1. Home
  2. Directory
  3. Wisconsin
  4. Milwaukee
  5. Allergy Immunology
  6. NPI Profile

DR. HEIDI ZAFRA MD
NPI 1245282748
Allergy & Immunology in Milwaukee, WI

Active since May 16, 2006PECOS EnrolledAccepts Medicare Assignment
80.46/100
CMS Quality Rating
9000 W WISCONSIN AVE, PEDIATRIC ALLERGY AND IMMUNOLOGY, MILWAUKEE, WI 53226(414) 266-6840(414) 266-6437 Get Directions Write a Review

NPPES record last updated: March 14, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Heidi Zafra Md NPPES

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

DR. HEIDI ZAFRA MD (NPI 1245282748) is an individual allergy & immunology provider in Milwaukee, Wisconsin, licensed in Wisconsin (43348) and active in the NPI registry since May 2006. She is enrolled in Medicare PECOS, is affiliated with Childrens Hospital Of Wisconsin, and maintains a secondary practice location in Milwaukee.

NPPES Registry Identity

NPI1245282748
Entity TypeIndividualFemale
Primary Taxonomy207K00000X
Provider Legal NameDR. HEIDI ZAFRACredential: MD
Location Address9000 W WISCONSIN AVE, PEDIATRIC ALLERGY AND IMMUNOLOGYMilwaukee, WI 53226-4874
Mailing Address9000 W Wisconsin Ave, Pediatric Allergy And ImmunologyMilwaukee, WI 53226-4874 · (414) 266-6840 · Fax (414) 266-6437
Phone(414) 266-6840
Fax(414) 266-6437
Sole ProprietorNo
Medical School CMSOtherGraduated 1990
Enumeration DateMay 16, 2006
Last NPPES UpdateMarch 14, 2024
NPPES CertifiedMarch 14, 2024
✔ NPI 1245282748 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAllergy & ImmunologyAllopathic & Osteopathic Physicians
Taxonomy Code207K00000X
License✔ Licensed in WI · 43348
Definition
An allergist-immunologist is trained in evaluation, physical and laboratory diagnosis, and management of disorders involving the immune system. Selected examples of such conditions include asthma, anaphylaxis, rhinitis, eczema, and adverse reactions to drugs, foods, and insect stings as well as immune deficiency diseases (both acquired and congenital), defects in host defense, and problems related to autoimmune disease, organ transplantation, or malignancies of the immune system.
9000 W WISCONSIN AVE, Milwaukee, WI 53226
Open in Google Maps ↗

Secondary Practice Location 1

Location 19200 W Wisconsin AveMilwaukee, WI 53226-3522 · Phone (414) 805-8700 · Fax (414) 259-1522

Other Identifiers 2

Other007006261WHumana
Medicaid1245282748WI

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) and more.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. Heidi Zafra Md 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 ID3971645797
PECOS Enrollment IDI20100116000162
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.

Hospital Affiliations CMS Care Compare

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

Childrens Hospital Of Wisconsin

Childrens · Milwaukee, WI
OwnershipVoluntary non-profit - Other
CMS Certification Number523300
Location9000 W Wisconsin AveMilwaukee, WI 53226 · Milwaukee County
Emergency services

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

80.46/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality66.24
Promoting Interoperability100
Improvement Activities40
Cost68.64

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.

MS. LESLIE L. TALBERT NP
Nurse Practitioner (Pediatrics)
9000 W WISCONSIN AVE, PEDIATRIC CRITICAL CARE
MILWAUKEE, WI 53226
Milwaukee County (414) 266-3360
SARAH MARIE RUMLER DO
Pediatrics (Pediatric Hematology-Oncology)
9000 W WISCONSIN AVE
MILWAUKEE, WI 53226
Milwaukee County (414) 955-4170
ALISON COREN
Pediatrics (Pediatric Endocrinology)
9000 W WISCONSIN AVE
MILWAUKEE, WI 53226
Milwaukee County (414) 266-6750
BRANDON PALMER M.D.
Pediatrics
9000 W WISCONSIN AVE
MILWAUKEE, WI 53226
Milwaukee County (414) 337-7050
AIDAN JAMES REID DO
Pediatrics
9000 W WISCONSIN AVE
MILWAUKEE, WI 53226
Milwaukee County (414) 266-6800
KYNDAL LYN HETTICH RD, CSP, CD
Dietitian, Registered
9000 W WISCONSIN AVE
MILWAUKEE, WI 53226
Milwaukee County (414) 266-5938
CARISA MARIE DIMATTINA LCSW
Social Worker (Clinical)
9000 W WISCONSIN AVE
MILWAUKEE, WI 53226
Milwaukee County (414) 581-4004
BREYA LOGAN WHITEFIELD PHD
Psychologist (Clinical)
9000 W WISCONSIN AVE
MILWAUKEE, WI 53226
Milwaukee County (414) 266-2000

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 Heidi Zafra's NPI number?

The NPI number for Heidi Zafra is 1245282748. It was assigned to this individual provider in the NPPES registry on May 16, 2006.

Where is Heidi Zafra located?

Heidi Zafra practices at 9000 W Wisconsin Ave Pediatric Allergy And Immunology, Milwaukee, WI 53226. The listed phone number is (414) 266-6840.

What is Heidi Zafra's specialty?

The primary specialty registered for this NPI is Allergy & Immunology with taxonomy code 207K00000X.

Is Heidi Zafra enrolled in Medicare?

Yes. Heidi Zafra 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 Heidi Zafra accept?

Health plans from Anthem Blue Cross and Blue Shield, Aspirus Health Plan, CareSource (Common Ground Healthcare), HealthPartners and UnitedHealthcare list Heidi Zafra 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 Heidi Zafra affiliated with any hospitals?

According to CMS data, Heidi Zafra is affiliated with Childrens Hospital Of Wisconsin.

When was this NPI record last updated?

The NPPES record for Heidi Zafra was last updated on March 14, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.