Individual provider Active NPI

Khazi A Muqeet, M.D

  • Psychiatry Physician
  • Milwaukee, WI
National Provider Identifier
1841371234
Registry record updated Nov 3, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
49769020 Issued in WI
Practice address
8701 W Watertown Plank Rd
Dept of Pychiatry
Milwaukee, WI 53226-3548
Phone
(414) 456-6000
NPI assigned
Oct 18, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 3, 2009

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X 49769020 WI
Psychiatry Physician 2084P0800X 49769020 WI Primary

Addresses

Primary practice location

8701 W Watertown Plank Rd
Dept of Pychiatry
Milwaukee, WI 53226-3548

Mailing address

14925 W San Mateo Dr
New Berlin, WI 53151-4348
Phone (414) 433-1668

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI
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 1

Enrollment IDStateProvider typePAC IDDetails
I20070329000097 WI Practitioner - PsychiatryPractitioner - General Surgery 9436253598 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
49769020WIMDGeneral Practice Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Rogers Memorial Hospital Incorporated CurrentSince Jul 27, 2010 Accepting new patients
County of Milwaukee Psychiatry Past Accepting new patients

Locations

34700 Valley Rd
Oconomowoc, WI 53066

2448 S 102nd St
Ste 200
West Allis, WI 53227
Phone (414) 327-3000

11101 W Lincoln Ave
West Allis, WI 53227
Phone (414) 203-4500

2424 S 102nd St
West Allis, WI 53227
Phone (414) 373-7474

Ownership & related parties

All facility ownership & control disclosures 3

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Rogers Memorial Hospital IncorporatedOconomowoc, WI, CCN 524018 Hospital Corporate Director
W-2 Managing Employee
Jan 1, 2024
Feb 19, 2010
Rogers Memorial Hospital Inc.Brown Deer, WI, CCN 524046 Hospital Corporate Director Jun 2, 2025
Rogers Memorial Hospital Inc.West Allis, WI, CCN 524047 Hospital Corporate Director May 5, 2025

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 2

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": "1161129600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1257206400000",
    "number": "1841371234",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14925 W SAN MATEO DR",
            "city": "NEW BERLIN",
            "state": "WI",
            "postal_code": "531514348",
            "telephone_number": "414-433-1668"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8701 W WATERTOWN PLANK RD",
            "address_2": "DEPT OF PYCHIATRY",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532263548",
            "telephone_number": "414-456-6000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUQEET",
        "first_name": "KHAZI",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "M.D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-18",
        "last_updated": "2009-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "WI",
            "license": "49769020",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "WI",
            "license": "49769020",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Milwaukee, WI

Sources for this page

Verify at the official NPI Registry.