Individual provider Active NPI

Aymen M Khogali, MD

  • Hospitalist Physician
  • Milwaukee, WI
National Provider Identifier
1689851412
Registry record updated Jul 2, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospitalist PhysicianTaxonomy code 208M00000X
License
51365 Issued in WI
Practice address
945 N 12TH St
Aurora Sinai Medical Center
Milwaukee, WI 53201-0342
Phone
(414) 219-2000
Fax
(414) 219-4539
NPI assigned
Jan 23, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 2, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 51365 WI
Hospitalist Physician 208M00000X 51365 WI Primary

Addresses

Primary practice location

945 N 12TH St
Aurora Sinai Medical Center
Milwaukee, WI 53201-0342

Mailing address

945 N 12TH St
Milwaukee, WI 53233-1305
Phone (414) 219-5199

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
I20090611000285 WI Practitioner - HospitalistPractitioner - Internal Medicine 6507916699 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
HospitalistAlso: Internal Medicine
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Independent Physicians of Wisconsin LLCGroup PAC ID 3274842034, 42 clinicians

Practice addresses (Care Compare)

5434 W Capitol Dr
Suite 3
Milwaukee, WI 53216-2298
Phone (414) 875-0505

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
51365WIMDHospitalist Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Independent Physicians of Wisconsin, LLC CurrentSince Sep 1, 2023 Accepting new patients
Independent Physicians of Wisconsin, LLC Internal Medicine CurrentSince Sep 1, 2023 Accepting new patients

Locations

945 N 12th St
Milwaukee, WI 53233
Phone (414) 219-5800

2900 W Oklahoma Ave
Milwaukee, WI 53215
Phone (414) 385-2590

5434 W Capitol Dr
Ste 3
Milwaukee, WI 53216
Phone (414) 217-1229

5300 W Villard Ave
Milwaukee, WI 53218
Phone (262) 717-5478

Interoperability endpoints

  • Direct secure messaging: aymen.khogali.1@18758.direct.athenahealth.com

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1201046400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1562025600000",
    "number": "1689851412",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "945 N 12TH ST",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532331305",
            "telephone_number": "414-219-5199"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "945 N 12TH ST",
            "address_2": "AURORA SINAI MEDICAL CENTER",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532010342",
            "telephone_number": "414-219-2000",
            "fax_number": "414-219-4539"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KHOGALI",
        "first_name": "AYMEN",
        "middle_name": "M",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-01-23",
        "last_updated": "2019-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "WI",
            "license": "51365",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "WI",
            "license": "51365",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Milwaukee, WI

Sources for this page

Verify at the official NPI Registry.