Individual provider Active NPI

Fadi Amin Hussein, M.D.

  • Nephrology Physician
  • Milwaukee, WI
National Provider Identifier
1902004096
Registry record updated Jan 11, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
56703 Issued in WI
Practice address
3120 S 27TH St
Milwaukee, WI 53215-4338
Phone
(414) 672-8282
Fax
(414) 672-8282
NPI assigned
Jul 10, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 11, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 5670320 WI
Nephrology Physician 207RN0300X 56703 WI Primary

Addresses

Primary practice location

3120 S 27TH St
Milwaukee, WI 53215-4338

Mailing address

335 Mahn Court
Milwaukee, WI 53154
Phone (414) 762-2020

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address fhussein53715@direct.myadvocateaurora.org Direct
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: 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
I20120725000136 WI Practitioner - NephrologyPractitioner - Internal Medicine 1557533320 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
NephrologyAlso: Internal Medicine
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Aurora Medical Group, Inc.Group PAC ID 6709794258, 3,764 clinicians
Midwest Nephrology Associates SCGroup PAC ID 8527045236, 30 clinicians

Practice addresses (Care Compare)

2845 Greenbrier Rd
Green Bay, WI 54311-6519
Phone (920) 288-8100

3120 S 27TH St
Milwaukee, WI 53215-4338
Phone (414) 762-2020

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
5670320WIMDSpecialist
56703WIMDNephrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Midwest Nephrology Associates, S.C. Nephrology CurrentSince May 5, 2012 Accepting new patients
Aurora Medical Group, Inc. Current Accepting new patients
Midwest Nephrology Associates, SC CurrentSince May 5, 2012 Accepting new patients
Aurora Medical Group, Inc. CurrentSince Sep 1, 2016 Accepting new patients
Aurora Medical Group, Inc. CurrentSince Sep 1, 2016 Accepting new patients
Baycare Aurora, LLC CurrentSince Feb 20, 2018 Accepting new patients

Locations (25 of 41)

19333 W North Ave
Brookfield, WI 53045
Phone (262) 785-2000

252 McHenry St
Burlington, WI 53105
Phone (262) 763-2411

5900 S Lake Dr
Cudahy, WI 53110
Phone (414) 489-4055

W3985 Highway NN
Elkhorn, WI 53121
Phone (262) 741-2000

12500 W Bluemound Rd
Elm Grove, WI 53122
Phone (262) 780-3434

10101 S 27th St
Franklin, WI 53132
Phone (414) 325-4700

4425 N Port Washington Rd
Glendale, WI 53212
Phone (414) 326-2218

400 W Estabrook Blvd
Glendale, WI 53212
Phone (414) 332-9960

975 Port Washington Rd
Grafton, WI 53024
Phone (262) 329-1000

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

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

1032 E Sumner St
Hartford, WI 53027
Phone (262) 670-4300

6804 Green Bay Rd
Ste 108
Kenosha, WI 53142
Phone (262) 697-1090

10400 75th St
Kenosha, WI 53142
Phone (262) 697-7000

W180N8085 Town Hall Rd
Menomonee Fls, WI 53051
Phone (262) 257-5000

4021 N 52nd St
Milwaukee, WI 53216
Phone (414) 444-2795

2900 W Oklahoma Ave
Milwaukee, WI 53215
Phone (414) 385-2590

7793 W Appleton Ave
Milwaukee, WI 53222
Phone (414) 393-9810

945 N 12th St
Milwaukee, WI 53233
Phone (414) 219-5800

2350 N Lake Dr
Milwaukee, WI 53211
Phone (414) 291-1556

3237 S 16th St
Milwaukee, WI 53215
Phone (414) 647-5000

1020 N 12th St
Milwaukee, WI 53233
Phone (414) 219-3056

7701 W Clinton Ave
Milwaukee, WI 53223
Phone (414) 760-3090

5000 W Chambers St
Milwaukee, WI 53210
Phone (414) 447-2089

3120 S 27th St
Milwaukee, WI 53215
Phone (414) 672-8282

Interoperability endpoints

  • Direct secure messaging: fhussein53715@direct.myadvocateaurora.org

Organizations & group practices 6

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 6

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": "1184025600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1641859200000",
    "number": "1902004096",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "335 MAHN COURT",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "53154",
            "telephone_number": "414-762-2020",
            "fax_number": "414-762-2024"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3120 S 27TH ST",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532154338",
            "telephone_number": "414-672-8282",
            "fax_number": "414-672-8282"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUSSEIN",
        "first_name": "FADI",
        "middle_name": "AMIN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-07-10",
        "last_updated": "2022-01-11",
        "certification_date": "2022-01-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "WI",
            "license": "5670320",
            "primary": false
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "WI",
            "license": "56703",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "fhussein53715@direct.myadvocateaurora.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "855 N Westhaven Dr",
            "city": "Oshkosh",
            "state": "WI",
            "country_code": "US",
            "postal_code": "549047668",
            "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": "855 N Westhaven Dr",
            "city": "Oshkosh",
            "state": "WI",
            "country_code": "US",
            "postal_code": "549047668",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Milwaukee, WI

Sources for this page

Verify at the official NPI Registry.