Active NPI
Abhimanyu Kaura, MD
- Addiction Medicine (Internal Medicine) Physician
- Milwaukee, WI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction Medicine (Internal Medicine) Physician
- License
- 333187
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740577766 | Medicaid | WI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX, WI, NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 3
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PROVISIONAL LICENSE | TX | MD | Internal Medicine Physician |
| 68257 | WI | MD | Internal Medicine Physician |
| MD20217 | ME | MD | Hospitalist Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sherman MD Provider Inc | Internal Medicine | Current | Accepting new patients |
| Sherman MD Provider Inc | Hospitalist | Current | Accepting new patients |
| Access Telecare, PLLC | Internal Medicine | Current | Accepting new patients |
| Synergy Medical and Addiction Clinic LLC | Addiction Medicine | Current | Accepting new patients |
| The Medical College of Wisconsin, Inc. | Internal Medicine | Current | Accepting new patients |
| Synergy Medical Addiction Care PLLC | Addiction Medicine | Current | 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
- akauramd237883@direct.froedtert.com
- 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.
-
- Addiction Medicine (Internal Medicine) Physician
- New Hyde Park, NY
- NPI 1689563611
-
- Addiction Medicine (Internal Medicine) Physician
- Garland, TX
- NPI 1235091414
-
- Internal Medicine Physician
- Milwaukee, WI
- NPI 1699720086
-
- Internal Medicine Physician
- Dallas, TX
- NPI 1013303080
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2025; 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.