DR. RIZWANULLAH ARAIN M.D.
NPI 1861489536
Psychiatry & Neurology - Neurology in Milwaukee, WI

Active since September 28, 2005PECOS EnrolledAccepts Medicare Assignment
6026 W LISBON AVE, MILWAUKEE, WI 53210(414) 442-3630(414) 449-8552 Get Directions Write a Review

NPPES record last updated: January 14, 2010. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Rizwanullah Arain M.d. NPPES

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

DR. RIZWANULLAH ARAIN M.D. (NPI 1861489536) is an individual neurology provider in Milwaukee, Wisconsin, licensed in Wisconsin (30101-020) and active in the NPI registry since September 2005. He is enrolled in Medicare PECOS, is affiliated with Ascension Se Wisconsin Hospital, and is a graduate of Other (1985).

NPPES Registry Identity

NPI1861489536
Entity TypeIndividualMale
Primary Taxonomy2084N0400X
Provider Legal NameDR. RIZWANULLAH ARAINCredential: M.D.
Location Address6026 W LISBON AVEMilwaukee, WI 53210-2114
Mailing Address6026 W Lisbon AveMilwaukee, WI 53210-2114 · (414) 442-3630 · Fax (414) 449-8552
Fax(414) 449-8552
Sole ProprietorNo
Medical School CMSOtherGraduated 1985
Enumeration DateSeptember 28, 2005
Last NPPES UpdateJanuary 14, 2010
NPI 1861489536 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPsychiatry & Neurology · NeurologyAllopathic & Osteopathic Physicians
Taxonomy Code2084N0400X
License Licensed in WI · 30101-020
Definition

A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.

Also ListedPsychiatry & Neurology · Pain MedicineTaxonomy 2084P2900X · License 30101-020 (WI)
6026 W LISBON AVE, Milwaukee, WI 53210

Other Identifiers 3

Medicare UPINE13770WI
Medicaid31485000WI
Medicare ID-Type Unspecified000002501WI

Accepted 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. Rizwanullah Arain M.d. 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 ID6901940824
PECOS Enrollment IDI20100216000553
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 4

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, 20-29 minutes 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.
151 services42 patients
Established patient office or other outpatient visit, 30-39 minutes 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.
61 services28 patients
New patient office or other outpatient visit, 45-59 minutes 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
19 services19 patients
Measurement of brain wave activity (eeg), awake and drowsy 95816
Measurement of brain wave activity, also known as an EEG, is a non-invasive test that records electrical patterns in your brain. This procedure is done when you're awake and drowsy to understand how your brain functions during different states of consciousness.
12 services12 patients

Hospital Affiliations CMS Care Compare

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

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

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
$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.

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.

Reported Quality Measures

Statin Therapy for the Prevention and Treatment of Cardiovascular Disease
Percentage of the following patients - all considered at high risk of cardiovascular events - who were prescribed or were on statin therapy during the measurement period: - Adults aged >= 21 years who were previously diagnosed with or currently have an active…
38%47 patients2/55-star benchmark: 89%
Use of High-Risk Medications in the Elderly
Percentage of patients 65 years of age and older who were ordered high-risk medications. Two rates are submitted. 1) Percentage of patients who were ordered at least one high-risk medication.
Lower rates are better for this measure.
Patients 2+: 0% · 117 patients
0%117 patients5/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

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.

Specialist
6026 W LISBON AVE
MILWAUKEE, WI 53210
Clinic/Center
6026 W LISBON AVE
MILWAUKEE, WI 53210

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 Rizwanullah Arain's NPI number?

The NPI number for Rizwanullah Arain is 1861489536. It was assigned to this individual provider in the NPPES registry on September 28, 2005.

Where is Rizwanullah Arain located?

Rizwanullah Arain practices at 6026 W Lisbon Ave, Milwaukee, WI 53210. The listed phone number is (414) 442-3630.

What is Rizwanullah Arain's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Neurology, with taxonomy code 2084N0400X.

Is Rizwanullah Arain enrolled in Medicare?

Yes. Rizwanullah Arain 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 Rizwanullah Arain accept?

Health plans from Anthem Blue Cross and Blue Shield, Network Health and UnitedHealthcare list Rizwanullah Arain 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 Rizwanullah Arain affiliated with any hospitals?

According to CMS data, Rizwanullah Arain is affiliated with Ascension SE Wisconsin Hospital.

When was this NPI record last updated?

The NPPES record for Rizwanullah Arain was last updated on January 14, 2010. NPI Profile syncs with the weekly NPPES data releases published by CMS.