Individual provider Active NPI

Qefli Neziri, MD

  • Hospitalist Physician
  • Marinette, WI
National Provider Identifier
1922109230
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospitalist PhysicianTaxonomy code 208M00000X
License
42761 Issued in WI
Practice address
3100 Shore Dr
Marinette, WI 54143-4242
Phone
(715) 735-6621
NPI assigned
Sep 26, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 42761 WI
Hospitalist Physician 208M00000X 42761 WI Primary

Addresses

Primary practice location

3100 Shore Dr
Marinette, WI 54143-4242

Mailing address

435 W Hosmer St
Marinette, WI 54143-3625

Other identifiers 1

IdentifierTypeStateIssuer
34112800MedicaidWI

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
I20050519000230 WI Practitioner - Internal Medicine 6709827819 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Medical College of Wisconsin, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

3801 Spring St
Mount Pleasant, WI 53405-1667
Phone (262) 687-4011

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
42761WIMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ascension Medical Group-Southeast Wisconsin Inc Internal Medicine CurrentSince Mar 12, 2024 Accepting new patients
Oak Medical SC Internal Medicine CurrentSince Apr 1, 2021 Accepting new patients
Signify Health Medical Associates, PLLC CurrentSince Dec 1, 2024 Accepting new patients
Hni Medical Services of Wisconsin, S.C. Internal Medicine CurrentSince Aug 1, 2020 Accepting new patients
Froedtert Manitowoc Medical Group, LLC Internal Medicine CurrentSince Apr 2, 2022 Accepting new patients

Locations

4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037

13950 W Capitol Dr
Brookfield, WI 53005
Phone (414) 302-5400

801 Braxton Pl
Madison, WI 53715
Phone (608) 251-1010

811 E Washington Ave
Madison, WI 53703
Phone (469) 466-7420

2300 Western Ave
Manitowoc, WI 54220
Phone (920) 320-2011

3801 Spring St
Mount Pleasant, WI 53405
Phone (262) 636-4011

1414 N Taylor Dr
Sheboygan, WI 53081
Phone (920) 320-2011

3821 S Chicago Ave
South Milwaukee, WI 53172
Phone (414) 762-6379

2428 N Grandview Blvd
Ste 102
Waukesha, WI 53188
Phone (262) 875-4521

N20W22961 Watertown Rd
Waukesha, WI 53186
Phone (262) 875-5070

1625 Coldwater Creek Dr
Waukesha, WI 53188
Phone (262) 521-8800

201 N Mayfair Rd
Fl 2
Wauwatosa, WI 53226
Phone (414) 771-8228

Organizations & group practices 5

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 1

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": "1159228800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1922109230",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "435 W HOSMER ST",
            "city": "MARINETTE",
            "state": "WI",
            "postal_code": "541433625"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3100 SHORE DR",
            "city": "MARINETTE",
            "state": "WI",
            "postal_code": "541434242",
            "telephone_number": "715-735-6621"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NEZIRI",
        "first_name": "QEFLI",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-26",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "WI",
            "license": "42761",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "WI",
            "license": "42761",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "34112800",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Marinette, WI

Sources for this page

Verify at the official NPI Registry.