Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

DR. MUHAMMAD MUZZAMMIL EDHI MD
NPI 1629656327
Hospitalist in Milwaukee, WI

Active since April 01, 2021PECOS EnrolledAccepts Medicare Assignment
9200 W WISCONSIN AVE, MILWAUKEE, WI 53226(414) 805-8710(414) 805-1101 Get Directions Write a Review

NPPES record last updated: October 6, 2026. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Oct 6, 2026, Aug 17, 2026, Nov 12, 2024 and 5 more (8 updates tracked since 2021).

About Dr. Muhammad Muzzammil Edhi Md NPPES

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

DR. MUHAMMAD MUZZAMMIL EDHI MD (NPI 1629656327) is an individual hospitalist provider in Milwaukee, Wisconsin, licensed in Wisconsin (87453-020) and active in the NPI registry since April 2021. He is enrolled in Medicare PECOS, is affiliated with University Hospitals Portage Medical Center, and maintains 4 additional practice locations.

NPPES Registry Identity

NPI1629656327
Entity TypeIndividualMale
Primary Taxonomy208M00000X
Provider Legal NameDR. MUHAMMAD MUZZAMMIL EDHICredential: MD
Location Address9200 W WISCONSIN AVEMilwaukee, WI 53226-3522
Mailing Address9200 W Wisconsin AveMilwaukee, WI 53226-3522 · (414) 805-8710 · Fax (414) 805-1101
Fax(414) 805-1101
Sole ProprietorNo
Medical School CMSOtherGraduated 2014
Enumeration DateApril 1, 2021
Last NPPES UpdateOctober 6, 20268 updates tracked since enumeration
NPPES CertifiedOctober 6, 2026
✔ NPI 1629656327 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyHospitalistAllopathic & Osteopathic Physicians
Taxonomy Code208M00000X
Licenses✔ Licensed in WI · 87453-020✔ Licensed in OH · 35.149008✔ Licensed in CA · 194326
Definition
Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients.
Also ListedInternal MedicineTaxonomy 207R00000X · License 194326 (CA), 35.149008 (OH)
Also ListedPsychiatry & Neurology · Neurocritical CareTaxonomy 2084A2900X · License 194326 (CA)
Also ListedPsychiatry & Neurology · NeurologyTaxonomy 2084N0400X · License 87453-020 (WI)
9200 W WISCONSIN AVE, Milwaukee, WI 53226

Secondary Practice Locations 4

Location 118697 Bagley RdMiddleburg Heights, OH 44130-3417 · Phone (773) 946-3957
Location 29200 W Wisconsin AveMilwaukee, WI 53226-3522 · Phone (414) 805-8710 · Fax (414) 805-1101
Location 39300 Campus Point DrLA Jolla, CA 92037-1300 · Phone (800) 926-8273 · Fax (888) 539-8781
Location 4200 W Arbor DrSan Diego, CA 92103-9000 · Phone (800) 926-8273 · Fax (888) 539-8781

Other Identifiers 1

Medicaid1629656327WI

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Muhammad Muzzammil Edhi 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 ID8022465251
PECOS Enrollment IDI20231109002884, I20241018001711, I20260601003191
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.

Medicare Billing Reassignments

6

Medicare enrollment records show Muhammad Edhi reassigns Medicare billing to 6 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Internal Medicine
8701 WATERTOWN PLANK RD
Milwaukee, WI 53226
  • Reassigned Medicare billing, Wisconsin enrollment
  • 3,983 clinicians in this Medicare group
Pulmonary Disease
18697 BAGLEY RD
Middleburg Heights, OH 44130
  • Reassigned Medicare billing, Ohio enrollment
  • 56 clinicians in this Medicare group
Internal Medicine
18697 BAGLEY RD
Middleburg Heights, OH 44130
  • Reassigned Medicare billing, Ohio enrollment
  • 238 clinicians in this Medicare group
Multi-Specialty
11100 EUCLID AVE
Cleveland, OH 44106
  • Reassigned Medicare billing, Ohio enrollment
  • 3,958 clinicians in this Medicare group
Internal Medicine
1150 N INDIAN CANYON DR
Palm Springs, CA 92262
  • Reassigned Medicare billing, California enrollment
  • 962 clinicians in this Medicare group
Neurology
200 W ARBOR DR
San Diego, CA 92103
  • Reassigned Medicare billing, California enrollment
  • 135 clinicians in this Medicare group

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

Areas of Expertise CMS Part B claims

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.

Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
16 services14 patients

Hospital Affiliations CMS Care Compare 4

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

University Hospitals Portage Medical Center

Acute Care Hospitals · Ravenna, OH
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360078
Location6847 N ChestnutRavenna, OH 44266 · Portage County
Emergency services

Lake Health

Acute Care Hospitals · Concord, OH
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360098
Location7590 Auburn RoadConcord, OH 44077 · Lake County
Emergency services

Southwest General Health Center

Acute Care Hospitals · Middleburg Heights, OH
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360155
Location18697 Bagley RoadMiddleburg Heights, OH 44130 · Cuyahoga County
Emergency services Birthing friendly

Uhhs Memorial Hospital Of Geneva

Critical Access Hospitals · Geneva, OH
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number361307
Location870 West Main StreetGeneva, OH 44041 · Ashtabula County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 53226 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.

Advanced Practice Midwife
9200 W WISCONSIN AVE
MILWAUKEE, WI 53226
Internal Medicine (Gastroenterology)
9200 W WISCONSIN AVE
MILWAUKEE, WI 53226
Emergency Medicine
9200 W WISCONSIN AVE
MILWAUKEE, WI 53226
Nurse Practitioner (Pediatrics)
9200 W WISCONSIN AVE
MILWAUKEE, WI 53226
Nurse Practitioner (Adult Health)
9200 W WISCONSIN AVE, DEPT OF INTERNAL MEDICINE
MILWAUKEE, WI 53226
Nurse Practitioner (Adult Health)
9200 W WISCONSIN AVE
MILWAUKEE, WI 53226
Nurse Anesthetist, Certified Registered
9200 W WISCONSIN AVE
MILWAUKEE, WI 53226
Physician Assistant (Medical)
9200 W WISCONSIN AVE, INTERNAL MEDICINE
MILWAUKEE, WI 53226

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 Muhammad Edhi's NPI number?

The NPI number for Muhammad Edhi is 1629656327. It was assigned to this individual provider in the NPPES registry on April 1, 2021.

Where is Muhammad Edhi located?

Muhammad Edhi practices at 9200 W Wisconsin Ave, Milwaukee, WI 53226. The listed phone number is (414) 805-8710.

What is Muhammad Edhi's specialty?

The primary specialty registered for this NPI is Hospitalist with taxonomy code 208M00000X.

Is Muhammad Edhi enrolled in Medicare?

Yes. Muhammad Edhi 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.

Which organizations bill Medicare for Muhammad Edhi's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Muhammad Edhi reassigns Medicare benefits to 6 organizations: The Medical College Of Wisconsin, Inc. (Milwaukee, WI), Community Intensivists, LLC (Middleburg Heights, OH), North East Ohio Group Practice LLC (Middleburg Heights, OH), University Hospitals Medical Group Inc (Cleveland, OH), Galen Inpatient Physicians Inc. (Palm Springs, CA) and 1 more organization, listed in the Medicare section above. Each 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 Muhammad Edhi's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Muhammad Edhi accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and Antidote Health Plan of Ohio, Inc. and 1 other insurer list Muhammad Edhi 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 Muhammad Edhi affiliated with any hospitals?

According to CMS data, Muhammad Edhi is affiliated with University Hospitals Portage Medical Center, Lake Health, Southwest General Health Center and Uhhs Memorial Hospital Of Geneva.

When was this NPI record last updated?

The NPPES record for Muhammad Edhi was last updated on October 6, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 39 days 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.