Active NPI
M. Ziad Darkhabani, MD
- Vascular Neurology Physician
- Green Bay, WI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Vascular Neurology Physician
- License
- 53632
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 16861 | Medicaid | ND |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WI, TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Neurology
- Education
- Other, 2001
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
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
- Methodist Hospital Stone Oak
- Uvalde Memorial Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 05167 | WI | MD | Neurology Physician |
| 53632 | WI | MD | Vascular Neurology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Baycare Clinic LLP | Current | Accepting new patients | |
| Baycare Clinic LLP | Current | Accepting new patients | |
| Methodist Physician Practices, PLLC | Neurology | Current | 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
- https://api.platform.athenahealth.com/16700/brand/2/csg/1/fhir/r4
- 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.
-
- Emergency Medicine Physician
- Green Bay, WI
- NPI 1588609648
-
- Durable Medical Equipment & Medical Supplies
- Manitowoc, WI
- NPI 1134490758
-
- Internal Medicine Physician
- Milwaukee, WI
- NPI 1699720086
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- San Antonio, TX
- NPI 1659525236
-
- General Acute Care Hospital
- San Antonio, TX
- NPI 1124074273
-
- General Acute Care Hospital
- San Antonio, TX
- NPI 1689627655
-
- General Acute Care Hospital
- San Antonio, TX
- NPI 1952348021
-
- Critical Access Hospital
- Uvalde, TX
- NPI 1740288505
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.