Imad Katib, M.D.

Primary specialty

Cardiovascular Disease PhysicianTaxonomy code 207RC0000X

License

27366-020 Issued in WI

Practice address

721 American Ave
Suite 410
Waukesha, WI 53188-5071

Phone

(262) 521-2101

NPI assigned

May 27, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Muslim Community and Health Center of Wisconsin Inc

  • Community Health Clinic/Center
  • Milwaukee, WI
  • NPI 1962850768
  Medicare reassignment NPD
• Cardiovascular Medicine of Waukesha, S.C.

  • Cardiovascular Disease Physician
  • Waukesha, WI
  • NPI 1013026285
  NPD (past) Authorized official
• Comprehensive Podiatry Services

  • Foot & Ankle Surgery Podiatrist
  • Milwaukee, WI
  • NPI 1134885809
  NPD
• Prohealth Medical Group Inc

  • Family Medicine Physician
  • Waukesha, WI
  • NPI 1790720613

  Cardiovascular Disease

  NPD (past)

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

{
    "created_epoch": "1148688000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1208131200000",
    "number": "1740237601",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "721 AMERICAN AVE",
            "address_2": "SUITE 410",
            "city": "WAUKESHA",
            "state": "WI",
            "postal_code": "531885071",
            "telephone_number": "262-521-2101",
            "fax_number": "262-521-1482"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "721 AMERICAN AVE",
            "address_2": "SUITE 410",
            "city": "WAUKESHA",
            "state": "WI",
            "postal_code": "531885071",
            "telephone_number": "262-521-2101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KATIB",
        "first_name": "IMAD",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-27",
        "last_updated": "2008-04-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "WI",
            "license": "27366-020",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "31454400",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Carrie Kassner, RDH
• Kristin T Kastner, NP
• Christopher Kasun, SAC-IT
• Nicole Katcha, APNP
• Kathy D Hartke MD SC
• Arianna Katrichis, LPC-IT
• Richard H Katzenberger, R.PH.
• Leah Katzung
• Angela Kau, LPC-IT
• Karie Kaufman

• Cardiovascular Disease Physician in Waukesha, WI
• Providers in Waukesha, WI by specialty
• Cardiovascular Disease Physician in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2008; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.