Individual provider Active NPI

Shabbar Sajjad, MD

  • Internal Medicine Physician
  • Milwaukee, WI
National Provider Identifier
1710168794
Registry record updated Oct 23, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
53521-20 Issued in WI
Practice address
3046 S 13TH St
Milwaukee, WI 53215-3826
Phone
(414) 649-9696
Fax
(414) 649-9698
NPI assigned
Nov 19, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 23, 2023

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 53521 WI
Internal Medicine Physician 207R00000X 53521-20 WI Primary

Addresses

Primary practice location

3046 S 13TH St
Milwaukee, WI 53215-3826

Mailing address

6400 Industrial Loop
Greendale, WI 53129-2452
Phone (414) 858-4106

Other practice location 1

7235 W Appleton Ave
Milwaukee, WI 53216-1932
Phone (414) 455-3738

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
I20101218000044 WI Practitioner - Internal MedicinePractitioner - Family Practice 4284822156 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Family Practice
Education
Other, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

9632 W Appleton Ave
Milwaukee, WI 53225-3305
Phone (414) 461-8850

Hospital & facility affiliations

  • Aurora St Lukes Medical Center Hospital, Milwaukee, WI, CCN 520138

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
53521WIMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Shabbar Sajjad MD SC Internal Medicine CurrentSince Sep 16, 2010 Accepting new patients

Locations

6400 Industrial Loop
Greendale, WI 53129
Phone (414) 423-4100

2741 W Layton Ave
Ste 201
Milwaukee, WI 53221
Phone (414) 672-7343

3046 S 13th St
Milwaukee, WI 53215
Phone (414) 255-1040

3237 S 16th St
Milwaukee, WI 53215
Phone (414) 647-5000

7235 W Appleton Ave
Milwaukee, WI 53216
Phone (414) 434-8517

9047 W Greenfield Ave
West Allis, WI 53214
Phone (414) 453-9290

8901 W Lincoln Ave
Fl 2
West Allis, WI 53227
Phone (414) 328-7700

Organizations & group practices 1

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 2

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": "1195430400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698019200000",
    "number": "1710168794",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6400 INDUSTRIAL LOOP",
            "city": "GREENDALE",
            "state": "WI",
            "postal_code": "531292452",
            "telephone_number": "414-858-4106",
            "fax_number": "414-423-4134"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3046 S 13TH ST",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532153826",
            "telephone_number": "414-649-9696",
            "fax_number": "414-649-9698"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7235 W Appleton Ave",
            "address_purpose": "LOCATION",
            "city": "Milwaukee",
            "state": "WI",
            "postal_code": "532161932",
            "country_code": "US",
            "telephone_number": "414-455-3738",
            "fax_number": "414-434-9667",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SAJJAD",
        "first_name": "SHABBAR",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-11-19",
        "last_updated": "2023-10-23",
        "certification_date": "2023-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "WI",
            "license": "53521",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "WI",
            "license": "53521-20",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Milwaukee, WI

Sources for this page

Verify at the official NPI Registry.