DR. YASIR YAFAI DO
NPI 1205395381
Internal Medicine in Milwaukee, WI

Q: What is Yasir Yafai's NPI number?

The NPI number for Yasir Yafai is 1205395381. It was assigned to this individual provider in the NPPES registry on March 18, 2019.

Q: What is Yasir Yafai's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Q: When was this NPI record last updated?

The NPPES record for Yasir Yafai was last updated on March 17, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 months 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.

Active since March 18, 2019PECOS EnrolledAccepts Medicare Assignment

945 N 12TH ST, MILWAUKEE, WI 53233(414) 219-2000 Get Directions Write a Review

NPPES record last updated: March 17, 2025. Verified against the NPPES registry weekly; last sync: September 06, 2026.

Record update history: Mar 17, 2025, Mar 18, 2019 (2 updates tracked since 2019).

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About Dr. Yasir Yafai Do NPPES

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

DR. YASIR YAFAI DO (NPI 1205395381) is an individual internal medicine provider in Milwaukee, Wisconsin, licensed in Wisconsin (74663-21) and active in the NPI registry since March 2019. He is enrolled in Medicare PECOS, is affiliated with St Nicholas Hospital, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1205395381

Entity TypeIndividualMale

Primary Taxonomy207R00000X

Provider Legal NameDR. YASIR YAFAICredential: DO

Location Address945 N 12TH STMilwaukee, WI 53233-1305

Mailing Address945 N 12th StMilwaukee, WI 53233-1305 · (414) 219-2000

Phone(414) 219-2000

Sole ProprietorYes

Medical School CMSTouro Un Col Of Osteopathic Medicine, New YorkGraduated 2019

Enumeration DateMarch 18, 2019

Last NPPES UpdateMarch 17, 20252 updates tracked since enumeration

NPPES CertifiedMarch 17, 2025

✔ NPI 1205395381 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207R00000X

License✔ Licensed in WI · 74663-21

Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

945 N 12TH ST, Milwaukee, WI 53233

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Secondary Practice Locations 2

Location 13200 S 103rd StMilwaukee, WI 53227-4104 · Phone (414) 441-0500

Location 27235 W Appleton AveMilwaukee, WI 53216-1932 · Phone (414) 434-8517 · Fax (414) 365-2937

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Aspirus Health Plan, CareSource (Common Ground Healthcare).Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Yasir Yafai Do 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 ID8224417357

PECOS Enrollment IDI20220621002161

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 5

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 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.

343 services100 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.

89 services89 patients

Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222

Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.

77 services77 patients

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.

26 services21 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.

11 services11 patients

Hospital Affiliations CMS Care Compare 5

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

St Nicholas Hospital

Acute Care Hospitals · Sheboygan, WI

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number520044

Location3100 Superior AveSheboygan, WI 53081 · Sheboygan County

Emergency services Birthing friendly

Ascension Columbia St Mary's Hospital Milwaukee

Acute Care Hospitals · Milwaukee, WI

3/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number520051

Location2323 N Lake DrMilwaukee, WI 53211 · Milwaukee County

Emergency services Birthing friendly

Ascension St Francis Hospital

Acute Care Hospitals · Milwaukee, WI

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number520078

Location3237 S 16th StMilwaukee, WI 53215 · Milwaukee County

Emergency services

Ascension SE Wisconsin Hospital

Acute Care Hospitals · Milwaukee, WI

4/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number520136

Location5000 W Chambers StMilwaukee, WI 53210 · Milwaukee County

Emergency services Birthing friendly

Aurora St Lukes Medical Center

Acute Care Hospitals · Milwaukee, WI

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number520138

Location2900 W Oklahoma AveMilwaukee, WI 53215 · Milwaukee County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 53233 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

$123.69 typical visit price

range $53.90 – $163.24

Typical copayment $30.92 (range $13.47 – $40.81)

Most-billed visit code 99204

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.

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.

RICHARD COMPTON KURTZ II MD

Family Medicine

945 N 12TH ST
MILWAUKEE, WI 53233

Milwaukee County (414) 219-0000

MS. ANN M YOCKEY APNP

Nurse Practitioner

945 N 12TH ST
MILWAUKEE, WI 53233

Milwaukee County (414) 219-5800

DR. ALINA M WINANS MD

Emergency Medicine

945 N 12TH ST
MILWAUKEE, WI 53233

Milwaukee County (414) 219-2000

MS. MORANDA MARIA MEDINA-LOPEZ RN

Registered Nurse

945 N 12TH ST
MILWAUKEE, WI 53233

Milwaukee County (414) 219-2000

XENAYSHMA ZHAYLEENE GNAS-PACHECO

Registered Nurse (Registered Nurse First Assistant)

945 N 12TH ST
MILWAUKEE, WI 53233

Milwaukee County (414) 000-0000

PROGRESSIVE COMMUNITY HEALTH CENTERS, INC.

Clinic/Center (Federally Qualified Health Center (FQHC))

945 N 12TH ST, URGENT CARE
MILWAUKEE, WI 53233

Milwaukee County (414) 935-8000

JOSEPH SHAOUL

Anesthesiologist Assistant

945 N 12TH ST
MILWAUKEE, WI 53233

Milwaukee County (414) 219-2000

MICHELE DUDA

Nurse Practitioner

945 N 12TH ST
MILWAUKEE, WI 53233

Milwaukee County (414) 219-7021

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 Yasir Yafai's NPI number?

The NPI number for Yasir Yafai is 1205395381. It was assigned to this individual provider in the NPPES registry on March 18, 2019.

Where is Yasir Yafai located?

Yasir Yafai practices at 945 N 12th St, Milwaukee, WI 53233. The listed phone number is (414) 219-2000.

What is Yasir Yafai's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Yasir Yafai enrolled in Medicare?

Yes. Yasir Yafai 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.

What insurance does Yasir Yafai accept?

Health plans from Anthem Blue Cross and Blue Shield, Aspirus Health Plan and CareSource (Common Ground Healthcare) list Yasir Yafai 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 Yasir Yafai affiliated with any hospitals?

According to CMS data, Yasir Yafai is affiliated with St Nicholas Hospital, Ascension Columbia St Mary's Hospital Milwaukee, Ascension St Francis Hospital, Ascension SE Wisconsin Hospital and Aurora St Lukes Medical Center.

When was this NPI record last updated?

The NPPES record for Yasir Yafai was last updated on March 17, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 months 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.