Alby K Antoo (NPI# 1407864093, PAC ID# 4688603186) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1407864093 |
| PAC ID by PECOS | 4688603186 |
| Professional Enrollment ID | I20050804001045 |
| Full Name | Alby K Antoo |
| Organization Legal Name | AURORA MEDICAL GROUP INC |
| Address |
10400 75th St Kenosha WI 53142-7884 |
| Phone Number | 2629487000 |
| Gender | M |
| Credential | MD |
| Graduation Year | 1998 |
| Primary Specialty | FAMILY MEDICINE |
| Group Practice PAC ID | 6709794258 |
| Number of Group Practice Members | 2463 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 520189 | AURORA MEDICAL CENTER KENOSHA |
| 520021 | UNITED HOSPITAL SYSTEM |
| 520138 | AURORA ST LUKES MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 10400 75th St, Kenosha, WI 53142-7884 | 2629487000 | AURORA MEDICAL GROUP INC |
| 1020 N 12th St, Milwaukee, WI 53233-1308 | 4142193056 | AURORA MEDICAL GROUP INC |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| MIPS_EC_113_overall | Colorectal Cancer Screening | 65% | |
| MIPS_EC_128_overall | Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan | 36% | |
| MIPS_EC_130_overall | Documentation of Current Medications in the Medical Record | 91% | |
| MIPS_EC_226_overall | Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention | 99% |
| Organization Legal Name | AURORA MEDICAL GROUP INC |
| Physicians | 2268 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Brianna A Smith | Psychologist, Clinical | Aurora Medical Group Inc | 2424 S 90th St, West Allis, WI 53227-2455 |
| Ryan F Brower | Family Medicine | Aurora Medical Group Inc | 201 Townline Rd, Lake Geneva, WI 53147-4612 |
| Jeffrey T Lyvers | Anesthesiology | Aurora Medical Group Inc | 2900 W Oklahoma Ave, Milwaukee, WI 53215-4330 |
| Vanja Z Rissky | Nurse Practitioner | Aurora Medical Group Inc | 2801 W Kinnickinnic River Pkwy, Milwaukee, WI 53215-3669 |
| Kelly J Herbst-frailing | Physical Therapy | Aurora Medical Group Inc | 9000 W Sura Ln, Greenfield, WI 53228-3477 |
| Chinwe D Opara | Nurse Practitioner | Aurora Medical Group Inc | 3023 S 84th St, West Allis, WI 53227-3703 |
| Courtney F Klatt | Nurse Practitioner | Aurora Medical Group Inc | 1902 Mead Ave, Sheboygan, WI 53081-6140 |
| Nandita Batchra | Otolaryngology | Aurora Medical Group Inc | 8400 Washington Ave, Mount Pleasant, WI 53406-3735 |
| Phenu V Zachariah | Endocrinology | Aurora Medical Group Inc | 1151 Warwick Way, Racine, WI 53406-5661 |
| Adam M Stoll | Clinical Social Worker | Aurora Medical Group Inc | 12225 71st St, Kenosha, WI 53142-7320 |
| Street Address |
10400 75TH ST |
| City | KENOSHA |
| State | WI |
| Zip | 53142-7884 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| David B Kite | Physician Assistant | Aurora Medical Group Inc | 10400 75th St, Kenosha, WI 53142-7884 |
| Brian A Schroeder | Nurse Practitioner | Aurora Medical Group Inc | 10400 75th St, Kenosha, WI 53142-7884 |
| Peter J Bartzen | General Surgery | Aurora Medical Group Inc | 10400 75th St, Kenosha, WI 53142-7884 |
| Jeffrey A Greene | Physician Assistant | Aurora Medical Group Inc | 10400 75th St, Kenosha, WI 53142-7884 |
| Markian J Kuzycz | General Surgery | Aurora Medical Group Inc | 10400 75th St, Kenosha, WI 53142-7884 |
| Kenneth M Niec | Physician Assistant | Aurora Medical Group Inc | 10400 75th St, Kenosha, WI 53142-7884 |
| Mohan Prabu Ayyaswamy | Neurology | Aurora Medical Group Inc | 10400 75th St, Kenosha, WI 53142-7884 |
| Melissa A Wingate | Psychologist, Clinical | Aurora Medical Group Inc | 10400 75th St, Kenosha, WI 53142-7884 |
| Sarah N Stachon | Physician Assistant | Aurora Medical Group Inc | 10400 75th St, Kenosha, WI 53142-7884 |
| Keven R Mottinger | Physician Assistant | Aurora Medical Group Inc | 10400 75th St, Kenosha, WI 53142-7884 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Randall J Hammett | Chiropractic | 6500 67th St, Kenosha, WI 53142-1403 | |
| Laurie Sasso | Clinical Social Worker | Wellqor Psychological Services of Wisconsin, S.c. | 6300 67th St, Kenosha, WI 53142-1437 |
| Rodrigo B Mata Iii | Internal Medicine | 6123 Green Bay Rd, Suite 120, Kenosha, WI 53142-2927 | |
| Nancy Guadagno | Clinical Social Worker | 6123 Green Bay Rd, Suite 240, Kenosha, WI 53142-2927 | |
| Shellie Kaye Babcock | Clinical Social Worker | 6123 Green Bay Rd, Suite 240, Kenosha, WI 53142-2927 | |
| Chad E Sloden | Chiropractic | Sports and Family Chiropractic LLC | 6123 Green Bay Rd, Suite 140, Kenosha, WI 53142-2927 |
| Nicholas Joseph Hollendonner | Chiropractic | Sports and Family Chiropractic LLC | 6123 Green Bay Rd, Suite 140, Kenosha, WI 53142-2927 |
| Pushparanee Babusukumar | Psychiatry | Psychiatric and Psychotherapy Clinic L I Newman Md Sc Gen Ptr | 6125 Green Bay Rd, Suite 700, Kenosha, WI 53142-2928 |
| Tom A Defrancesco | Clinical Social Worker | Psychiatric and Psychotherapy Clinic L I Newman Md Sc Gen Ptr | 6125 Green Bay Rd, Suite 700, Kenosha, WI 53142-2928 |
| Donna J Hayes | Podiatry | 6125 Green Bay Rd, Suite 600, Kenosha, WI 53142-2928 | |
| Find all physicians in zip 53142 | |||
| City | KENOSHA |
| Zip Code | 53142 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | KENOSHA + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Alby K Antoo.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.