Active NPI
Hemant R Nayak, MD
- Emergency Medicine Physician
- Milwaukee, WI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 50295
- Practice address
- 2900 W Oklahoma Ave
Milwaukee, WI 53215-4330 - Phone
- (414) 649-6588
- Fax
- (770) 237-1723
- NPI assigned
- Mar 6, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 039436 | CT | |
| Emergency Medicine Physician | 207P00000X | 50295 | WI | Primary |
Addresses
Primary practice location
2900 W Oklahoma Ave
Milwaukee, WI 53215-4330
Mailing address
6009 N Kent Ave
Whitefish Bay, WI 53217-4645
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| MEDICAL LICENSE | Other | WA | MD60135830 |
| 000 | Other | WI | BCBS |
| 34916700 | Medicaid | WI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Emergency Medicine
- Education
- University of Wisconsin School of Medicine, 1997
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
18100 NE Union Hill Rd
Redmond, WA 98052-3330
Phone (425) 498-2020
2450 33Rd Ave W
Suite 100
Seattle, WA 98199-3252
Phone (206) 320-3364
Hospital & facility affiliations
- Swedish Issaquah
- Swedish Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 039436 | CT | MD | Emergency Medicine Physician |
| 50295 | WI | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Eastside Emergency Physicians, PLLC | Emergency Medicine | Current | Accepting new patients |
| Swedish Health Services | Current | Accepting new patients | |
| Eastside Emergency Physicians, PLLC | Emergency Medicine | Current | Accepting new patients |
| Swedish Health Services | Current | Accepting new patients | |
| Eastside Emergency Physicians PLLC | Emergency Medicine | Current | Accepting new patients |
Locations
13020 Meridian Ave S
Everett, WA 98208
Phone (425) 357-3700
751 NE Blakely Dr
Issaquah, WA 98029
Phone (425) 313-4000
18100 NE Union Hill Rd
Redmond, WA 98052
Phone (425) 498-2020
2450 33rd Ave W
Ste 100
Seattle, WA 98199
Phone (206) 320-3364
Organizations & group practices 5
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.
-
- Emergency Medicine Physician
- Issaquah, WA
- NPI 1689683229
-
- Family Medicine Physician
- Seattle, WA
- NPI 1831139724
-
- Emergency Medicine Physician
- Redmond, WA
- NPI 1710288758
-
- Emergency Medicine Physician
- Everett, WA
- NPI 1922303478
-
- Physical Therapist
- Seattle, WA
- NPI 1619680840
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Seattle, WA
- NPI 1306992151
-
- General Acute Care Hospital
- Issaquah, WA
- NPI 1851686059
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173139200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1283472000000",
"number": "1720118490",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6009 N KENT AVE",
"city": "WHITEFISH BAY",
"state": "WI",
"postal_code": "532174645"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2900 W OKLAHOMA AVE",
"city": "MILWAUKEE",
"state": "WI",
"postal_code": "532154330",
"telephone_number": "414-649-6588",
"fax_number": "770-237-1723"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NAYAK",
"first_name": "HEMANT",
"middle_name": "R",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-03-06",
"last_updated": "2010-09-03",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "CT",
"license": "039436",
"primary": false
},
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "WI",
"license": "50295",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MD60135830",
"identifier": "MEDICAL LICENSE",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "000",
"state": "WI"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "34916700",
"state": "WI"
}
],
"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 Sep 3, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.