Individual provider Active NPI

Selahattin S. Kurter, MD

  • Psychiatry Physician
  • Milwaukee, WI
National Provider Identifier
1164596615
Registry record updated Nov 6, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
47803-020 Issued in WI
Practice address
1661 N Water St
Suite 301
Milwaukee, WI 53202-2085
Phone
(414) 273-1209
Fax
(414) 273-1424
NPI assigned
Nov 17, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 6, 2015

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 47803-020 WI Primary
General Practice Physician 208D00000X 47803-020 WI
Addiction Medicine (Internal Medicine) Physician 207RA0401X 47803-20 WI

Addresses

Primary practice location

1661 N Water St
Suite 301
Milwaukee, WI 53202-2085

Mailing address

6419S Howell Ave
Oak Creek, WI 53154-1103
Phone (414) 304-5713

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI
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
I20210122000097 WI Practitioner - Psychiatry 6709891047 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
University of Wisconsin School of Medicine, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
West Grove Clinic SCGroup PAC ID 2264476688, 15 clinicians

Practice addresses (Care Compare)

10012 W Capital Dr
Suite 101
Milwaukee, WI 53222-1300

10012 W Capitol Dr
Wauwatosa, WI 53222-1300

10012 W Capitol Dr
Milwaukee, WI 53222-1338
Phone (414) 810-4844

1400 75TH St
Kenosha, WI 53143-1544
Phone (414) 810-4844

6416 S Howell Ave
Oak Creek, WI 53154-1104
Phone (414) 810-4844

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
47803-20WIMDAddiction Medicine (Internal Medicine) Physician
47803-020WIMDGeneral Practice Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Lighthouse Clinic Psychiatry PastSince Jan 1, 2011 Accepting new patients
Genetox, LLC PastSince Dec 1, 2016 Accepting new patients
County of Milwaukee Psychiatry Past Accepting new patients

Organizations & group practices 4

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": "1163721600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1446768000000",
    "number": "1164596615",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6419S HOWELL AVE",
            "city": "OAK CREEK",
            "state": "WI",
            "postal_code": "531541103",
            "telephone_number": "414-304-5713",
            "fax_number": "414-304-5721"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1661 N WATER ST",
            "address_2": "SUITE 301",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532022085",
            "telephone_number": "414-273-1209",
            "fax_number": "414-273-1424"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KURTER",
        "first_name": "SELAHATTIN",
        "middle_name": "S.",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-17",
        "last_updated": "2015-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "WI",
            "license": "47803-020",
            "primary": true
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "WI",
            "license": "47803-020",
            "primary": false
        },
        {
            "code": "207RA0401X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Addiction Medicine",
            "state": "WI",
            "license": "47803-20",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Milwaukee, WI

Sources for this page

Verify at the official NPI Registry.