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SHAZIA KAMRAN M.D.
NPI 1992950166
Psychiatry & Neurology - Neurology in Pleasant Prairie, WI

Active since December 01, 2008PECOS EnrolledAccepts Medicare Assignment
100/100
CMS Quality Rating
955 76TH STREET,2BD FLOOR, PLEASANT PRAIRIE, WI 53158(262) 577-8300(625) 778-4142 Get Directions Write a Review

NPPES record last updated: June 27, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Shazia Kamran M.d. NPPES

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

SHAZIA KAMRAN M.D. (NPI 1992950166) is an individual neurology provider in Pleasant Prairie, Wisconsin, licensed in Wisconsin (74079-20) and active in the NPI registry since December 2008. She is enrolled in Medicare PECOS, is affiliated with Froedtert South Inc., and maintains a secondary practice location in Pleasant Prairie.

NPPES Registry Identity

NPI1992950166
Entity TypeIndividualFemale
Primary Taxonomy2084N0400X
Provider Legal NameSHAZIA KAMRANCredential: M.D.
Location Address955 76TH STREET,2BD FLOORPleasant Prairie, WI 53158
Mailing Address3443 Dickerson Pike, Suite 580Nashville, TN 37207-2519 · (615) 860-1040 · Fax (615) 860-1242
Phone(262) 577-8300
Fax(625) 778-4142
Sole ProprietorNo
Medical School CMSOtherGraduated 2001
Enumeration DateDecember 1, 2008
Last NPPES UpdateJune 27, 2024
NPPES CertifiedJune 18, 2024
✔ NPI 1992950166 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 · 74079-20
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 · Clinical NeurophysiologyTaxonomy 2084N0600X · License 48803 (TN)
955 76TH STREET,2BD FLOOR, Pleasant Prairie, WI 53158
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Secondary Practice Location 1

Location 19555 75th Street 2nd FloorPleasant Prairie, WI 53158 · Phone (262) 577-8300 · Fax (262) 577-8414

Accepted Insurance

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

Shazia Kamran 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 ID6507014578
PECOS Enrollment IDI20240605000194
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

2

Medicare enrollment records show Shazia Kamran reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Froedtert South, Inc.
0.9 mi
Family Medicine
6308 8TH AVE
Kenosha, WI 53143
  • Reassigned Medicare billing, Wisconsin enrollment
  • 212 clinicians in this Medicare group
NPI 1558305284 (262) 656-2718
Waukegan Clinic Corp
13 mi
Family Medicine
1324 N SHERIDAN RD
Waukegan, IL 60085
  • Reassigned Medicare billing, Illinois enrollment
  • 166 clinicians in this Medicare group
NPI 1306937289 (847) 360-3000

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 8

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
275 services129 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
209 services86 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
142 services135 patients
Measurement of brain wave activity with video (veeg), 2-12 hours with review and report by health care professional 95718
This procedure, known as a Video EEG (VEEG), records brain wave activity for 2-12 hours. It involves attaching electrodes to your scalp and monitoring brain waves while a video records your actions. This helps health professionals understand and diagnose neurological issues.
66 services61 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 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.
30 services26 patients
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.
30 services22 patients

Hospital Affiliations CMS Care Compare

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

Froedtert South Inc.

Acute Care Hospitals · Pleasant Prairie, WI
1/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number520021
Location9555 76th StPleasant Prairie, WI 53158 · Kenosha County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 53158 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.

100/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality95.72
Promoting Interoperability100
Improvement Activities40
Cost81.58

Reported Quality Measures

Cervical Cancer Screening
16%104 patients1/55-star benchmark: 98%
Closing the Referral Loop: Receipt of Specialist Report
16%55 patients1/55-star benchmark: 87%
Controlling High Blood Pressure
69%98 patients4/55-star benchmark: 91%
Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%)
Lower rates are better for this measure.
66%50 patients2/55-star benchmark: 91%
Documentation of Current Medications in the Medical Record
30%877 patients1/55-star benchmark: 100%
e-Prescribing
99%125 patients4/55-star benchmark: 100%
Falls: Screening for Future Fall Risk
27%113 patients2/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
28%288 patients2/55-star benchmark: 98%
Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented
30%264 patients2/55-star benchmark: 61%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Patients screened: 79% · 168 patients
73%168 patients
Provide Patients Electronic Access to Their Health Information
96%54 patients4/55-star benchmark: 100%
Statin Therapy for the Prevention and Treatment of Cardiovascular Disease
56%152 patients2/55-star benchmark: 91%
Use of High-Risk Medications in Older Adults
Lower rates are better for this measure.
Patients appropriateDiagnosis: 7% · 121 patients
Patients totalRate: 12% · 121 patients
7%121 patients4/55-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.

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 Shazia Kamran's NPI number?

The NPI number for Shazia Kamran is 1992950166. It was assigned to this individual provider in the NPPES registry on December 1, 2008.

Where is Shazia Kamran located?

Shazia Kamran practices at 955 76th Street,2bd Floor, Pleasant Prairie, WI 53158. The listed phone number is (262) 577-8300.

What is Shazia Kamran's specialty?

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

Is Shazia Kamran enrolled in Medicare?

Yes. Shazia Kamran 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 Shazia Kamran's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Shazia Kamran reassigns Medicare benefits to 2 organizations: Froedtert South, Inc. (Kenosha, WI) and Waukegan Clinic Corp (Waukegan, IL). 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 Shazia Kamran's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Shazia Kamran accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Anthem Blue Cross and Blue Shield and Network Health list Shazia Kamran 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 Shazia Kamran affiliated with any hospitals?

According to CMS data, Shazia Kamran is affiliated with Froedtert South Inc..

When was this NPI record last updated?

The NPPES record for Shazia Kamran was last updated on June 27, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.