Individual provider Active NPI

Shobha D Gagrat, MD

  • Psychiatry Physician
  • Milwaukee, WI
National Provider Identifier
1427073303
Registry record updated Aug 26, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
21131-020 Issued in WI
Practice address
229 E Wisconsin Ave
Suite 600
Milwaukee, WI 53202-4230
Phone
(424) 224-3737
Fax
(414) 224-3725
NPI assigned
Jul 13, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 26, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 21131-020 WI Primary

Addresses

Primary practice location

229 E Wisconsin Ave
Suite 600
Milwaukee, WI 53202-4230

Mailing address

229 E Wisconsin Ave
Suite 600
Milwaukee, WI 53202-4230
Phone (424) 224-3737

Other identifiers 1

IdentifierTypeStateIssuer
30238000MedicaidWI

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

LicenseStateTypeSpecialty
21131-020WIMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Aurora Psychiatric Hospital, Inc. Psychiatry Past Accepting new patients
Encompass-Effective Mental Health Services, Inc Psychiatry PastSince Apr 18, 2025 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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1152748800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1472169600000",
    "number": "1427073303",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "229 E WISCONSIN AVE",
            "address_2": "SUITE 600",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532024230",
            "telephone_number": "424-224-3737",
            "fax_number": "414-224-3725"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "229 E WISCONSIN AVE",
            "address_2": "SUITE 600",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532024230",
            "telephone_number": "424-224-3737",
            "fax_number": "414-224-3725"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GAGRAT",
        "first_name": "SHOBHA",
        "middle_name": "D",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-13",
        "last_updated": "2016-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "WI",
            "license": "21131-020",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "30238000",
            "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 Aug 26, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.