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IRUM ZIAUDDIN PA-C
NPI 1386686905
Physician Assistant - Medical in Milwaukee, WI

Active since June 11, 2006PECOS EnrolledAccepts Medicare Assignment
75.75/100
CMS Quality Rating
3201 S 16TH ST STE 2015, MILWAUKEE, WI 53215(414) 649-3810 Get Directions Write a Review

NPPES record last updated: February 27, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Irum Ziauddin Pa-c NPPES

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

IRUM ZIAUDDIN PA-C (NPI 1386686905) is an individual medical provider in Milwaukee, Wisconsin, licensed in Wisconsin (4097-23) and active in the NPI registry since June 2006. She is enrolled in Medicare PECOS, is affiliated with Ascension Columbia St Mary's Hospital Milwaukee, and is a graduate of Other (2002).

NPPES Registry Identity

NPI1386686905
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NameIRUM ZIAUDDINCredential: PA-C
Location Address3201 S 16TH ST STE 2015Milwaukee, WI 53215-4532
Mailing AddressPo Box 70520Milwaukee, WI 53207-0520 · (262) 240-0841
Phone(414) 649-3810
Sole ProprietorNo
Medical School CMSOtherGraduated 2002
Enumeration DateJune 11, 2006
Last NPPES UpdateFebruary 27, 2018
✔ NPI 1386686905 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License✔ Licensed in WI · 4097-23
3201 S 16TH ST STE 2015, Milwaukee, WI 53215
Open in Google Maps ↗

Accepted Insurance

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

Irum Ziauddin Pa-c 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 ID143310524
PECOS Enrollment IDI20180406002223
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 3

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.

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.
67 services58 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
34 services28 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
22 services21 patients

Hospital Affiliations CMS Care Compare 2

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

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 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

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.

75.75/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality78.16
Promoting Interoperability76
Improvement Activities40
Cost57.63

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.

DR. JASON SCOTT PRUDOM M.D.
Internal Medicine (Pulmonary Disease)
3201 S 16TH ST STE 2015
MILWAUKEE, WI 53215
Milwaukee County (414) 649-3810
DR. ANDREW JASON ZANE M.D.
Internal Medicine (Pulmonary Disease)
3201 S 16TH ST STE 2015
MILWAUKEE, WI 53215
Milwaukee County (262) 240-0841

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 Irum Ziauddin's NPI number?

The NPI number for Irum Ziauddin is 1386686905. It was assigned to this individual provider in the NPPES registry on June 11, 2006.

Where is Irum Ziauddin located?

Irum Ziauddin practices at 3201 S 16th St Ste 2015, Milwaukee, WI 53215. The listed phone number is (414) 649-3810.

What is Irum Ziauddin's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Irum Ziauddin enrolled in Medicare?

Yes. Irum Ziauddin 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 Irum Ziauddin accept?

Health plans from Anthem Blue Cross and Blue Shield and Network Health list Irum Ziauddin 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 Irum Ziauddin affiliated with any hospitals?

According to CMS data, Irum Ziauddin is affiliated with Ascension Columbia St Mary's Hospital Milwaukee and Ascension SE Wisconsin Hospital.

When was this NPI record last updated?

The NPPES record for Irum Ziauddin was last updated on February 27, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.