NPIMap

Individual provider Active NPI

Sikandar Abbas Ansari, M.D.

  • Pulmonary Disease Physician
  • Milwaukee, WI
National Provider Identifier
1740470731
Registry record updated Oct 16, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
61105 Issued in WI
Practice address
9200 W Wisconsin Ave
Division of Pulmonary Disease
Milwaukee, WI 53226-3522
Phone
(414) 805-6633
Fax
(414) 805-3859
NPI assigned
Jul 26, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 16, 2021

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 L1127555 MI
Pulmonary Disease Physician 207RP1001X 61105 WI Primary

Addresses

Primary practice location

9200 W Wisconsin Ave
Division of Pulmonary Disease
Milwaukee, WI 53226-3522

Mailing address

9200 W Wisconsin Ave
Division of Pulmonary Disease
Milwaukee, WI 53226-3522
Phone (414) 805-6633

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address sansari159960@direct.med.utah.edu Direct University of Utah

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in UT
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20151106001373 UT Practitioner - Internal Medicine 0749422913 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
University of Utah Adult ServicesGroup PAC ID 0941525273, 1,758 clinicians
Western Peaks Physician GroupGroup PAC ID 4183036874, 5 clinicians
University of Utah Acuity Care ServicesGroup PAC ID 4789908534, 131 clinicians

Practice addresses (Care Compare)

1950 Circle of Hope Dr
Salt Lake City, UT 84112-5500
Phone (801) 581-2121

485 E 500
Bountiful, UT 84010-3801
Phone (702) 964-1525

50 N Medical Dr
Salt Lake City, UT 84132-0001
Phone (801) 581-2121

50 N Medical Dr
Salt Lake City, UT 84132-0100
Phone (801) 213-2995

Hospital & facility affiliations

  • University of Utah Hospital and Clinics Hospital, Salt Lake City, UT, CCN 460009
  • Lakeview Hospital Hospital, Bountiful, UT, CCN 460042
  • Salt Lake Specialty Hospital Long-term care hospital, Murray, UT, CCN 462004

Merit-based Incentive Payment System (MIPS)

Final score
89.77 of 100Reported as group
Quality
91.47
Promoting interoperability
100
Improvement activities
40
Cost
74.42

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Quality
100
Improvement activities
40
Cost
67.07

Merit-based Incentive Payment System (MIPS)

Final score
90.35 of 100Reported as group
Quality
72.06
Promoting interoperability
100
Improvement activities
40
Cost
72.92

Merit-based Incentive Payment System (MIPS)

Final score
99.54 of 100Reported as group
Quality
100
Improvement activities
40
Cost
65.13

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
L1127555MIMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University of Utah Acuity Care Services Current Accepting new patients
University of Utah Adult Services Current Accepting new patients
Silverton Group LLC CurrentSince Jan 1, 2016 Accepting new patients
University of Utah Acuity Care Services CurrentSince Oct 3, 2015 Accepting new patients
Western Peaks Physician Group Pulmonary Disease CurrentSince Apr 1, 2022 Accepting new patients
Scenic Way LLC Internal Medicine CurrentSince May 1, 2024 Accepting new patients
University of Utah Adult Services CurrentSince Oct 3, 2015 Accepting new patients
University of Utah Acuity Care Services CurrentSince Oct 3, 2015 Accepting new patients
University of Utah Adult Services CurrentSince Oct 3, 2015 Accepting new patients

Locations

485 E 500 S
Bountiful, UT 84010
Phone (801) 295-2361

5097 S 900 E
Ste 100
Murray, UT 84117
Phone (801) 576-1455

8th Ave And C St
Salt Lake City, UT 84143
Phone (801) 350-4110

4252 S Birkhill Blvd
Salt Lake City, UT 84107
Phone (385) 425-0050

1050 E South Temple
Slc, UT 84102
Phone (801) 350-4111

50 N Medical Dr
Slc, UT 84132
Phone (801) 581-2292

Interoperability endpoints

  • Direct secure messaging: sansari159960@direct.med.utah.edu

Organizations & group practices 9

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 5

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": "1185408000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1634342400000",
    "number": "1740470731",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9200 W WISCONSIN AVE",
            "address_2": "DIVISION OF PULMONARY DISEASE",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532263522",
            "telephone_number": "414-805-6633",
            "fax_number": "414-805-3859"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9200 W WISCONSIN AVE",
            "address_2": "DIVISION OF PULMONARY DISEASE",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532263522",
            "telephone_number": "414-805-6633",
            "fax_number": "414-805-3859"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANSARI",
        "first_name": "SIKANDAR",
        "middle_name": "ABBAS",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-07-26",
        "last_updated": "2021-10-16",
        "certification_date": "2021-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": "L1127555",
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "WI",
            "license": "61105",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "sansari159960@direct.med.utah.edu",
            "affiliation": "Y",
            "affiliationName": "University of Utah",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CDA/CCD/TXT",
            "address_1": "50 N Medical Dr",
            "city": "Salt Lake City",
            "state": "UT",
            "country_code": "US",
            "postal_code": "841320001",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Milwaukee, WI

Sources for this page

Verify at the official NPI Registry.