Active NPI
Hariharan Shankar, MD
- Pain Medicine (Anesthesiology) Physician
- Milwaukee, WI
National Provider Identifier
1275585028
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pain Medicine (Anesthesiology) Physician
- License
- 44813
- Practice address
- 959 N Mayfair Rd
MCW Pain Management Center
Milwaukee, WI 53226-3465 - Phone
- (414) 955-7601
- Fax
- (414) 955-6020
- NPI assigned
- May 17, 2006
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | 44813 | WI | |
| Pain Medicine (Anesthesiology) Physician | 207LP2900X | 44813 | WI | Primary |
Addresses
Primary practice location
959 N Mayfair Rd
MCW Pain Management Center
Milwaukee, WI 53226-3465
Mailing address
959 N Mayfair Rd
MCW Pain Management Center
Milwaukee, WI 53226-3465
Phone (414) 955-7601
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275585028 | 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 |
|---|---|---|---|
| 44813 | WI | MD | Pain Medicine (Anesthesiology) Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147824000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1412726400000",
"number": "1275585028",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "959 N MAYFAIR RD",
"address_2": "MCW PAIN MANAGEMENT CENTER",
"city": "MILWAUKEE",
"state": "WI",
"postal_code": "532263465",
"telephone_number": "414-955-7601",
"fax_number": "414-955-6020"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "959 N MAYFAIR RD",
"address_2": "MCW PAIN MANAGEMENT CENTER",
"city": "MILWAUKEE",
"state": "WI",
"postal_code": "532263465",
"telephone_number": "414-955-7601",
"fax_number": "414-955-6020"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHANKAR",
"first_name": "HARIHARAN",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-17",
"last_updated": "2014-10-08",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "WI",
"license": "44813",
"primary": false
},
{
"code": "207LP2900X",
"taxonomy_group": "",
"desc": "Anesthesiology, Pain Medicine",
"state": "WI",
"license": "44813",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1275585028",
"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 Oct 8, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.