OMNI FAMILY MEDICAL SC
NPI 1558732339
Point of Service in Milwaukee, WI

Active since October 19, 2015
1134 W NORTH AVE, MILWAUKEE, WI 53205(414) 374-9575 Get Directions Write a Review

NPPES record last updated: October 19, 2015. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Omni Family Medical Sc NPPES

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

OMNI FAMILY MEDICAL SC (NPI 1558732339) is a healthcare organization registered as a point of service in Milwaukee, Wisconsin and active in the NPI registry since October 2015. The organization lists Kwesi Grant-acquah, Md, as its authorized official.

NPPES Registry Identity

NPI1558732339
Entity TypeOrganization
Primary Taxonomy305S00000X
Legal Business NameOMNI FAMILY MEDICAL SC
Location Address1134 W NORTH AVEMilwaukee, WI 53205-1333
Mailing Address1134 W North AveMilwaukee, WI 53205-1333 · (414) 374-9575
Organization SubpartNo
Authorized OfficialKwesi Grant-acquahMd · (414) 374-9575
Enumeration DateOctober 19, 2015
✔ NPI 1558732339 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPoint of ServiceManaged Care Organizations
Taxonomy Code305S00000X
Definition
This product may also be called an open-ended HMO and offers a transition product incorporating features of both HMOs and PPOs. Beneficiaries are enrolled in an HMO but have the option to go outside the networks for an additional cost.
1134 W NORTH AVE, Milwaukee, WI 53205

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Omni Family Medical Sc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

4

Medicare enrollment records show 4 clinicians reassign Medicare billing to Omni Family Medical Sc, which bills Medicare for the services they deliver. They are listed nearest first.

Clinicians, nearest first (4)

Physical Therapist in Private Practice
NPI 1871881094
20700 WATERTOWN RD STE 100
Waukesha, WI 53186
(414) 540-8821
✔ Accepts Medicare12 mi
Physical Therapist in Private Practice
NPI 1194374934
10222 74TH ST STE 211
Kenosha, WI 53142
(262) 925-5020
✔ Accepts Medicare33 mi
Internal Medicine
NPI 1669604468
701 N 1ST ST
Springfield, IL 62781
(217) 545-0182
✔ PECOS✔ Accepts Medicare241 mi
Ophthalmology
NPI 1831327626
494 N MOUNTAIN AVE
Upland, CA 91786
(909) 552-7200
✔ PECOS✔ Accepts Medicare1,713 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Omni Family Medical Sc's NPI number?

The NPI number for Omni Family Medical Sc is 1558732339. It was assigned to this organization in the NPPES registry on October 19, 2015.

Where is Omni Family Medical Sc located?

Omni Family Medical Sc is located at 1134 W North Ave, Milwaukee, WI 53205. The listed phone number is (414) 374-9575.

What is Omni Family Medical Sc's specialty?

The primary specialty registered for this NPI is Point of Service with taxonomy code 305S00000X.

Is Omni Family Medical Sc enrolled in Medicare?

Yes. Omni Family Medical Sc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Omni Family Medical Sc?

According to the CMS Revalidation Reassignment List (October 2026 release), 4 clinicians reassign their Medicare billing to Omni Family Medical Sc, in Internal Medicine, Ophthalmology and Physical Therapist in Private Practice. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Omni Family Medical Sc accept?

Health plans from Anthem Blue Cross and Blue Shield list Omni Family Medical Sc 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 Omni Family Medical Sc was last updated on October 19, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.