Individual provider Active NPI

Syed Qhadeer Hussaini, M.D.

  • Psychiatry Physician
  • Brown Deer, WI
National Provider Identifier
1972731479
Registry record updated Jan 26, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
63548-20 Issued in WI
Practice address
4600 W Schroeder Dr
Brown Deer, WI 53223-1469
Phone
(414) 750-0847
NPI assigned
Jun 23, 2009
Last updated
Jan 26, 2016By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 26, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 63548-20 WI Primary

Addresses

Primary practice location

4600 W Schroeder Dr
Brown Deer, WI 53223-1469

Mailing address

665 Toldt Forest CT
Brookfield, WI 53045-6310
Phone (201) 364-7201

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
I20150309001203 WI Practitioner - PsychiatryPractitioner - Addiction Medicine 8325364425 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
63548-20WIMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Rogers Memorial Hospital Incorporated CurrentSince Feb 15, 2015 Accepting new patients
Munawar LLC Current Accepting new patients
Affiliated Surgery Center Inc Past Accepting new patients
Anewu LLC PastSince Apr 9, 2019 Accepting new patients

Locations

4555 W Schroeder Dr
Milwaukee, WI 53223
Phone (414) 355-9000

4600 W Schroeder Dr
Milwaukee, WI 53223
Phone (414) 355-9000

34700 Valley Rd
Oconomowoc, WI 53066

11101 W Lincoln Ave
West Allis, WI 53227
Phone (414) 203-4500

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1245715200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1453766400000",
    "number": "1972731479",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "665 TOLDT FOREST CT",
            "city": "BROOKFIELD",
            "state": "WI",
            "postal_code": "530456310",
            "telephone_number": "201-364-7201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4600 W SCHROEDER DR",
            "city": "BROWN DEER",
            "state": "WI",
            "postal_code": "532231469",
            "telephone_number": "414-750-0847"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUSSAINI",
        "first_name": "SYED",
        "middle_name": "QHADEER",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-06-23",
        "last_updated": "2016-01-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "WI",
            "license": "63548-20",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brown Deer, WI

Sources for this page

Verify at the official NPI Registry.