Active NPI
Omer Afzal, M.D.
- Nephrology Physician
- Waukesha, WI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nephrology Physician
- License
- 45209
- Practice address
- 111 Ann Street
Waukesha, WI 53188 - Phone
- (262) 542-6179
- Fax
- (262) 542-6182
- NPI assigned
- Aug 17, 2005
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| 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
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 34489700 | Medicaid | WI |
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20040701000308 | WI | Practitioner - Nephrology | 4688651300 | Reassigns benefits to 5 organizations |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 45209 | WI | MD | Nephrology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Aurora Medical Group, Inc. | Current | Accepting new patients | |
| Baycare Aurora, LLC | Current | Accepting new patients | |
| Columbia St. Mary'S Hospital Milwaukee, Inc | Current | Accepting new patients | |
| Aurora Advanced Healthcare, Inc. | Current | Accepting new patients | |
| Aurora Advanced Healthcare Inc | Current | Accepting new patients | |
| Columbia St. Mary'S Hospital Milwaukee, Inc | Current | Accepting new patients | |
| Columbia St. Mary'S Hospital Milwaukee Inc | Current | Accepting new patients | |
| Midwest Nephrology Associates, SC | Current | Accepting new patients | |
| Aurora Medical Group, Inc. | Current | Accepting new patients | |
| Midwest Nephrology Associates, S.C. | Nephrology | Current | 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
4425 N Port Washington Rd
Glendale, WI 53212
Phone (414) 326-2218
3003 W Good Hope Rd
Glendale, WI 53209
Phone (414) 352-3100
400 W Estabrook Blvd
Glendale, WI 53212
Phone (414) 332-9960
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) 697-6323
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
5000 W Chambers St
Milwaukee, WI 53210
Phone (414) 447-2089
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
3120 S 27th St
Uppr
Milwaukee, WI 53215
2311 N Prospect Ave
Milwaukee, WI 53211
Phone (414) 319-3000
7797 W Appleton Ave
Milwaukee, WI 53222
Phone (414) 393-2690
Interoperability endpoints
- 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 and National Provider Directory roles.
-
- Nephrology Physician
- Milwaukee, WI
- NPI 1659304467
Nephrology, WI
-
- Multi-Specialty Clinic/Center
- Milwaukee, WI
- NPI 1023064482
WI
-
- Ambulatory Surgical Clinic/Center
- Milwaukee, WI
- NPI 1558807131
-
- Durable Medical Equipment & Medical Supplies
- Summit, WI
- NPI 1477186633
-
- Durable Medical Equipment & Medical Supplies
- Oshkosh, WI
- NPI 1326858044
-
- Psychiatric Hospital Unit
- Mequon, WI
- NPI 1417600909
-
- Multi-Specialty Clinic/Center
- Glendale, WI
- NPI 1215945456
-
- Internal Medicine Physician
- Menomonee Falls, WI
- NPI 1568787448
Hospital & facility affiliations 11
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Milwaukee, WI
- NPI 1194593913
Dialysis facility
-
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Glendale, WI
- NPI 1497091284
Dialysis facility
-
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Brookfield, WI
- NPI 1841792603
Dialysis facility
-
- General Acute Care Hospital
- Milwaukee, WI
- NPI 1427007384
Hospital
-
- Rehabilitation Hospital Unit
- Brookfield, WI
- NPI 1861417362
Hospital
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Cudahy, WI
- NPI 1235355983
Hospital
-
- General Acute Care Hospital
- Milwaukee, WI
- NPI 1871656082
Hospital
-
- General Acute Care Hospital
- West Allis, WI
- NPI 1407801640
Hospital
Care Compare profile
Medicare Care Compare- Specialty
- Nephrology
- Education
- Other, 1996
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Midwest Nephrology Associates SC
Practice addresses (Care Compare)
111 Ann St
Waukesha, WI 53188-2263
Phone (262) 542-6179
Hospital & facility affiliations
- Fresenius Medical Care Midwest Glendale
- Fresenius Kidney Care Silver Springs
- Fresenius Kidney Care Brookfield
- Fresenius Kidney Care Appleton Avenue Home
- Ascension Columbia St Marys Hospital Milwaukee
- Aurora St Lukes Medical Center
- Ascension SE Wisconsin Hospital
- Aurora Medical Center
- West Allis Memorial Hospital
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": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "34489700",
"state": "WI"
}
],
"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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2021; 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.