| Talal R Khairi, MD | |
|
5650 N Green Bay Ave Ste 210, Glendale, WI 53209-4447 | |
| (414) 431-5971 | |
| (414) 434-0354 |
| Full Name | Talal R Khairi |
|---|---|
| Gender | Male |
| Speciality | Nephrology |
| Experience | 25 Years |
| Location | 5650 N Green Bay Ave Ste 210, Glendale, Wisconsin |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043471436 | NPI | - | NPPES |
| 10045943 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RN0300X | Internal Medicine - Nephrology | 64355 (Wisconsin) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Davita - Cedarburg | Cedarburg, WI | Dialysis facility |
| Ascension Columbia St Mary's Hospital Milwaukee | Milwaukee, WI | Hospital |
| Aurora Medical Center - Grafton | Grafton, WI | Hospital |
| Aurora St Lukes Medical Center | Milwaukee, WI | Hospital |
| Holy Family Memorial | Manitowoc, WI | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Aurora Advanced Healthcare, Inc. | 3375625833 | 1012 |
| Milwaukee Nephrologists Sc | 4385538446 | 20 |
| Entity Name | Milwaukee Nephrologists Sc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1982763405 PECOS PAC ID: 4385538446 Enrollment ID: O20040210000576 |
| Entity Name | Aurora Advanced Healthcare, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1265629133 PECOS PAC ID: 3375625833 Enrollment ID: O20080123000694 |
| Mailing Address | Practice Location Address |
|---|---|
| Talal R Khairi, MD 5650 N Green Bay Ave Ste 210, Glendale, WI 53209-4447 Ph: (414) 431-5971 | Talal R Khairi, MD 5650 N Green Bay Ave Ste 210, Glendale, WI 53209-4447 Ph: (414) 431-5971 |
Katherine Healy Vissers Finn, D.O. Nephrology Medicare: Accepting Medicare Assignments Practice Location: 7080 N Port Washington Road, Glendale, WI 53217 Phone: 414-351-4009 Fax: 414-351-7060 | |
Dr. Rishi Kora, M.D. Nephrology Medicare: Accepting Medicare Assignments Practice Location: 5650 N Green Bay Ave Ste 210, Glendale, WI 53209 Phone: 414-431-5971 Fax: 414-434-0354 | |
Dr. Jonathan Kushi, M.D. Nephrology Medicare: Accepting Medicare Assignments Practice Location: 7080 N Port Washington Rd, Glendale, WI 53217 Phone: 414-351-4009 Fax: 414-351-7060 | |
Dr. Primo R Tamayo, M.D. Nephrology Medicare: Not Enrolled in Medicare Practice Location: 2501 W Silver Spring Dr, Glendale, WI 53209 Phone: 414-461-9250 Fax: 414-461-3553 | |
Dr. Stephen Glenn Sievers, M.D. Nephrology Medicare: Medicare Enrolled Practice Location: 5650 N Green Bay Ave Ste 100, Glendale, WI 53209 Phone: 414-431-5971 Fax: 414-434-0354 | |
Dr. Lisa Haller, M.D. Nephrology Medicare: Accepting Medicare Assignments Practice Location: 5650 N Green Bay Ave Ste 210, Glendale, WI 53209 Phone: 414-431-5971 Fax: 414-434-0354 |