Organization Active NPI

Masroor Munim MD

  • Internal Medicine Physician
  • West Allis, WI
National Provider Identifier
1689728602
Registry record updated Aug 28, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
MASROOR MUNIM MD
Practice address
7200 W Greenfield Avenue
West Allis, WI 53214
Phone
(414) 543-1441
Fax
(414) 543-1521
NPI assigned
Jan 23, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 28, 2007

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

Authorized official

Name
Masroor Munim, M.D.NPI 1326048976
Title
Owner Doctor
Phone
(414) 543-1441

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X WI
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X WI Primary

Addresses

Primary practice location

7200 W Greenfield Avenue
West Allis, WI 53214

Mailing address

2400 S 90TH St
Suite 104
Milwaukee, WI 53227-2417
Phone (414) 543-1441

Other names 1

  • Internal Medicine Associates Doing business as

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
52D1021628Internal Medicine Associates7200 W Greenfield Ave, West Allis, WI 53214Certificate of waiverJan 27, 2028

National Provider Directory

National Provider Directory

Locations

7200 W Greenfield Ave
West Allis, WI 53214
Phone (414) 543-1441

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1169510400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1188259200000",
    "number": "1689728602",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2400 S 90TH ST",
            "address_2": "SUITE 104",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532272417",
            "telephone_number": "414-543-1441",
            "fax_number": "414-543-1521"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7200 W GREENFIELD AVENUE",
            "city": "WEST ALLIS",
            "state": "WI",
            "postal_code": "53214",
            "telephone_number": "414-543-1441",
            "fax_number": "414-543-1521"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MASROOR MUNIM MD",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-23",
        "last_updated": "2007-08-28",
        "status": "A",
        "authorized_official_last_name": "MUNIM",
        "authorized_official_first_name": "MASROOR",
        "authorized_official_title_or_position": "OWNER DOCTOR",
        "authorized_official_telephone_number": "414-543-1441",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "WI",
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "WI",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Internal Medicine Associates",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in West Allis, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • 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.

Verify at the official NPI Registry.