2026 NPPES data General Practice Physician NPI 1578793949 M.D
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NIKHATH IRFANA, M.D

General Practice Physician in WAUWATOSA, Wisconsin. CMS National Plan and Provider Enumeration System profile including specialty classification, practice address, and Medicare prescribing data when reported.

Federal data — no proprietary rating. PlainDoctor publishes the actual CMS NPPES and Medicare records — NPI registration, specialty, practice location, and prescribing data — without a composite score or editorial opinion on top. Every field traces to a federal source.
Prescribing volume
142
Medicare Part D claims · 49 beneficiaries · General Practice Physician avg: 3K
What the federal data reveals: NIKHATH IRFANA, M.D is a General Practice Physician ([object Object]) practicing in WAUWATOSA, Wisconsin with a Medicare Part D prescribing footprint of 142 claims across 49 beneficiaries .

What stands out: NIKHATH IRFANA, M.D filed 142 Medicare Part D claims in 2023 across WAUWATOSA, Wisconsin. Every figure on this page comes straight from federal CMS records, with no proprietary rating applied.

Board certification likely (heuristic — not verified)

NIKHATH IRFANA, M.D practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + 2 hospital affiliations — signals consistent with board-certified status. For verified board certification, see CertificationMatters.org (the official ABMS public lookup).

NIKHATH IRFANA, M.D at a glance

Quality data not reported

NPI registry status

Active

Issued 07/20/2009

NPI 1578793949

Primary specialty

General Practice Physician

Mid-sized

16,677 US NPIs in this specialty

Medicare Part D claims

142 95% vs specialty avg

2023 prescription claims

Specialty avg: 2,872

Specialty distribution in Wisconsin

How General Practice Physician compares to other specialties among Wisconsin providers

Wisconsin providers

General Practice Physician share within Wisconsin

1. General Practice Physician42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
General Practice Physician share within Wisconsin

Specialty board-certification context

Estimated specialty board-certified rate — General Practice Physician (ABMS / AOA reference)

Quality data not reported
Est. board-certified rate
78%
General Practice Physician ABMS/AOA estimate

Est. board-certified rate (General Practice Physician) — ABMS / AOA estimate

0%100%78%
Est. board-certified rate (General Practice Physician) — ABMS / AOA estimate

The Merit-based Incentive Payment System (MIPS) scores providers 0–100 across four performance categories: Quality, Cost, Promoting Interoperability, and Improvement Activities, weighted under 42 CFR §414.1380. Reporting is voluntary for many small practices, so absence of a MIPS score is not a quality signal.

Board certification through an ABMS or AOA member board signals voluntary post-licensure examination plus continuous Maintenance of Certification cycles. Verify any individual provider's status through certificationmatters.org (ABMS) or osteopathic.org (AOA).

NIKHATH IRFANA, M.D is a General Practice Physician provider practicing in WAUWATOSA, Wisconsin, according to the CMS National Plan and Provider Enumeration System (NPPES). Credentials: M.D. NPI: 1578793949. This profile includes practice location, specialty classification, and organizational affiliations from the CMS provider registry. Provider information is self-reported to CMS and updated monthly.

NIKHATH IRFANA, M.D appears in the CMS NPPES registry as a General Practice Physician provider holding M.D credentials at 1220 DEWEY AVE, WAUWATOSA, WI, 53213, with a listed phone of (414) 454-6753. NPI 1578793949 was issued on 07/20/2009. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what IRFANA most recently submitted to CMS rather than a vetted directory listing, which is why patients should always confirm the practice is still at this location before scheduling.

Medicare Part D records for calendar year 2023 show 142 prescription claims written by this provider, covering 49 Medicare beneficiaries and totaling roughly $6K in drug spend. These figures capture only Medicare Part D — commercial insurance, Medicaid, and cash-pay prescriptions are not included, and any drug-beneficiary cell under 11 is suppressed by CMS for patient privacy.

General Practice Physician is a mid-sized specialty nationwide, with 16,677 enrolled providers across 56 states and an average of 2,872 Part D claims per prescriber, so the context for interpreting these metrics differs meaningfully from a primary-care baseline. Important: PlainDoctor is a directory of publicly available government data, not medical advice, a malpractice database, or a quality rating. Inclusion here does not imply a recommendation, and absence of complaints or sanctions on this page does not mean none exist — always verify credentials through the NPPES NPI Registry, your state medical board, and the ABMS or AOA before making healthcare decisions.

