Active NPI
Saadia Ghazal, APRN
- Family Nurse Practitioner
- Milwaukee, WI
National Provider Identifier
1922735570
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 13045-33
- Practice address
- 5434 W Capitol Dr Ste 3
Milwaukee, WI 53216-2298 - Phone
- (414) 875-0505
- Fax
- (866) 225-2790
- NPI assigned
- Aug 3, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 13045-33 | WI | Primary |
Addresses
Primary practice location
5434 W Capitol Dr Ste 3
Milwaukee, WI 53216-2298
Mailing address
PO Box 210560
Milwaukee, WI 53221-8010
Phone (414) 875-0505
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: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20221005001264 | WI | Practitioner - Nurse Practitioner | 2668858242 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
5434 W Capitol Dr
Suite 3
Milwaukee, WI 53216-2298
Phone (414) 875-0505
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Independent Physicians of Wisconsin, LLC | Current | Accepting new patients | |
| Independent Physicians of Wisconsin, LLC | Current | Accepting new patients |
Locations
5434 W Capitol Dr
Ste 3
Milwaukee, WI 53216
Phone (414) 217-1229
Interoperability endpoints
- saadia.ghazal.1@18758.direct.athenahealth.com
Organizations & group practices 2
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.
-
- Internal Medicine Physician
- Milwaukee, WI
- NPI 1871975920
WI
-
- Durable Medical Equipment & Medical Supplies
- Kenosha, WI
- NPI 1588255996
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1659484800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1682294400000",
"number": "1922735570",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 210560",
"city": "MILWAUKEE",
"state": "WI",
"postal_code": "532218010",
"telephone_number": "414-875-0505",
"fax_number": "866-225-2790"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5434 W CAPITOL DR STE 3",
"city": "MILWAUKEE",
"state": "WI",
"postal_code": "532162298",
"telephone_number": "414-875-0505",
"fax_number": "866-225-2790"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GHAZAL",
"first_name": "SAADIA",
"credential": "APRN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-08-03",
"last_updated": "2023-04-24",
"certification_date": "2023-04-24",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "WI",
"license": "13045-33",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Milwaukee, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2023; 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.