Amin Namazi, APNP

Primary specialty

Acute Care Nurse PractitionerTaxonomy code 363LA2100X

License

5933-33 Issued in WI

Practice address

725 American Ave.
Prohealth Care Waukesha Memorial Hospital
Waukesha, WI 53188-5099

Phone

(262) 928-1000

NPI assigned

May 6, 2015

Last updated

Jun 16, 2020By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in WI, IL2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 2

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/2069/brand/1/csg/29/fhir/r4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Greater Milwaukee Critical Care and Pulmonary Associates SC

  • Critical Care Medicine (Internal Medicine) Physician
  • Milwaukee, WI
  • NPI 1952569816
  Medicare reassignment NPD
• Waukegan Clinic Corp

  • Family Medicine Physician
  • Waukegan, IL
  • NPI 1306937289
  Medicare reassignment NPD
• Oncology Hematology Associates of Northern Illinois, LTD

  • Hematology & Oncology Physician
  • Gurnee, IL
  • NPI 1093142135
  NPD
• Prohealth Medical Group Inc

  • Family Medicine Physician
  • Waukesha, WI
  • NPI 1790720613
  NPD (past)

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

{
    "created_epoch": "1430870400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1592265600000",
    "number": "1821475120",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "W193S8810 WIND CREST CT",
            "city": "MUSKEGO",
            "state": "WI",
            "postal_code": "531507872",
            "telephone_number": "414-217-3718"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "725 AMERICAN AVE.",
            "address_2": "PROHEALTH CARE WAUKESHA MEMORIAL HOSPITAL",
            "city": "WAUKESHA",
            "state": "WI",
            "postal_code": "531885099",
            "telephone_number": "262-928-1000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NAMAZI",
        "first_name": "AMIN",
        "name_prefix": "Mr.",
        "credential": "APNP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-05-06",
        "last_updated": "2020-06-16",
        "certification_date": "2020-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "WI",
            "license": "5933-33",
            "primary": true
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "WI",
            "license": "5933-33",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gina Ann Musa
• William P Mustas, P.A.
• Debra A Muth, NP
• Myeyedr Optometry of Wisconsin, LLC (MyEyeDr.)
• Donald J Nadar, MD
• Melissa Napiorkowski, CSW, CADC-D
• Tyler Erwin Narloch
• Andrea Narveson
• Alexis Nash, LCSW
• National Birth Centers, Inc.

• Acute Care Nurse Practitioner in Waukesha, WI
• Providers in Waukesha, WI by specialty
• Acute Care Nurse Practitioner in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2020; 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.