Active NPI
Prachi Striker, MD
- Child & Adolescent Psychiatry Physician
- Milwaukee, WI
National Provider Identifier
1073647863
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Child & Adolescent Psychiatry Physician
- License
- 73967-20
- Practice address
- 3365 S 103Rd St Ste 210
Milwaukee, WI 53227-4161 - Phone
- (414) 228-4800
- Fax
- (262) 432-9004
- NPI assigned
- Mar 15, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Child & Adolescent Psychiatry Physician | 2084P0804X | 73967-20 | WI | Primary |
| Psychiatry Physician | 2084P0800X | 4301088116 | MI | |
| Psychiatry Physician | 2084P0800X | 73967-20 | WI | |
| Child & Adolescent Psychiatry Physician | 2084P0804X | 54329 | MN |
Addresses
Primary practice location
3365 S 103Rd St Ste 210
Milwaukee, WI 53227-4161
Mailing address
3365 S 103Rd St Ste 210
Milwaukee, WI 53227-4161
Phone (414) 228-4800
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073647863 | Medicaid | WI |
Other names 1
- Dr. Prachi Agarwala
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4301088116 | MI | MD | Psychiatry Physician |
| 73967-20 | WI | MD | Psychiatry Physician |
| 54329 | MN | MD | Child & Adolescent Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| St. Croix Psychiatric, LLC | Psychiatry | Current | Accepting new patients |
| Fairview Health Services | Current | Accepting new patients | |
| Fairview Health Services | Current | Accepting new patients | |
| Fairview Health Services | Current | Accepting new patients | |
| Childrens Health Care | Past | Accepting new patients |
Locations
2450 Riverside Ave
Minneapolis, MN 55454
Phone (612) 273-7838
9400 Zane Ave N
Minneapolis, MN 55443
Phone (763) 383-5800
911 Northland Dr
Princeton, MN 55371
Phone (763) 389-1313
Organizations & group practices 5
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Emergency Medicine Physician
- Minneapolis, MN
- NPI 1811077175
-
- Psychiatry Physician
- Woodbury, MN
- NPI 1881849586
-
- General Acute Care Hospital
- Minneapolis, MN
- NPI 1013994359
-
- Land Ambulance
- Saint Paul, MN
- NPI 1710212485
-
- Children's Hospital
- Minneapolis, MN
- NPI 1881793750
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173916800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1603411200000",
"number": "1073647863",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3365 S 103RD ST STE 210",
"city": "MILWAUKEE",
"state": "WI",
"postal_code": "532274161",
"telephone_number": "414-228-4800",
"fax_number": "262-432-9004"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3365 S 103RD ST STE 210",
"city": "MILWAUKEE",
"state": "WI",
"postal_code": "532274161",
"telephone_number": "414-228-4800",
"fax_number": "262-432-9004"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STRIKER",
"first_name": "PRACHI",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-03-15",
"last_updated": "2020-10-23",
"certification_date": "2020-10-23",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0804X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
"state": "WI",
"license": "73967-20",
"primary": true
},
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "MI",
"license": "4301088116",
"primary": false
},
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "WI",
"license": "73967-20",
"primary": false
},
{
"code": "2084P0804X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
"state": "MN",
"license": "54329",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1073647863",
"state": "WI"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "PRACHI",
"last_name": "AGARWALA",
"prefix": "DR.",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Milwaukee, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.