Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Imran Ahmed Moinuddin, MD

Individual provider Family Medicine Physician · NPI 1528717808

Imran Ahmed Moinuddin, MD is a Family Practice in Kenosha, Wisconsin. Qualified in 2012, 14 years ago. Practices with Aurora Medical Group, Inc, a 3,741-clinician group and accepts Medicare assignment. Licensed in Wisconsin.

Years since qualifying
14
Licensed in
WI
In the registry since
2022
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

10400 75th St Ste 305
Kenosha, WI 53142-7884
Phone: (262) 948-7050
Fax: (262) 948-7271
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 84843-20 (WI)

Record details

NPI number1528717808
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMarch 22, 2022
Last updated in NPPESSeptember 18, 2025
Certification dateSeptember 18, 2025
Mailing address10400 75th St Ste 305, Kenosha, WI 53142-7884

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyFAMILY PRACTICE
Medical schoolOTHER
Graduated 2012 (14 years in practice)
Group practice Aurora Medical Group, Inc. — 3741 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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