NPIMap

Individual provider Active NPI

Anushayanthan Alfred, M.D., M.P.H

  • Nephrology Physician
  • Glendale, WI
National Provider Identifier
1871765859
Registry record updated May 19, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
54326 Issued in WI
Practice address
5650 N Green Bay Ave Ste 210
Glendale, WI 53209-4447
Phone
(414) 431-5971
Fax
(414) 434-0354
NPI assigned
Mar 30, 2008
Last updated
May 19, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 19, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X 54326 WI Primary

Addresses

Primary practice location

5650 N Green Bay Ave Ste 210
Glendale, WI 53209-4447

Mailing address

2514 S 102ND St
Suite 120
West Allis, WI 53227-2142
Phone (414) 777-5200

Other identifiers 1

IdentifierTypeStateIssuer
1871765859MedicaidWI

Electronic endpoints 3

TypeEndpointUseAffiliation
Direct Messaging Address aalfred139997@direct.myadvocateaurora.org Direct
Direct Messaging Address anushayanthan.alfred@milwaukeenephrologists.directbygreenway.com
FHIR URL https://EpicFHIR.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130806000510 WI Practitioner - NephrologyPractitioner - Internal Medicine 2860639457 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
NephrologyAlso: Internal Medicine
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Aurora Advanced Healthcare, Inc.Group PAC ID 3375625833, 1,107 clinicians
Milwaukee Nephrologists SCGroup PAC ID 4385538446, 21 clinicians

Practice addresses (Care Compare)

215 W Washington St
Grafton, WI 53024-1700
Phone (262) 375-3700

5650 N Green Bay Ave
Suite 210
Glendale, WI 53209-4447
Phone (414) 259-8917

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
54326WIMDNephrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Columbia St. Mary's Hospital Milwaukee, Inc Current Accepting new patients
Columbia St. Mary's Hospital Milwaukee Inc CurrentSince Jun 1, 2015 Accepting new patients
Aurora Advanced Healthcare, Inc. CurrentSince Oct 29, 2018 Accepting new patients
Columbia St. Mary's Hospital Milwaukee Inc CurrentSince Jun 1, 2015 Accepting new patients
Aurora Advanced Healthcare Inc CurrentSince Oct 29, 2018 Accepting new patients
Milwaukee Nephrologists, S.C. Nephrology CurrentSince Nov 3, 2014 Accepting new patients
Garfield Dialysis Venture LLC Past Accepting new patients
Milwaukee Kidney Associates SC Nephrology Past Accepting new patients
Childrens Medical Group Inc PastSince Nov 3, 2014 Accepting new patients

Locations

N54W6135 Mill St
Ste 600
Cedarburg, WI 53012
Phone (262) 261-0094

3003 W Good Hope Rd
Glendale, WI 53209
Phone (414) 352-3100

5650 N Green Bay Ave
Ste 210
Glendale, WI 53209
Phone (414) 247-9530

215 Washington St
Grafton, WI 53024
Phone (262) 375-3700

12203 N Corporate Pkwy
Mequon, WI 53092
Phone (262) 387-8200

1575 N Rivercenter Dr
Ste 104
Milwaukee, WI 53212
Phone (414) 274-7520

2901 W Kinnickinnic River Pkwy
Ste 413
Milwaukee, WI 53215
Phone (414) 259-8917

601 N 99th St
Ste 302
Wauwatosa, WI 53226
Phone (414) 431-2186

2514 S 102nd St
Ste 120
West Allis, WI 53227

801 S 70th St
West Allis, WI 53214
Phone (414) 773-6600

Interoperability endpoints

  • Direct secure messaging: aalfred139997@direct.myadvocateaurora.org
  • Direct secure messaging: aalfred43431@direct.davitaphysiciansolutions.com
  • Direct secure messaging: aalfredmd127195@direct.froedtert.com
  • Direct secure messaging: anushayanthan.alfred@milwaukeenephrologists.directbygreenway.com
  • FHIR API: https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.140.71975

Organizations & group practices 10

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.

Hospital & facility affiliations 9

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1206835200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1652918400000",
    "number": "1871765859",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2514 S 102ND ST",
            "address_2": "SUITE 120",
            "city": "WEST ALLIS",
            "state": "WI",
            "postal_code": "532272142",
            "telephone_number": "414-777-5200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5650 N GREEN BAY AVE STE 210",
            "city": "GLENDALE",
            "state": "WI",
            "postal_code": "532094447",
            "telephone_number": "414-431-5971",
            "fax_number": "414-434-0354"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALFRED",
        "first_name": "ANUSHAYANTHAN",
        "credential": "M.D., M.P.H",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-03-30",
        "last_updated": "2022-05-19",
        "certification_date": "2022-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "WI",
            "license": "54326",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1871765859",
            "state": "WI"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "aalfred139997@direct.myadvocateaurora.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "5650 N Green Bay Ave Ste 210",
            "city": "Glendale",
            "state": "WI",
            "country_code": "US",
            "postal_code": "532094447",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "anushayanthan.alfred@milwaukeenephrologists.directbygreenway.com",
            "affiliation": "N",
            "address_1": "5650 N Green Bay Ave Ste 210",
            "city": "Glendale",
            "state": "WI",
            "country_code": "US",
            "postal_code": "532094447",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://EpicFHIR.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/",
            "affiliation": "N",
            "address_1": "5650 N Green Bay Ave Ste 210",
            "city": "Glendale",
            "state": "WI",
            "country_code": "US",
            "postal_code": "532094447",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Glendale, WI

Sources for this page

Verify at the official NPI Registry.