DR. MARWAN ALY M.D., MPAS, PA-C
NPI 1609124189
Physician Assistant in Milwaukee, WI

Q: What is Marwan Aly's NPI number?

The NPI number for Marwan Aly is 1609124189. It was assigned to this individual provider in the NPPES registry on August 15, 2012.

Q: What is Marwan Aly's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Q: When was this NPI record last updated?

The NPPES record for Marwan Aly was last updated on October 18, 2023. 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.

Active since August 15, 2012PECOS EnrolledAccepts Medicare Assignment

5800 W BURLEIGH ST, MILWAUKEE, WI 53210(414) 442-5400(414) 442-5468 Get Directions Write a Review

NPPES record last updated: October 18, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Oct 18, 2023, Nov 19, 2021 (2 updates tracked since 2021).

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About Dr. Marwan Aly M.d., Mpas, Pa-c NPPES

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

DR. MARWAN ALY M.D., MPAS, PA-C (NPI 1609124189) is an individual physician assistant in Milwaukee, Wisconsin, licensed in Wisconsin (3299-23) and active in the NPI registry since August 2012. He is enrolled in Medicare PECOS, is affiliated with Aspirus Riverview Hospital & Clinics Inc, and is a graduate of Other (2014).

NPPES Registry Identity

NPI1609124189

Entity TypeIndividualMale

Primary Taxonomy363A00000X

Provider Legal NameDR. MARWAN ALYCredential: M.D., MPAS, PA-C

Location Address5800 W BURLEIGH STMilwaukee, WI 53210-1516

Mailing Address5800 W Burleigh StMilwaukee, WI 53210-1516 · (414) 442-5400 · Fax (414) 442-5468

Phone(414) 442-5400

Fax(414) 442-5468

Sole ProprietorNo

Medical School CMSOtherGraduated 2014

Enumeration DateAugust 15, 2012

Last NPPES UpdateOctober 18, 20232 updates tracked since enumeration

NPPES CertifiedOctober 18, 2023

✔ NPI 1609124189 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363A00000X

License✔ Licensed in WI · 3299-23

Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

5800 W BURLEIGH ST, Milwaukee, WI 53210

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Other Identifiers 2

Medicaid100038566WI

Medicaid1609124189WI

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. Marwan Aly M.d., Mpas, 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 ID3779707831

PECOS Enrollment IDI20140610002072

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 2

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.

Emergency department visit with low level of medical decision making 99283

An emergency department visit for a problem of moderate severity involves immediate medical attention for issues like minor fractures, burns, or high fever. The healthcare team will assess your condition, provide necessary treatment, and may suggest further tests or admission if required.

16 services16 patients

Emergency department visit with moderate level of medical decision making 99284

An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.

14 services14 patients

Hospital Affiliations CMS Care Compare 2

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

Aspirus Riverview Hospital & Clinics Inc

Acute Care Hospitals · Wisconsin Rapids, WI

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number520033

Location410 Dewey StWisconsin Rapids, WI 54495 · Wood County

Emergency services

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 53210 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

$67.37 typical visit price

range $17.40 – $133.76

Typical copayment $16.84 (range $4.35 – $33.44)

Most-billed visit code 99213

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 13

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

LAKEESHA BROWN MS, LPC

Counselor

5800 W BURLEIGH ST, PMB 014
MILWAUKEE, WI 53210

Milwaukee County (262) 777-1435

UMAR SHAD MD

Family Medicine