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

GHAZAN JALIL MIAN
NPI 1639872344
Family Medicine in Waterford, WI

Q: What is Ghazan Mian's NPI number?

The NPI number for Ghazan Mian is 1639872344. It was assigned to this individual provider in the NPPES registry on March 22, 2023.

Q: What is Ghazan Mian's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Q: When was this NPI record last updated?

The NPPES record for Ghazan Mian was last updated on October 1, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.

Active since March 22, 2023PECOS Enrolled

818 FOREST LN, WATERFORD, WI 53185(262) 514-8199 Get Directions Write a Review

NPPES record last updated: October 1, 2026. Verified against the NPPES registry weekly; last sync: October 11, 2026.

Record update history: Oct 1, 2026, May 19, 2025, Mar 22, 2023 (3 updates tracked since 2023).

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About Ghazan Jalil Mian NPPES

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

GHAZAN JALIL MIAN (NPI 1639872344) is an individual family medicine provider in Waterford, Wisconsin, licensed in Wisconsin (85389-20) and active in the NPI registry since March 2023. He is enrolled in Medicare PECOS and maintains a secondary practice location in Milwaukee.

NPPES Registry Identity

NPI1639872344

Entity TypeIndividualMale

Primary Taxonomy207Q00000X

Provider Legal NameGHAZAN JALIL MIAN

Location Address818 FOREST LNWaterford, WI 53185-4585

Mailing AddressPo Box 735044Chicago, IL 60673-5044 · (800) 326-2250

Phone(262) 514-8199

Sole ProprietorNo

Enumeration DateMarch 22, 2023

Last NPPES UpdateOctober 1, 20263 updates tracked since enumeration

NPPES CertifiedOctober 1, 2026

✔ NPI 1639872344 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in WI · 85389-20

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

818 FOREST LN, Waterford, WI 53185

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Secondary Practice Location 1

Location 12801 W Kinnickinnic River Pkwy Ste 250Milwaukee, WI 53215-3678 · Phone (414) 649-6732 · Fax (414) 649-5840

Other Identifiers 1

Medicaid100312590WI

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ghazan Jalil Mian is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 53185 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

$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 18

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

MS. LIBBY RUMARY FNP-BC

Nurse Practitioner