Individual provider Active NPI

Prachi Striker, MD

  • Child & Adolescent Psychiatry Physician
  • Milwaukee, WI
National Provider Identifier
1073647863
Registry record updated Oct 23, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Child & Adolescent Psychiatry PhysicianTaxonomy code 2084P0804X
License
73967-20 Issued in WI
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

Updated by the provider on Oct 23, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
1073647863MedicaidWI

Other names 1

  • Dr. Prachi Agarwala Former name

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20111104000294 MN Practitioner - Psychiatry 9830362961 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
4301088116MIMDPsychiatry Physician
73967-20WIMDPsychiatry Physician
54329MNMDChild & Adolescent Psychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
St. Croix Psychiatric, LLC Psychiatry CurrentSince Jan 24, 2022 Accepting new patients
Fairview Health Services CurrentSince Sep 10, 2011 Accepting new patients
Fairview Health Services CurrentSince Sep 10, 2011 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.

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

Verify at the official NPI Registry.