Individual provider Active NPI

Abhimanyu Kaura, MD

  • Addiction Medicine (Internal Medicine) Physician
  • Milwaukee, WI
National Provider Identifier
1740577766
Registry record updated Jul 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction Medicine (Internal Medicine) PhysicianTaxonomy code 207RA0401X
License
333187 Issued in NY
Practice address
9200 W Wisconsin Ave
Milwaukee, WI 53226-3522
Phone
(414) 805-6850
Fax
(414) 805-6851
NPI assigned
Jun 29, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 10, 2025

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X PROVISIONAL LICENSE TX
Internal Medicine Physician 207R00000X 68257 WI
Hospitalist Physician 208M00000X MD20217 ME
Hospitalist Physician 208M00000X 68257 WI
Addiction Medicine (Internal Medicine) Physician 207RA0401X 333187 NY Primary

Addresses

Primary practice location

9200 W Wisconsin Ave
Milwaukee, WI 53226-3522

Mailing address

9200 W Wisconsin Ave
Milwaukee, WI 53226-3522
Phone (414) 805-6850

Other practice location 1

606 Hillside Blvd
New Hyde Park, NY 11040-2913
Phone (732) 788-9047

Other identifiers 1

IdentifierTypeStateIssuer
1740577766MedicaidWI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, WI, NY3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20150527001533 TX Practitioner - Internal MedicinePractitioner - Addiction Medicine 6800015710 Reassigns benefits to 3 organizations
I20180122002670 WI Practitioner - Internal Medicine 6800015710 Reassigns benefits to 1 organization
I20250709003663 NY Practitioner - Internal MedicinePractitioner - Addiction Medicine 6800015710 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
PROVISIONAL LICENSETXMDInternal Medicine Physician
68257WIMDInternal Medicine Physician
MD20217MEMDHospitalist Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Sherman MD Provider Inc Internal Medicine CurrentSince Jun 1, 2015 Accepting new patients
Sherman MD Provider Inc Hospitalist CurrentSince Jun 1, 2015 Accepting new patients
Access Telecare, PLLC Internal Medicine CurrentSince Aug 1, 2025 Accepting new patients
Synergy Medical and Addiction Clinic LLC Addiction Medicine CurrentSince Nov 4, 2025 Accepting new patients
The Medical College of Wisconsin, Inc. Internal Medicine CurrentSince Dec 15, 2017 Accepting new patients
Synergy Medical Addiction Care PLLC Addiction Medicine CurrentSince Jul 3, 2025 Accepting new patients

Locations

20171 Chasewood Park Dr
Houston, TX 77070
Phone (713) 355-1000

4500 Medical Center Dr
McKinney, TX 75069
Phone (972) 547-8190

2555 Jimmy Johnson Blvd
Port Arthur, TX 77640
Phone (409) 724-7389

500 N Highland Ave
Sherman, TX 75092
Phone (903) 870-4494

3401 N Calais Dr
Ste A
Sherman, TX 75090
Phone (903) 870-2094

4206 Retama Cir
Victoria, TX 77901
Phone (361) 582-0611

1908 N Laurent St
Ste 410
Victoria, TX 77901

1908 N Laurent St
Ste 330
Victoria, TX 77901
Phone 36157203332244

Bin 88350
Milwaukee, WI 53288
Phone (414) 805-3122

8701 Watertown Plank Rd
Wauwatosa, WI 53226
Phone (414) 456-4100

9200 W Wisconsin Ave
Wauwatosa, WI 53226
Phone (414) 259-3000

Interoperability endpoints

  • Direct secure messaging: akauramd237883@direct.froedtert.com
  • Direct secure messaging: kaura.abhimanyu.002.0430259@smdp.meditab.direct-ci.com

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1309305600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752105600000",
    "number": "1740577766",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9200 W WISCONSIN AVE",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532263522",
            "telephone_number": "414-805-6850",
            "fax_number": "414-805-6851"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9200 W WISCONSIN AVE",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532263522",
            "telephone_number": "414-805-6850",
            "fax_number": "414-805-6851"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "606 Hillside Blvd",
            "address_purpose": "LOCATION",
            "city": "New Hyde Park",
            "state": "NY",
            "postal_code": "110402913",
            "country_code": "US",
            "telephone_number": "732-788-9047",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KAURA",
        "first_name": "ABHIMANYU",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-06-29",
        "last_updated": "2025-07-10",
        "certification_date": "2025-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "PROVISIONAL LICENSE",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "WI",
            "license": "68257",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "ME",
            "license": "MD20217",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "WI",
            "license": "68257",
            "primary": false
        },
        {
            "code": "207RA0401X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Addiction Medicine",
            "state": "NY",
            "license": "333187",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1740577766",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Milwaukee, WI

Sources for this page

Verify at the official NPI Registry.