Sam Khalili (NPI# 1487055133, PAC ID# 9537478516) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OTOLARYNGOLOGY.
| Nation Provider ID (NPI) | 1487055133 |
| PAC ID by PECOS | 9537478516 |
| Professional Enrollment ID | I20151013001363 |
| Full Name | Sam Khalili |
| Organization Legal Name | AURORA MEDICAL GROUP INC |
| Address |
313 S Main St Cedar Grove WI 53013-1611 |
| Phone Number | 9206688502 |
| Gender | M |
| Graduation Year | 2009 |
| Primary Specialty | OTOLARYNGOLOGY |
| Group Practice PAC ID | 6709794258 |
| Number of Group Practice Members | 2463 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 520138 | AURORA ST LUKES MEDICAL CENTER |
| 520206 | AURORA MEDICAL CENTER - SUMMIT |
| Address | Phone | Organization |
|---|---|---|
| 313 S Main St, Cedar Grove, WI 53013-1611 | 9206688502 | AURORA MEDICAL GROUP INC |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| MIPS_EC_128_overall | Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan | 46% | |
| MIPS_EC_130_overall | Documentation of Current Medications in the Medical Record | 87% | |
| MIPS_EC_226_overall | Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention | 100% |
| 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 |
313 S MAIN ST |
| City | CEDAR GROVE |
| State | WI |
| Zip | 53013-1611 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Brian J Demaster | Family Medicine | Aurora Medical Group Inc | 313 S Main St, Cedar Grove, WI 53013-1611 |
| Allison E Soerens | Nurse Practitioner | Aurora Medical Group Inc | 313 S Main St, Cedar Grove, WI 53013-1611 |
| George V Kuttickat | Cardiovascular Disease (cardiology) | Aurora Medical Group Inc | 313 S Main St, Cedar Grove, WI 53013-1611 |
| Dianne L Zwicke | Advanced Heart Failure and Transplant Cardiology | Aurora Medical Group Inc | 313 S Main St, Cedar Grove, WI 53013-1611 |
| William G. Schroeder | Chiropractic | 313 S Main St, Manville, NJ 08835-1840 | |
| Michael R Brooks | Nephrology | Aurora Medical Group Inc | 313 S Main St, Cedar Grove, WI 53013-1611 |
| City | CEDAR GROVE |
| Zip Code | 53013 |
| Specialty | OTOLARYNGOLOGY |
| City + Specialty | CEDAR GROVE + OTOLARYNGOLOGY |
Please comment or provide details below to improve the information on Sam Khalili.
| 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.