NPIMap

Individual provider Active NPI

Omer Afzal, M.D.

  • Nephrology Physician
  • Waukesha, WI
National Provider Identifier
1952393944
Registry record updated Dec 7, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
45209 Issued in WI
Practice address
111 Ann Street
Waukesha, WI 53188
Phone
(262) 542-6179
Fax
(262) 542-6182
NPI assigned
Aug 17, 2005
Last updated
Dec 7, 2021By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 7, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X 45209 WI Primary

Addresses

Primary practice location

111 Ann Street
Waukesha, WI 53188

Mailing address

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

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address oafzal12031@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
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040701000308 WI Practitioner - NephrologyPractitioner - Internal Medicine 4688651300 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
NephrologyAlso: Internal Medicine
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Midwest Nephrology Associates SCGroup PAC ID 8527045236, 30 clinicians

Practice addresses (Care Compare)

111 Ann St
Waukesha, WI 53188-2263
Phone (262) 542-6179

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
45209WIMDNephrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Columbia St. Mary's Hospital Milwaukee, Inc Current Accepting new patients
Columbia St. Mary's Hospital Milwaukee, Inc CurrentSince Aug 4, 2019 Accepting new patients
Baycare Aurora, LLC CurrentSince Aug 27, 2021 Accepting new patients
Aurora Advanced Healthcare, Inc. CurrentSince Nov 1, 2013 Accepting new patients
Aurora Medical Group, Inc. CurrentSince Jul 24, 2010 Accepting new patients
Columbia St. Mary's Hospital Milwaukee Inc CurrentSince Aug 4, 2019 Accepting new patients
Aurora Medical Group, Inc. CurrentSince Jul 24, 2010 Accepting new patients
Aurora Advanced Healthcare Inc CurrentSince Nov 1, 2013 Accepting new patients
Midwest Nephrology Associates, SC CurrentSince Jul 1, 2004 Accepting new patients
Midwest Nephrology Associates, S.C. Nephrology CurrentSince Jul 1, 2004 Accepting new patients
Froedtert &the Medical College of Wisconsin Community Physicians, Inc. Past Accepting new patients

Locations (25 of 50)

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

N112W15415 Mequon Rd
Germantown, WI 53022
Phone (262) 250-7800

3003 W Good Hope Rd
Glendale, WI 53209
Phone (414) 352-3100

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

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

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

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

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

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

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

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

12203 N Corporate Pkwy
Mequon, WI 53092
Phone (262) 387-8200

12800 N Port Washington Rd
Mequon, WI 53097
Phone (262) 243-3655

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

2311 N Prospect Ave
Milwaukee, WI 53211
Phone (414) 319-3000

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

2615 W Silver Spring Dr
Milwaukee, WI 53209
Phone (414) 461-2649

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

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

3120 S 27th St
Uppr
Milwaukee, WI 53215

Interoperability endpoints

  • Direct secure messaging: oafzal12031@direct.myadvocateaurora.org
  • Direct secure messaging: oafzalmd14456@direct.froedtert.com

Organizations & group practices 11

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 11

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": "1124236800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1638835200000",
    "number": "1952393944",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "335 MAHN COURT",
            "city": "OAK CREEK",
            "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": "111 ANN STREET",
            "city": "WAUKESHA",
            "state": "WI",
            "postal_code": "53188",
            "telephone_number": "262-542-6179",
            "fax_number": "262-542-6182"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AFZAL",
        "first_name": "OMER",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-08-17",
        "last_updated": "2021-12-07",
        "certification_date": "2021-12-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "WI",
            "license": "45209",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "oafzal12031@direct.myadvocateaurora.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "111 Ann Street",
            "city": "Waukesha",
            "state": "WI",
            "country_code": "US",
            "postal_code": "53188",
            "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": "111 Ann Street",
            "city": "Waukesha",
            "state": "WI",
            "country_code": "US",
            "postal_code": "53188",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Waukesha, WI

Sources for this page

Verify at the official NPI Registry.