Active NPI
Suhas K Shelgikar
- Cardiovascular Disease Physician
- Milwaukee, WI
National Provider Identifier
1114992120
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- License
- 20533-020
- Practice address
- 3635 W Oklahoma Ave
Milwaukee, WI 53215-4119 - Phone
- (414) 647-2899
- NPI assigned
- Feb 22, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Cardiovascular Disease Physician | 207RC0000X | 20533-020 | WI | Primary |
Addresses
Primary practice location
3635 W Oklahoma Ave
Milwaukee, WI 53215-4119
Mailing address
3267 S. 16TH St.
Suite 207
Milwaukee, WI 53215
Phone (414) 647-2899
Other practice location 1
3267 S. 16th St
Suite 207
Milwaukee, WI 53215
Phone (414) 647-2899
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 30109600 | Medicaid | WI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 20533-020 | WI | MD | Cardiovascular Disease Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Milwaukee Heart Specialists, S.C. | Cardiovascular Disease | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Cardiovascular Disease Physician
- Milwaukee, WI
- NPI 1548242084
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1140566400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1521244800000",
"number": "1114992120",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3267 S. 16TH ST.",
"address_2": "SUITE 207",
"city": "MILWAUKEE",
"state": "WI",
"postal_code": "53215",
"telephone_number": "414-647-2899",
"fax_number": "414-647-1800"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3635 W OKLAHOMA AVE",
"city": "MILWAUKEE",
"state": "WI",
"postal_code": "532154119",
"telephone_number": "414-647-2899"
}
],
"practiceLocations": [
{
"address_1": "3267 S. 16th St",
"address_2": "Suite 207",
"address_purpose": "LOCATION",
"city": "Milwaukee",
"state": "WI",
"postal_code": "53215",
"country_code": "US",
"telephone_number": "414-647-2899",
"fax_number": "414-647-1800",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SHELGIKAR",
"first_name": "SUHAS",
"middle_name": "K",
"name_prefix": "Dr.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-02-22",
"last_updated": "2018-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "WI",
"license": "20533-020",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "30109600",
"state": "WI"
}
],
"endpoints": [],
"other_names": []
}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 Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.