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DR. KAMAL S MUZAFFAR MD
NPI 1174599500
Family Medicine in Elkhorn, WI

Active since February 26, 2006PECOS Enrolled
100 S WASHINGTON ST, ELKHORN, WI 53121(262) 743-1122(262) 743-1582 Get Directions Write a Review

NPPES record last updated: January 13, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Kamal S Muzaffar Md NPPES

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

DR. KAMAL S MUZAFFAR MD (NPI 1174599500) is an individual family medicine provider in Elkhorn, Wisconsin, licensed in Wisconsin (43819-20) and active in the NPI registry since February 2006. He is enrolled in Medicare PECOS, is affiliated with Froedtert South Inc., and is a graduate of Other (1990).

NPPES Registry Identity

NPI1174599500
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. KAMAL S MUZAFFARCredential: MD
Location Address100 S WASHINGTON STElkhorn, WI 53121-1732
Mailing Address100 S Washington StElkhorn, WI 53121-1732 · (262) 743-1122 · Fax (262) 743-1582
Phone(262) 743-1122
Fax(262) 743-1582
Sole ProprietorNo
Medical School CMSOtherGraduated 1990
Enumeration DateFebruary 26, 2006
Last NPPES UpdateJanuary 13, 2025
NPPES CertifiedJanuary 13, 2025
✔ NPI 1174599500 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in WI · 43819-20
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 ListedEmergency MedicineTaxonomy 207P00000X · License 43819-020 (WI)
Also ListedHospitalistTaxonomy 208M00000X · License 43819-20 (WI)
100 S WASHINGTON ST, Elkhorn, WI 53121
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Other Identifiers 1

Medicaid34151600WI

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Network Health, UnitedHealthcare.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Kamal S Muzaffar Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID6709856172
PECOS Enrollment IDI20040731000210
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.

Areas of Expertise CMS Part B claims 8

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
443 services158 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
179 services78 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
168 services154 patients
Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309
A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.
136 services29 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
103 services13 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
60 services59 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Froedtert South Inc.

Acute Care Hospitals · Pleasant Prairie, WI
1/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number520021
Location9555 76th StPleasant Prairie, WI 53158 · Kenosha County
Emergency services

Aurora Lakeland Medical Center

Acute Care Hospitals · Elkhorn, WI
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number520102
LocationW3985 County Road NnElkhorn, WI 53121 · Walworth County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 53121 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$82.92 typical visit price
range $53.90 – $163.24
Typical copayment $20.73 (range $13.47 – $40.81)
Most-billed visit code 99203
Established Patient
$95.41 typical visit price
range $17.40 – $133.76
Typical copayment $23.85 (range $4.35 – $33.44)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Referred Medical Equipment & Supplies CMS DME claims 3

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
4 suppliers50 claims50 services$15.53 avg. paid by Medicare
Patient lift, hydraulic or mechanical, includes any seat, sling, strap(s) or pad(s) E0630
DME-Other DME · category DE000N
1 supplier12 claims12 services$47.66 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
4 suppliers52 claims52 services$72.74 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

ELKHORN FAMILY CLINIC
Family Medicine
100 S WASHINGTON ST
ELKHORN, WI 53121
Walworth County (262) 743-1122
SANDRA ARENS MSN RN
Nurse Practitioner (Family)
100 S WASHINGTON ST
ELKHORN, WI 53121
Walworth County (608) 201-1110

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 Kamal Muzaffar's NPI number?

The NPI number for Kamal Muzaffar is 1174599500. It was assigned to this individual provider in the NPPES registry on February 26, 2006.

Where is Kamal Muzaffar located?

Kamal Muzaffar practices at 100 S Washington St, Elkhorn, WI 53121. The listed phone number is (262) 743-1122.

What is Kamal Muzaffar's specialty?

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

Is Kamal Muzaffar enrolled in Medicare?

Yes. Kamal Muzaffar is registered in the Medicare PECOS enrollment system.

What insurance does Kamal Muzaffar accept?

Health plans from Anthem Blue Cross and Blue Shield, Network Health and UnitedHealthcare list Kamal Muzaffar 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.

Is Kamal Muzaffar affiliated with any hospitals?

According to CMS data, Kamal Muzaffar is affiliated with Froedtert South Inc. and Aurora Lakeland Medical Center.

When was this NPI record last updated?

The NPPES record for Kamal Muzaffar was last updated on January 13, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.