBA",
        "middle_name": "A.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-17",
        "last_updated": "2021-09-28",
        "certification_date": "2021-09-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WI",
            "license": "47821",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "34836000",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SHEEBA",
            "last_name": "MINHAS-PANNU",
            "middle_name": "A",
            "credential": "MD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in West Allis, WI

Sources for this page

Verify at the official NPI Registry.