Active NPI
Wajiha Jeelani, MBBS
- Pediatrics Physician
- Milwaukee, WI
National Provider Identifier
1851910673
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 81834
- Practice address
- 5433 W Fond Du Lac Ave
Milwaukee, WI 53216-1382 - Phone
- (414) 277-8909
- Fax
- (414) 277-8939
- NPI assigned
- Apr 11, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 81834 | WI | Primary |
Addresses
Primary practice location
5433 W Fond Du Lac Ave
Milwaukee, WI 53216-1382
Mailing address
5433 W Fond Du Lac Ave
Milwaukee, WI 53216-1382
Phone (414) 277-8909
Other names 1
- Wajiha Jeelani
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 81834 | WI | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Children's Medical Group | Pediatrics | Past | Accepting new patients |
Interoperability endpoints
- wjeelani125975@direct.chw.org
Organizations & group practices 1
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": "1586563200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1713484800000",
"number": "1851910673",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5433 W FOND DU LAC AVE",
"city": "MILWAUKEE",
"state": "WI",
"postal_code": "532161382",
"telephone_number": "414-277-8909",
"fax_number": "414-277-8939"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5433 W FOND DU LAC AVE",
"city": "MILWAUKEE",
"state": "WI",
"postal_code": "532161382",
"telephone_number": "414-277-8909",
"fax_number": "414-277-8939"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JEELANI",
"first_name": "WAJIHA",
"credential": "MBBS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-04-11",
"last_updated": "2024-04-19",
"certification_date": "2024-04-13",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "WI",
"license": "81834",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "WAJIHA",
"last_name": "JEELANI",
"credential": "MBBS",
"code": "2",
"type": "Professional Name"
}
]
}
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 Apr 19, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.