Sabrina Marie Azavedo, MD
Individual provider Active NPI Family Medicine Physician · Elkhorn, WI
NPI 1780201145 · NPPES record last updated Jun 25, 2026
Key facts
- NPI
- 1780201145
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- 10029-851 (WI)
- Practice address
- W3985 County Road NN
Elkhorn, WI 53121-4337 - Phone
- (262) 741-2121
- NPI assigned
- Jul 1, 2020
- Sex
- Female
- Sole proprietor
- Yes
Medicare Care Compare profile
- Specialty
- Family Practice
- Education
- Other, 2020
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
3301 W Forest Home Ave
Milwaukee, WI 53215-2843
N20W22961 Watertown Rd
Waukesha, WI 53186-1308
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in WI
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20250115000886 | WI | Order and Referring Only - Family Practice |
5698152304 |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| T-4138 | MS | MD | General Practice Physician |
| 0101274241 | VA | MD | General Practice Physician |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Physician | 208D00000X | T-4138 | MS | |
| Emergency Medicine Physician | 207P00000X | T-4138 | MS | |
| Student in an Organized Health Care Education/Training Program | 390200000X | WI | ||
| General Practice Physician | 208D00000X | 0101274241 | VA | |
| Family Medicine Physician |
207Q00000X | 10029-851 | WI | Yes |
Addresses
Primary practice location
W3985 County Road NN
Elkhorn, WI 53121-4337
Mailing address
1009 W Juneau Ave Apt 309
Milwaukee, WI 53233-1517
Phone (757) 957-2060
Other practice location 1
8101 Hinson Farm Rd Ste 219
Alexandria, VA 22306-3406
Phone (214) 725-2211
Other practice location 2
611 Alcorn Dr
Corinth, MS 38834-9388
Phone (757) 957-2060
Other providers in Elkhorn, WI
- Aurora Medical Group, Inc.
- Aurora Medical Group, Inc.
- Aurora Medical Group, Inc.
- Aurora Pharmacy Inc
- Aurora Pharmacy Inc.
- Karen Ann Babcock
- Karlie Bakovic
- Kristi Ann Balge
- Earl J Banken
- Benjamin R. Banks
All providers in Elkhorn, WI · Family Medicine Physician in Wisconsin
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 25, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.