Individual provider Active NPI

Radha Krishna Sanka, M.D.

  • Ophthalmology Physician
  • Mount Pleasant, WI
National Provider Identifier
1508042060
Registry record updated Apr 16, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
57019 Issued in WI
Practice address
3805B Spring St
Mount Pleasant, WI 53405-1641
Phone
(262) 637-0500
NPI assigned
Jan 15, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 16, 2012

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 036.125446 IL
Ophthalmology Physician 207W00000X 062429 GA
Ophthalmology Physician 207W00000X 57019 WI Primary

Addresses

Primary practice location

3805B Spring St
Mount Pleasant, WI 53405-1641

Mailing address

3805B Spring St
Mount Pleasant, WI 53405-1641
Phone (262) 637-0500

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120507000210 WI Practitioner - Ophthalmology 8325179518 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Duke University School of Medicine, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Eye Centers of Racine and Kenosha LTDGroup PAC ID 8921069048, 6 clinicians

Practice addresses (Care Compare)

13200 Globe Dr
Suite 216
Mount Pleasant, WI 53177-1605
Phone (262) 637-0500

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery368

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
062429GAMDOphthalmology Physician
036.125446ILMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Eye Centers of Racine and Kenosha LTD Ophthalmology CurrentSince May 1, 2012 Accepting new patients
Eye Centers of Racine and Kenosha LTD Ophthalmology CurrentSince May 1, 2012 Accepting new patients

Locations

9916 75th St
Ste 101
Kenosha, WI 53142
Phone (262) 637-0500

13200 Globe Dr
Ste 216
Mount Pleasant, WI 53177
Phone (262) 635-0700

3805B Spring St
Ste 140
Mount Pleasant, WI 53405
Phone (262) 637-0500

Interoperability endpoints

  • Direct secure messaging: rsanka348452@direct.froedtert.com

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.

Hospital & facility affiliations 1

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": "1200355200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1334534400000",
    "number": "1508042060",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3805B SPRING ST",
            "city": "MOUNT PLEASANT",
            "state": "WI",
            "postal_code": "534051641",
            "telephone_number": "262-637-0500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3805B SPRING ST",
            "city": "MOUNT PLEASANT",
            "state": "WI",
            "postal_code": "534051641",
            "telephone_number": "262-637-0500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANKA",
        "first_name": "RADHA",
        "middle_name": "KRISHNA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-01-15",
        "last_updated": "2012-04-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "IL",
            "license": "036.125446",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "GA",
            "license": "062429",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "WI",
            "license": "57019",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mount Pleasant, WI

Sources for this page

Verify at the official NPI Registry.