Individual provider Active NPI

Amin Farokhrani

  • Sports Medicine (Family Medicine) Physician
  • Milwaukee, WI
National Provider Identifier
1952714669
Registry record updated Aug 27, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Medicine (Family Medicine) PhysicianTaxonomy code 207QS0010X
License
1019585 Issued in MA
Practice address
220 W Capitol Dr
Milwaukee, WI 53212-1185
Phone
(414) 727-6320
NPI assigned
Jun 10, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 27, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Medicine (Family Medicine) Physician 207QS0010X 1019585 MA Primary
Family Medicine Physician 207Q00000X 4301106062 MI
Sports Medicine (Family Medicine) Physician 207QS0010X 036147889 IL

Addresses

Primary practice location

220 W Capitol Dr
Milwaukee, WI 53212-1185

Mailing address

75 Mount Auburn St
Cambridge, MA 02138-4960
Phone (617) 495-5711

Other practice location 1

1101 W University Dr
Rochester, MI 48307
Phone (248) 601-4900

Other practice location 2

633 Emerson St
Evanston, IL 60208-1863
Phone (847) 491-8100

Other practice location 3

75 Mount Auburn St
Cambridge, MA 02138-4960
Phone (617) 495-5711

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA, WI2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20240605000473 MA Practitioner - Sports Medicine 8325340300 Reassigns benefits to 1 organization
I20251124000259 WI Practitioner - Family PracticePractitioner - Sports Medicine 8325340300 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Wayne State University School of Medicine, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

220 W Capitol Dr
Milwaukee, WI 53212-1185
Phone (414) 727-6320

75 Mount Auburn St
Cambridge, MA 02138-4960
Phone (617) 496-8700

N91W15750 Falls Pkwy
Menomonee Falls, WI 53051-2301
Phone (262) 532-1100

W168N11237 Western Ave
Germantown, WI 53022-3239
Phone (262) 253-5060

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4301106062MIMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Froedtert &the Medical College of Wisconsin Community Physicians, Inc. CurrentSince Jan 10, 2026 Accepting new patients
Outreach Community Health Centers, Inc. CurrentSince Dec 15, 2025 Accepting new patients
President and Fellows of Harvard College CurrentSince Jul 1, 2024 Accepting new patients
Froedtert &the Medical College of Wisconsin Community Physicians, Inc. CurrentSince Jan 10, 2026 Accepting new patients
President & Fellows of Harvard College CurrentSince Jul 1, 2024 Accepting new patients
Outreach Community Health Centers, Inc CurrentSince Dec 15, 2025 Accepting new patients

Locations

188 Longwood Ave
Boston, MA 02115
Phone (617) 432-1434

75 Mount Auburn St
#H
Cambridge, MA 02138
Phone (617) 495-4414

75 Mount Auburn St
Cambridge, MA 02138
Phone (617) 495-2042

220 W Capitol Dr
Glendale, WI 53212
Phone (414) 964-9018

Interoperability endpoints

  • Direct secure messaging: afarokhrani961822@direct.froedtert.com

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 and National Provider Directory roles.

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": "1402358400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787788800000",
    "number": "1952714669",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "75 MOUNT AUBURN ST",
            "city": "CAMBRIDGE",
            "state": "MA",
            "postal_code": "021384960",
            "telephone_number": "617-495-5711"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "220 W CAPITOL DR",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532121185",
            "telephone_number": "414-727-6320"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1101 W University Dr",
            "address_purpose": "LOCATION",
            "city": "Rochester",
            "state": "MI",
            "postal_code": "48307",
            "country_code": "US",
            "telephone_number": "248-601-4900",
            "fax_number": "248-601-4994",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "633 Emerson St",
            "address_purpose": "LOCATION",
            "city": "Evanston",
            "state": "IL",
            "postal_code": "602081863",
            "country_code": "US",
            "telephone_number": "847-491-8100",
            "fax_number": "847-491-5919",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "75 Mount Auburn St",
            "address_purpose": "LOCATION",
            "city": "Cambridge",
            "state": "MA",
            "postal_code": "021384960",
            "country_code": "US",
            "telephone_number": "617-495-5711",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FAROKHRANI",
        "first_name": "AMIN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-06-10",
        "last_updated": "2026-08-27",
        "certification_date": "2026-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207QS0010X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Sports Medicine",
            "state": "MA",
            "license": "1019585",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "4301106062",
            "primary": false
        },
        {
            "code": "207QS0010X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Sports Medicine",
            "state": "IL",
            "license": "036147889",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Milwaukee, WI

Sources for this page

Verify at the official NPI Registry.