ELKHORN FAMILY CLINIC
NPI 1164637492
Family Medicine in Elkhorn, WI

Active since May 11, 2007CLIA 52D1031753 · Waiver
100 S WASHINGTON ST, ELKHORN, WI 53121(262) 743-1122(262) 743-1582 Get Directions Write a Review

NPPES record last updated: April 10, 2019. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Elkhorn Family Clinic NPPES

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

ELKHORN FAMILY CLINIC (NPI 1164637492) is a healthcare organization registered as a family medicine in Elkhorn, Wisconsin and active in the NPI registry since May 2007. The organization holds a CLIA Waiver certificate valid through November 4, 2027 and lists Kamal Syed Muzaffar, Ceo, as its authorized official.

NPPES Registry Identity

NPI1164637492
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameELKHORN FAMILY CLINIC
Location Address100 S WASHINGTON STElkhorn, WI 53121-1732
Mailing Address100 S Washington StElkhorn, WI 53121-1732 · (262) 743-1122 · Fax (262) 743-1582
Fax(262) 743-1582
Organization SubpartNo
Authorized OfficialKamal Syed MuzaffarCeo · (262) 743-1122
Enumeration DateMay 11, 2007
Last NPPES UpdateApril 10, 2019
NPI 1164637492 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

Also ListedPoint of ServiceTaxonomy 305S00000X · License 43819-020 (WI)
100 S WASHINGTON ST, Elkhorn, WI 53121

Other Identifiers 1

Medicaid34151600WI

Accepted Insurance

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 52D1031753

Elkhorn Family Clinic, Sc · Elkhorn, WI
Active · expires Nov 4, 2027
CLIA Number52D1031753
Laboratory TypePhysician Office
Certificate Effective DateNovember 5, 2025
Certificate Expiration DateNovember 4, 2027
Laboratory DirectorDr. Kamal S. Muzaffar
Laboratory Phone(262) 743-1122
Laboratory LocationElkhorn Family Clinic, Sc100 S Washington St, Elkhorn, WI 53121
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 2

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

Family Medicine
100 S WASHINGTON ST
ELKHORN, WI 53121
Nurse Practitioner (Family)
100 S WASHINGTON ST
ELKHORN, WI 53121

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 Elkhorn Family Clinic's NPI number?

The NPI number for Elkhorn Family Clinic is 1164637492. It was assigned to this organization in the NPPES registry on May 11, 2007.

Where is Elkhorn Family Clinic located?

Elkhorn Family Clinic is located at 100 S Washington St, Elkhorn, WI 53121. The listed phone number is (262) 743-1122.

What is Elkhorn Family Clinic's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Does Elkhorn Family Clinic hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 52D1031753) is associated with this NPI, valid through November 4, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Elkhorn Family Clinic accept?

Health plans from Anthem Blue Cross and Blue Shield list Elkhorn Family Clinic 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 Elkhorn Family Clinic was last updated on April 10, 2019. NPI Profile syncs with the weekly NPPES data releases published by CMS.