KATAYONSADAT TABATABAEI DAKHILI APNP
NPI 1912243924
Nurse Practitioner in Milwaukee, WI
About Katayonsadat Tabatabaei Dakhili Apnp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KATAYONSADAT TABATABAEI DAKHILI APNP (NPI 1912243924) is an individual nurse practitioner in Milwaukee, Wisconsin, licensed in Wisconsin (5171) and active in the NPI registry since December 2012. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Katayonsadat Tabatabaei Dakhili Apnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignments
2Medicare enrollment records show Katayonsadat Tabatabaei Dakhili reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Milwaukee, WI 53215
- Reassigned Medicare billing, Wisconsin enrollment
- 4,609 clinicians in this Medicare group
Milwaukee, WI 53215
- Reassigned Medicare billing, Wisconsin enrollment
- 297 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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 53204 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 5
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Katayonsadat Tabatabaei Dakhili's NPI number?
The NPI number for Katayonsadat Tabatabaei Dakhili is 1912243924. It was assigned to this individual provider in the NPPES registry on December 19, 2012.
Where is Katayonsadat Tabatabaei Dakhili located?
Katayonsadat Tabatabaei Dakhili practices at 130 W Bruce St #200, Milwaukee, WI 53204. The listed phone number is (414) 384-1400.
What is Katayonsadat Tabatabaei Dakhili's specialty?
The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.
Is Katayonsadat Tabatabaei Dakhili enrolled in Medicare?
Yes. Katayonsadat Tabatabaei Dakhili is registered in the Medicare PECOS enrollment system.
Which organizations bill Medicare for Katayonsadat Tabatabaei Dakhili's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Katayonsadat Tabatabaei Dakhili reassigns Medicare benefits to 2 organizations: Aurora Medical Group, Inc. (Milwaukee, WI) and Aurora Health Care Metro, Inc. (Milwaukee, WI). 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 Katayonsadat Tabatabaei Dakhili's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Katayonsadat Tabatabaei Dakhili accept?
Health plans from CareSource (Common Ground Healthcare) and UnitedHealthcare list Katayonsadat Tabatabaei Dakhili 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 Katayonsadat Tabatabaei Dakhili was last updated on November 29, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.
# Katayonsadat Tabatabaei Dakhili, APNP · NPI 1912243924
Nurse Practitioner physician in Milwaukee, Wisconsin. Individual provider, active in the CMS NPPES registry since December 19, 2012.
## Identity
- **NPI:** 1912243924 (Entity type: Individual)
- **Enumerated:** December 19, 2012
- **Primary specialty:** Nurse Practitioner · taxonomy 363L00000X
- **State license:** 5171 (Wisconsin)
- **Sole proprietor:** No
## Practice location
- **Address:** 130 W BRUCE ST, #200, Milwaukee, WI 53204-1667
- **Phone:** (414) 384-1400
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Aurora Medical Group, Inc. (NPI 1427271378, Milwaukee, WI); Aurora Health Care Metro, Inc. (NPI 1861447179, Milwaukee, WI) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** November 29, 2021
- **Other identifiers:** Medicaid 100027445 (WI)
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Source: [NPI Profile](https://npiprofile.com/npi/1912243924) · Data from the CMS NPPES public registry.