Individual provider Active NPI

Anas Ibrahim Ghousheh

  • Pediatric Urology Physician
  • Milwaukee, WI
National Provider Identifier
1679888911
Registry record updated Oct 5, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Urology PhysicianTaxonomy code 2088P0231X
License
56308 Issued in WI
Practice address
999 N 92ND St
Suite C 330
Milwaukee, WI 53226-4875
Phone
(414) 337-7757
NPI assigned
Aug 11, 2010
Last updated
Oct 5, 2011By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 5, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Urology Physician 2088P0231X 56308 WI Primary

Addresses

Primary practice location

999 N 92ND St
Suite C 330
Milwaukee, WI 53226-4875

Mailing address

999 N 92ND St
Suite C 330
Milwaukee, WI 53226-4875
Phone (414) 337-7757

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1281484800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1317772800000",
    "number": "1679888911",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "999 N 92ND ST",
            "address_2": "SUITE C 330",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532264875",
            "telephone_number": "414-337-7757"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "999 N 92ND ST",
            "address_2": "SUITE C 330",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532264875",
            "telephone_number": "414-337-7757"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GHOUSHEH",
        "first_name": "ANAS",
        "middle_name": "IBRAHIM",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-08-11",
        "last_updated": "2011-10-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2088P0231X",
            "taxonomy_group": "",
            "desc": "Urology, Pediatric Urology",
            "state": "WI",
            "license": "56308",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Oct 5, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.