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SAADIA GHAZAL APRN
NPI 1922735570
Nurse Practitioner - Family in Milwaukee, WI

Active since August 03, 2022PECOS EnrolledAccepts Medicare Assignment
5434 W CAPITOL DR STE 3, MILWAUKEE, WI 53216(414) 875-0505(866) 225-2790 Get Directions Write a Review

NPPES record last updated: April 24, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Saadia Ghazal Aprn NPPES

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

SAADIA GHAZAL APRN (NPI 1922735570) is an individual family provider in Milwaukee, Wisconsin, licensed in Wisconsin (13045-33) and active in the NPI registry since August 2022. She is enrolled in Medicare PECOS and is a graduate of Other (2022).

NPPES Registry Identity

NPI1922735570
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameSAADIA GHAZALCredential: APRN
Location Address5434 W CAPITOL DR STE 3Milwaukee, WI 53216-2298
Mailing AddressPo Box 210560Milwaukee, WI 53221-8010 · (414) 875-0505 · Fax (866) 225-2790
Phone(414) 875-0505
Fax(866) 225-2790
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateAugust 3, 2022
Last NPPES UpdateApril 24, 2023
NPPES CertifiedApril 24, 2023
✔ NPI 1922735570 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in WI · 13045-33
5434 W CAPITOL DR STE 3, Milwaukee, WI 53216
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Network Health, UnitedHealthcare.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

Saadia Ghazal Aprn 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 ID2668858242
PECOS Enrollment IDI20221005001264
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.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 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.
32 services24 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
14 services14 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 53216 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 4

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

MOHAMMAD QASIM KHAN M.D
Internal Medicine
5434 W CAPITOL DR STE 3
MILWAUKEE, WI 53216
Milwaukee County (414) 875-0505
INDEPENDENT PHYSICIANS OF WISCONSIN, LLC
Durable Medical Equipment & Medical Supplies
5434 W CAPITOL DR STE 3
MILWAUKEE, WI 53216
Milwaukee County (414) 875-0505
CHRISTINA MAY WEIL APNP
Nurse Practitioner (Family)
5434 W CAPITOL DR STE 3
MILWAUKEE, WI 53216
Milwaukee County (414) 875-0505
INDEPENDENT PHYSICIANS OF WISCONSIN, LLC
Internal Medicine
5434 W CAPITOL DR STE 3
MILWAUKEE, WI 53216
Milwaukee County (414) 875-0505

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 Saadia Ghazal's NPI number?

The NPI number for Saadia Ghazal is 1922735570. It was assigned to this individual provider in the NPPES registry on August 3, 2022.

Where is Saadia Ghazal located?

Saadia Ghazal practices at 5434 W Capitol Dr Ste 3, Milwaukee, WI 53216. The listed phone number is (414) 875-0505.

What is Saadia Ghazal's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Saadia Ghazal enrolled in Medicare?

Yes. Saadia Ghazal 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 Saadia Ghazal accept?

Health plans from Anthem Blue Cross and Blue Shield, Network Health and UnitedHealthcare list Saadia Ghazal 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 Saadia Ghazal was last updated on April 24, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.