NPIMap

Individual provider Active NPI

Siddesh V Besur, MD

  • Hepatology Physician
  • Milwaukee, WI
National Provider Identifier
1467653279
Registry record updated Aug 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hepatology PhysicianTaxonomy code 207RI0008X
License
64280-20 Issued in WI
Practice address
2900 W. Oklahoma Avenue
Aurora St Luke's Medical Center
Milwaukee, WI 53201
Phone
(414) 649-5534
NPI assigned
May 30, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 13, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 57008219 OH
Hepatology Physician 207RI0008X 64280-20 WI Primary

Addresses

Primary practice location

2900 W. Oklahoma Avenue
Aurora St Luke's Medical Center
Milwaukee, WI 53201

Mailing address

PO Box 2901, 2900 W. Oklahoma Avenue
Aurora St Luke's Medical Center
Milwaukee, WI 53201

Other identifiers 1

IdentifierTypeStateIssuer
100047085MedicaidWI

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address sbesur155318@direct.myadvocateaurora.org Direct
FHIR URL https://EpicFHIR.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150903000142 WI Practitioner - Internal Medicine 1951495415 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Aurora Medical Group, Inc.Group PAC ID 6709794258, 3,764 clinicians

Practice addresses (Care Compare)

2801 W Kinnickinnic River Pkwy
Milwaukee, WI 53215-3669
Phone (414) 385-8600

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
57008219OHMDInternal Medicine Physician
64280-20WIMDHepatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Aurora Medical Group, Inc. Internal Medicine CurrentSince Aug 24, 2015 Accepting new patients
Aurora Medical Group, Inc. CurrentSince Aug 24, 2015 Accepting new patients
Aurora Advanced Healthcare Inc CurrentSince Oct 8, 2015 Accepting new patients
Aurora Advanced Healthcare, Inc. Internal Medicine CurrentSince Oct 8, 2015 Accepting new patients
McLaren Flint Internal Medicine Past Accepting new patients
Aurora Medical Group, Inc. Past Accepting new patients
McLaren Flint Past Accepting new patients
McLaren Flint Internal Medicine Past Accepting new patients

Locations

3003 W Good Hope Rd
Glendale, WI 53209
Phone (414) 352-3100

N84W16889 Menomonee Ave
Menomonee Fls, WI 53051
Phone (262) 251-7500

12203 N Corporate Pkwy
Mequon, WI 53092
Phone (262) 387-8200

2801 W Kinnickinnic River Pkwy
Milwaukee, WI 53215
Phone (414) 384-5111

2900 W Oklahoma Ave
Milwaukee, WI 53215
Phone (414) 385-2590

1020 N 12th St
Milwaukee, WI 53233
Phone (414) 219-3056

2801 W Kinnickinnic River Pkwy
Ste 530
Milwaukee, WI 53215
Phone (414) 646-2550

Interoperability endpoints

  • Direct secure messaging: sbesur155318@direct.myadvocateaurora.org

Organizations & group practices 8

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 7

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1180483200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723507200000",
    "number": "1467653279",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2901, 2900 W. OKLAHOMA AVENUE",
            "address_2": "AURORA ST LUKE'S MEDICAL CENTER",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "53201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2900 W. OKLAHOMA AVENUE",
            "address_2": "AURORA ST LUKE'S MEDICAL CENTER",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "53201",
            "telephone_number": "414-649-5534"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BESUR",
        "first_name": "SIDDESH",
        "middle_name": "V",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-30",
        "last_updated": "2024-08-13",
        "certification_date": "2024-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OH",
            "license": "57008219",
            "primary": false
        },
        {
            "code": "207RI0008X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hepatology",
            "state": "WI",
            "license": "64280-20",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100047085",
            "state": "WI"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "sbesur155318@direct.myadvocateaurora.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "2900 W. Oklahoma Avenue",
            "address_2": "Aurora St Luke's Medical Center",
            "city": "Milwaukee",
            "state": "WI",
            "country_code": "US",
            "postal_code": "53201",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://EpicFHIR.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/",
            "affiliation": "N",
            "address_1": "2900 W. Oklahoma Avenue",
            "address_2": "Aurora St Luke's Medical Center",
            "city": "Milwaukee",
            "state": "WI",
            "country_code": "US",
            "postal_code": "53201",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Milwaukee, WI

Sources for this page

Verify at the official NPI Registry.