Suhail Qadir Allaqaband, MD
Individual provider Active NPI Interventional Cardiology Physician · Milwaukee, WI
NPI 1669449203 · NPPES record last updated Nov 18, 2021
Key facts
- NPI
- 1669449203
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Interventional Cardiology Physician 207RI0011X
- License
- 39001-020 (WI)
- Practice address
- 2801 W Kinnickinnic River Pkwy
Suite 777
Milwaukee, WI 53215 - Phone
- (414) 649-3370
- Fax
- (414) 649-3278
- NPI assigned
- Mar 2, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 32
Hospital & facility affiliations 9
Medicare Care Compare profile
- Specialty
- Interventional Cardiology
- Education
- Other, 1994
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Aurora Medical Group, Inc.
Aurora Advanced Healthcare, Inc.
Practice addresses (Care Compare)
2801 W Kinnickinnic River Pkwy
Milwaukee, WI 53215-3669
Phone (414) 385-8600
3003 W Good Hope Rd
Milwaukee, WI 53209-2042
Phone (414) 352-3100
Hospital & facility affiliations
- Aurora at Home
- Aurora St Lukes Medical Center
- Aurora Medical Center
- West Allis Memorial Hospital
- Aurora Medical Ctr Washington County
- Aurora Medical Center - Summit
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Coronary angioplasty and stenting | 84 |
| Leg revascularization (restoring blood flow) | 1-10 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in WI
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20050207000881 | WI | Practitioner - Interventional Cardiology |
9133170194 | Reassigns benefits to 5 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 39001-020 | WI | MD | Internal Medicine Physician |
| 39001 | WI | MD | Cardiovascular Disease Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| West Allis Memorial Hospital, Inc. | Current |
Accepting new patients | |
| Aurora Medical Group, Inc. | Current |
Accepting new patients | |
| Aurora Advanced Healthcare Inc | Current |
Accepting new patients | |
| West Allis Memorial Hospital, Inc. | Current |
Accepting new patients | |
| Lakeshore Medical Clinic LTD | Current |
Accepting new patients | |
| Lakeshore Medical Clinic, LLC | Current |
Accepting new patients | |
| Aurora Advanced Healthcare, Inc. | Internal Medicine | Current |
Accepting new patients |
| A2Cl Services, LLC | Current | Accepting new patients | |
| Aurora Medical Group, Inc. | Internal Medicine | Current | Accepting new patients |
| Aurora Health Care Metro, Inc. | Current |
Accepting new patients | |
| Aurora Medical Group, Inc. | Current |
Accepting new patients | |
| Heart Care Associates LLC | Cardiovascular Disease | Past | Accepting new patients |
| Aurora Medical Group, Inc. | Past | Accepting new patients |
Locations (25 of 34)
1905 E Huebbe Pkwy
Beloit, WI 53511
Phone (608) 364-2293
12500 W Bluemound Rd
Elm Grove, WI 53122
Phone (262) 780-3434
210 Wisconsin American Dr
Fond du Lac, WI 54937
Phone (920) 907-7000
7080 N Port Washington Rd
Glendale, WI 53217
Phone (414) 228-4940
3003 W Good Hope Rd
Glendale, WI 53209
Phone (414) 352-3100
975 Port Washington Rd
Ste 310
Grafton, WI 53024
Phone (262) 329-1000
2733 S Ridge Rd
Green Bay, WI 54304
Phone (920) 497-6200
123 N Military Ave
Green Bay, WI 54303
Phone (920) 494-3421
2845 Greenbrier Rd
#1
Green Bay, WI 54311
Phone (920) 288-8100
6308 8th Ave
Kenosha, WI 53143
Phone (262) 653-5300
10117 74th St
Ste 110
Kenosha, WI 53142
Phone (262) 697-1919
601 Reed Ave
Manitowoc, WI 54220
Phone (920) 682-8841
12203 N Corporate Pkwy
Mequon, WI 53092
Phone (262) 387-8200
3301 W Forest Home Ave
Milwaukee, WI 53215
Phone (414) 389-2233
1218 W Kilbourn Ave
Milwaukee, WI 53233
Phone (414) 219-7343
1020 N 12th St
Milwaukee, WI 53233
Phone (414) 219-3056
5017 S 110th St
Milwaukee, WI 53228
Phone (414) 427-8282
5000 W Chambers St
Milwaukee, WI 53210
Phone (414) 447-2089
2801 W Kinnickinnic River Pkwy
Ste 440
Milwaukee, WI 53215
Phone (414) 385-2700
2900 W Oklahoma Ave
Milwaukee, WI 53215
Phone (414) 385-2590
2801 W Kinnickinnic River Pkwy
Milwaukee, WI 53215
Phone (414) 384-5111
4131 W Loomis Rd
Ste 110
Milwaukee, WI 53221
Phone (414) 281-3509
2801 W Kinnickinnic River Pkwy
Ste 777
Milwaukee, WI 53215
Phone (414) 649-3390
1575 N Rivercenter Dr
Milwaukee, WI 53212
Phone (414) 283-8444
8400 Washington Ave
Mount Pleasant, WI 53406
Phone (262) 231-3000
Interoperability endpoints
- sallaqaband485@direct.myadvocateaurora.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 39001-020 | WI | |
| Cardiovascular Disease Physician | 207RC0000X | 39001 | WI | |
| Interventional Cardiology Physician | 207RI0011X | 39001-020 | WI | Yes |
Addresses
Primary practice location
2801 W Kinnickinnic River Pkwy
Suite 777
Milwaukee, WI 53215
Mailing address
PO Box 2040
Milwaukee, WI 53201-2040
Phone (414) 649-3370
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 32477500 | Medicaid | WI |
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | sallaqaband485@direct.myadvocateaurora.org | Direct | |
| FHIR URL | https://EpicFHIR.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/ |
Other providers in Milwaukee, WI
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- Allegiance Home Health Care ,LLC
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All providers in Milwaukee, WI · Interventional Cardiology Physician in Wisconsin
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 18, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.