Individual provider Active NPI

M. Ziad Darkhabani, MD

  • Vascular Neurology Physician
  • Green Bay, WI
National Provider Identifier
1871815225
Registry record updated Sep 11, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular Neurology PhysicianTaxonomy code 2084V0102X
License
53632 Issued in WI
Practice address
2845 Greenbrier Rd
Green Bay, WI 54311-6519
Phone
(920) 288-8350
Fax
(920) 288-8355
NPI assigned
Feb 25, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2020

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X 05167 WI
Neurology Physician 2084N0400X 12132 ND
Vascular Neurology Physician 2084V0102X 53632 WI Primary

Addresses

Primary practice location

2845 Greenbrier Rd
Green Bay, WI 54311-6519

Mailing address

164 N Broadway
Green Bay, WI 54303-2728
Phone (920) 288-8350

Other identifiers 1

IdentifierTypeStateIssuer
16861MedicaidND

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI, TX2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20110314000385 WI Practitioner - Neurology 8224210158 Reassigns benefits to 1 organization
I20230613003297 TX Practitioner - Neurology 8224210158 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Methodist Physician Practices PLLCGroup PAC ID 8022171974, 176 clinicians

Practice addresses (Care Compare)

1139 E Sonterra Blvd
San Antonio, TX 78258-4347
Phone (210) 638-2000

1139 E Sonterra Blvd
Suite 301
San Antonio, TX 78258-4348
Phone (210) 477-1956

4410 Medical Dr
San Antonio, TX 78229-3755

6800 I 10
Suite 100
San Antonio, TX 78201-2039
Phone (210) 575-8289

6800 W Ih
10 Suite 130
San Antonio, TX 78201-2039
Phone (210) 932-1487

7700 Floyd Curl Dr
San Antonio, TX 78229-3902
Phone (210) 575-7268

Hospital & facility affiliations

  • Methodist Hospital Hospital, San Antonio, TX, CCN 450388
  • Methodist Hospital Stone Oak Hospital, San Antonio, TX, CCN 670055
  • Uvalde Memorial Hospital Hospital, Uvalde, TX, CCN 451387

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
05167WIMDNeurology Physician
53632WIMDVascular Neurology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Baycare Clinic LLP CurrentSince Nov 5, 2022 Accepting new patients
Baycare Clinic LLP Current Accepting new patients
Methodist Physician Practices, PLLC Neurology CurrentSince Aug 1, 2025 Accepting new patients
The Medical College of Wisconsin, Inc. Past Accepting new patients

Locations

2000 Health Park Dr
Brentwood, TN 37027
Phone (615) 372-5426

2400 Round Rock Ave
Round Rock, TX 78681
Phone (512) 255-6066

4410 Medical Dr
Ste 610
San Antonio, TX 78229
Phone (210) 477-5733

111 Dallas St
Fl 4
San Antonio, TX 78205
Phone (210) 297-7195

1139 E Sonterra Blvd
Ste 301
San Antonio, TX 78258
Phone (210) 477-1956

164 N Broadway
Green Bay, WI 54303
Phone (920) 965-4055

1035 Kepler Dr
Green Bay, WI 54311

2581 Development Dr
Green Bay, WI 54311
Phone (920) 347-0400

2845 Greenbrier Rd
Green Bay, WI 54311
Phone (920) 288-3388

2253 W Mason St
Green Bay, WI 54303
Phone (920) 327-7000

4061 Old Peshtigo Rd
Marinette, WI 54143
Phone (715) 732-8000

1136 Westowne Dr
Neenah, WI 54956
Phone (920) 456-2030

719 Doctors Ct
Oshkosh, WI 54901
Phone (920) 235-0066

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/16700/brand/2/csg/1/fhir/r4
  • Direct secure messaging: mziad.darkhabani@hca7.eclinicaldirectplus.com

Organizations & group practices 4

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.

Hospital & facility affiliations 5

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": "1267056000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1599782400000",
    "number": "1871815225",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "164 N BROADWAY",
            "city": "GREEN BAY",
            "state": "WI",
            "postal_code": "543032728",
            "telephone_number": "920-288-8350",
            "fax_number": "920-288-8355"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2845 GREENBRIER RD",
            "city": "GREEN BAY",
            "state": "WI",
            "postal_code": "543116519",
            "telephone_number": "920-288-8350",
            "fax_number": "920-288-8355"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DARKHABANI",
        "first_name": "M. ZIAD",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-02-25",
        "last_updated": "2020-09-11",
        "certification_date": "2020-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "WI",
            "license": "05167",
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "ND",
            "license": "12132",
            "primary": false
        },
        {
            "code": "2084V0102X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Vascular Neurology",
            "state": "WI",
            "license": "53632",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "16861",
            "state": "ND"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Green Bay, WI

Sources for this page

Verify at the official NPI Registry.