DR. FARRUKH GHAZALA M.D
NPI 1104179019
Marriage & Family Therapist in Milwaukee, WI

Active since October 17, 2012PECOS EnrolledAccepts Medicare Assignment
3200 W HIGHLAND BLVD, MILWAUKEE, WI 53208(414) 342-4560(414) 342-5326 Get Directions Write a Review

NPPES record last updated: September 7, 2023. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Dr. Farrukh Ghazala M.d NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. FARRUKH GHAZALA M.D (NPI 1104179019) is an individual marriage & family therapist in Milwaukee, Wisconsin, licensed in Wisconsin (298-228) and active in the NPI registry since October 2012. She is enrolled in Medicare PECOS and is a graduate of Other (1989).

NPPES Registry Identity

NPI1104179019
Entity TypeIndividualFemale
Primary Taxonomy106H00000X
Provider Legal NameDR. FARRUKH GHAZALACredential: M.D
Location Address3200 W HIGHLAND BLVDMilwaukee, WI 53208-3252
Mailing Address11420 N Justin DrMequon, WI 53092-2784 · (414) 331-0168
Fax(414) 342-5326
Sole ProprietorNo
Medical School CMSOtherGraduated 1989
Enumeration DateOctober 17, 2012
Last NPPES UpdateSeptember 7, 2023
✔ NPI 1104179019 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyMarriage & Family TherapistBehavioral Health & Social Service Providers
Taxonomy Code106H00000X
License✔ Licensed in WI · 298-228
Definition
A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups.
3200 W HIGHLAND BLVD, Milwaukee, WI 53208

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Farrukh Ghazala M.d is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID4183074495
PECOS Enrollment IDI20231229000001
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Farrukh Ghazala reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Child & Adolescent Psychiatry
8405 W FOREST HOME AV, SUITE 104
Milwaukee, WI 53228
  • Reassigned Medicare billing, Wisconsin enrollment
  • 23 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Marriage & Family Therapist
3200 W HIGHLAND BLVD
MILWAUKEE, WI 53208
Marriage & Family Therapist
3200 W HIGHLAND BLVD
MILWAUKEE, WI 53208
Social Worker (Clinical)
3200 W HIGHLAND BLVD
MILWAUKEE, WI 53208
Marriage & Family Therapist
3200 W HIGHLAND BLVD
MILWAUKEE, WI 53208
Marriage & Family Therapist
3200 W HIGHLAND BLVD
MILWAUKEE, WI 53208
Marriage & Family Therapist
3200 W HIGHLAND BLVD
MILWAUKEE, WI 53208
Marriage & Family Therapist
3200 W HIGHLAND BLVD
MILWAUKEE, WI 53208
Marriage & Family Therapist
3200 W HIGHLAND BLVD
MILWAUKEE, WI 53208

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Farrukh Ghazala's NPI number?

The NPI number for Farrukh Ghazala is 1104179019. It was assigned to this individual provider in the NPPES registry on October 17, 2012.

Where is Farrukh Ghazala located?

Farrukh Ghazala practices at 3200 W Highland Blvd, Milwaukee, WI 53208. The listed phone number is (414) 342-4560.

What is Farrukh Ghazala's specialty?

The primary specialty registered for this NPI is Marriage & Family Therapist with taxonomy code 106H00000X.

Is Farrukh Ghazala enrolled in Medicare?

Yes. Farrukh Ghazala is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Farrukh Ghazala's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Farrukh Ghazala reassigns Medicare benefits to Shorehaven Behavioral Health Inc (Milwaukee, WI). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Farrukh Ghazala's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Farrukh Ghazala accept?

Health plans from Network Health and UnitedHealthcare list Farrukh Ghazala as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Farrukh Ghazala was last updated on September 7, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.