Active NPI
Shiva Kumar, MD
- Hepatology Physician
- Milwaukee, WI
National Provider Identifier
1407896996
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hepatology Physician
- License
- 51144-20
- Practice address
- 2801 W KK River Pkwy
Suite 1030
Milwaukee, WI 53215-3669 - Phone
- (414) 908-6500
- Fax
- (414) 385-2980
- NPI assigned
- Jun 7, 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 |
|---|---|---|---|---|
| Hepatology Physician | 207RI0008X | 51144-20 | WI | Primary |
| Internal Medicine Physician | 207R00000X | 15623R | LA |
Addresses
Primary practice location
2801 W KK River Pkwy
Suite 1030
Milwaukee, WI 53215-3669
Mailing address
3033 S 27TH St
Suite 202
Milwaukee, WI 53215-3600
Phone (414) 908-6500
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1460702 | Medicaid | LA | |
| 51144-20 | Other | WI | STATE OF WI LICENSE |
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 |
|---|---|---|---|
| 15623R | LA | MD | Internal Medicine Physician |
| 51144-20 | WI | MD | Hepatology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ochsner Clinic LLC | Internal Medicine | Past | Accepting new patients |
| Aurora Medical Group, Inc. | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Durable Medical Equipment & Medical Supplies
- Union Grove, WI
- NPI 1245440601
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149638400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1216857600000",
"number": "1407896996",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3033 S 27TH ST",
"address_2": "SUITE 202",
"city": "MILWAUKEE",
"state": "WI",
"postal_code": "532153600",
"telephone_number": "414-908-6500",
"fax_number": "414-385-2980"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2801 W KK RIVER PKWY",
"address_2": "SUITE 1030",
"city": "MILWAUKEE",
"state": "WI",
"postal_code": "532153669",
"telephone_number": "414-908-6500",
"fax_number": "414-385-2980"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KUMAR",
"first_name": "SHIVA",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-07",
"last_updated": "2008-07-24",
"status": "A"
},
"taxonomies": [
{
"code": "207RI0008X",
"taxonomy_group": "",
"desc": "Internal Medicine, Hepatology",
"state": "WI",
"license": "51144-20",
"primary": true
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "LA",
"license": "15623R",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1460702",
"state": "LA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE OF WI LICENSE",
"identifier": "51144-20",
"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 Jul 24, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.