Active NPI
Anita Thakur, MD
- Anatomic Pathology & Clinical Pathology Physician
- Milwaukee, WI
National Provider Identifier
1255434353
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anatomic Pathology & Clinical Pathology Physician
- License
- 43392
- Practice address
- 2323 N Lake Drive
Milwaukee, WI 53211 - Phone
- (414) 291-1989
- Fax
- (414) 291-1129
- NPI assigned
- Sep 6, 2006
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Cytopathology Physician | 207ZC0500X | 43392 | WI | |
| Anatomic Pathology & Clinical Pathology Physician | 207ZP0102X | 43392 | WI | Primary |
Addresses
Primary practice location
2323 N Lake Drive
Milwaukee, WI 53211
Mailing address
13706 N Martin Way
Mequon, WI 53097
Phone (262) 243-9880
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 34254000 | 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 |
|---|---|---|---|
| 43392 | WI | MD | Anatomic Pathology & Clinical Pathology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1157500800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1757548800000",
"number": "1255434353",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13706 N MARTIN WAY",
"city": "MEQUON",
"state": "WI",
"postal_code": "53097",
"telephone_number": "262-243-9880"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2323 N LAKE DRIVE",
"city": "MILWAUKEE",
"state": "WI",
"postal_code": "53211",
"telephone_number": "414-291-1989",
"fax_number": "414-291-1129"
}
],
"practiceLocations": [],
"basic": {
"last_name": "THAKUR",
"first_name": "ANITA",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-09-06",
"last_updated": "2025-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "207ZC0500X",
"taxonomy_group": "",
"desc": "Pathology, Cytopathology",
"state": "WI",
"license": "43392",
"primary": false
},
{
"code": "207ZP0102X",
"taxonomy_group": "",
"desc": "Pathology, Anatomic Pathology & Clinical Pathology",
"state": "WI",
"license": "43392",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "34254000",
"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 Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.