Individual provider Active NPI

Nezih Z Hasanoglu, D.O.

  • Family Medicine Physician
  • New Berlin, WI
National Provider Identifier
1730166901
Registry record updated Jan 27, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
25286 Issued in WI
Practice address
13700 W National Ave
Suite 116
New Berlin, WI 53151-9521
Phone
(262) 782-5662
Fax
(262) 782-5296
NPI assigned
Dec 28, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 27, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 25286 WI Primary
Addiction Medicine (Family Medicine) Physician 207QA0401X 25286 WI

Addresses

Primary practice location

13700 W National Ave
Suite 116
New Berlin, WI 53151-9521

Mailing address

13700 W National Ave
Suite 116
New Berlin, WI 53151-9521
Phone (262) 782-5662

Other identifiers 1

IdentifierTypeStateIssuer
30019700MedicaidWI

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
I20070524000120 WI Practitioner - Family PracticePractitioner - Addiction Medicine 7719084862 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Addiction Medicine
Education
Midwestern University, Chicago College of Osteopathic Med, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

13700 W National Ave
Suite 116
New Berlin, WI 53151-9522
Phone (262) 782-5662

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
25286WIMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Nezih Z. Hasanoglu, D.O., S.C. Family Medicine CurrentSince Jan 1, 1998 Accepting new patients
Iris Health Clinic LLC CurrentSince Sep 16, 2018 Accepting new patients
Iris Health Clinic Addiction Medicine CurrentSince Sep 16, 2018 Accepting new patients
Denoon Recovery LLC Past Accepting new patients

Locations

13700 W National Ave
Ste 116
New Berlin, WI 53151
Phone (262) 782-5662

255 W Broadway
Waukesha, WI 53186
Phone (262) 420-9088

200 N Main St
Waupaca, WI 54981
Phone (262) 420-9088

Interoperability endpoints

  • Direct secure messaging: nhasanoglu10917@direct.phci.org

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

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": "1135728000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1769472000000",
    "number": "1730166901",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13700 W NATIONAL AVE",
            "address_2": "SUITE 116",
            "city": "NEW BERLIN",
            "state": "WI",
            "postal_code": "531519521",
            "telephone_number": "262-782-5662",
            "fax_number": "262-782-5296"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13700 W NATIONAL AVE",
            "address_2": "SUITE 116",
            "city": "NEW BERLIN",
            "state": "WI",
            "postal_code": "531519521",
            "telephone_number": "262-782-5662",
            "fax_number": "262-782-5296"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HASANOGLU",
        "first_name": "NEZIH",
        "middle_name": "Z",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-12-28",
        "last_updated": "2026-01-27",
        "certification_date": "2026-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WI",
            "license": "25286",
            "primary": true
        },
        {
            "code": "207QA0401X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Addiction Medicine",
            "state": "WI",
            "license": "25286",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "30019700",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New Berlin, WI

Sources for this page

Verify at the official NPI Registry.