Practice Address

1220 DEWEY AVE
WAUWATOSA, WI 53213

Provider Details

NPI 1578793949
Specialty General Practice Physician
Credentials M.D
Gender Female
NPI Issued 07/20/2009

Hospital and facility affiliations

Facilities where NIKHATH IRFANA, M.D bills Medicare from. Star ratings (1-5) are CMS Hospital Compare's "Hospital overall rating" — a composite of mortality, readmission, patient experience, safety, timely care, and efficient use of medical imaging measures. Source: CMS Care Compare.

AURORA MEDICAL GROUP, INC.
OSHKOSH, WI
MENTAL HEALTH EMERGENCY CENTER, INC.
MILWAUKEE, WI

Affiliations sourced from CMS Doctors and Clinicians National Downloadable File; hospital ratings from CMS Hospital General Information dataset (cross-referenced by facility name + state).

Medicare Part D Prescribing Data

CMS Medicare Part D prescriber-level data for calendar year 2023.

142
Total Claims
$6K
Total Drug Cost
49
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
145
Total Day Supply
3,709
Generic Drug Cost
$4K

Patient Demographics

Average Patient Age
56.2 years
Avg HCC Risk Score
1.89
Gender Split
57% female / 43% male
Age Distribution
<65: 31, 65-74: 11, 75-84: N/A, 85+: N/A

Top Prescribed Drugs (Medicare Part D)

Top drugs by claim count for calendar year 2023. Based on Medicare Part D data only.

Drug Claims
Trazodone Hcl
15
Hydroxyzine Hcl
11

* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.

General Practice Physician Overview

How NIKHATH IRFANA, M.D fits within the General Practice Physician landscape nationally.

16,677
General Practice Physician Providers in US
56
States with General Practice Physician
2,872
Avg Claims per Provider

NIKHATH IRFANA, M.D's 142 claims are below the specialty average of 2,872.

Nearby General Practice Physician Providers in Wisconsin

Other clinicians with the same primary specialty enrolled in Wisconsin, drawn from the same CMS NPPES roster as IRFANA.

Compare General Practice Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is NIKHATH IRFANA, M.D's specialty?
NIKHATH IRFANA, M.D specializes in General Practice Physician and practices in WAUWATOSA, Wisconsin. Credentials: M.D.
How much does NIKHATH IRFANA, M.D prescribe under Medicare Part D?
In 2023, NIKHATH IRFANA, M.D wrote 142 Medicare Part D claims totaling $6K in drug costs for 49 beneficiaries.
Where is NIKHATH IRFANA, M.D located?
NIKHATH IRFANA, M.D is located at 1220 DEWEY AVE, WAUWATOSA, WI, 53213. Phone: (414) 454-6753.
What is NIKHATH IRFANA, M.D's NPI number?
NIKHATH IRFANA, M.D's National Provider Identifier (NPI) is 1578793949, issued on 07/20/2009.
How many General Practice Physician providers are there in the US?
There are 16,677 General Practice Physician providers across 56 states in the US. The average General Practice Physician provider writes 2,872 Medicare Part D claims per year.
What drugs does NIKHATH IRFANA, M.D prescribe most often?
Based on 2023 Medicare Part D data, NIKHATH IRFANA, M.D's most frequently prescribed drugs include Trazodone Hcl, Hydroxyzine Hcl. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does NIKHATH IRFANA, M.D accept Medicare?
NIKHATH IRFANA, M.D appears in CMS Medicare data with 142 Part D claims and 49 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify NIKHATH IRFANA, M.D's credentials?
NIKHATH IRFANA, M.D's NPI is 1578793949 with credentials M.D. You can verify this through the NPPES NPI Registry, check state medical board records, and confirm board certification through the ABMS or AOA.

Data Sources

Provider Directory
CMS National Plan and Provider Enumeration System (NPPES), download.cms.gov/nppes, updated monthly. Contains NPI, specialty, credentials, and practice location.
Specialty Classification
NUCC Health Care Provider Taxonomy (nucc.org), the industry standard for classifying provider specialties in Medicare and Medicaid billing.
Prescribing Data
CMS Medicare Part D Prescriber Public Use File (2023). Includes claims, drug costs, beneficiaries, and opioid prescribing rates.
Limitations
Provider data is self-reported to CMS. Prescribing data reflects Medicare Part D only and does not include commercial insurance, Medicaid, or cash prescriptions. Claims below 11 beneficiaries are suppressed by CMS for privacy.

See our complete data methodology for details on how we collect and process government data.

Data as of April 2026 (NPPES) / 2023 (Medicare Part D). Source: Centers for Medicare & Medicaid Services (CMS).

Disclaimer: Data from CMS NPPES and Medicare Part D. PlainDoctor does not rate or rank providers. Provider information is self-reported and may not be current. Always verify information directly with the provider. About · Methodology