Individual provider Active NPI

Suhail Qadir Allaqaband, MD

  • Interventional Cardiology Physician
  • Milwaukee, WI
National Provider Identifier
1669449203
Registry record updated Nov 18, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Cardiology PhysicianTaxonomy code 207RI0011X
License
39001-020 Issued in 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
Last updated
Nov 18, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 18, 2021

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 39001-020 WI
Cardiovascular Disease Physician 207RC0000X 39001 WI
Interventional Cardiology Physician 207RI0011X 39001-020 WI Primary

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

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address sallaqaband485@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: 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
I20050207000881 WI Practitioner - Interventional CardiologyPractitioner - Cardiovascular Disease (Cardiology)Practitioner - Peripheral Vascular DiseasePractitioner - Internal Medicine 9133170194 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Interventional CardiologyAlso: Peripheral Vascular Disease
Education
Other, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Aurora Medical Group, Inc.Group PAC ID 6709794258, 3,764 clinicians
Aurora Advanced Healthcare, Inc.Group PAC ID 3375625833, 1,107 clinicians

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

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary angioplasty and stenting84
Leg revascularization (restoring blood flow)1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
39001WIMDCardiovascular Disease Physician
39001-020WIMDInterventional Cardiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Lakeshore Medical Clinic, LLC CurrentSince Mar 19, 2021 Accepting new patients
Lakeshore Medical Clinic LTD CurrentSince Mar 19, 2021 Accepting new patients
Aurora Advanced Healthcare, Inc. Internal Medicine CurrentSince Feb 1, 2008 Accepting new patients
Aurora Medical Group, Inc. CurrentSince Jul 1, 2003 Accepting new patients
West Allis Memorial Hospital, Inc. CurrentSince Aug 19, 2005 Accepting new patients
West Allis Memorial Hospital, Inc. CurrentSince Aug 19, 2005 Accepting new patients
Aurora Medical Group, Inc. Internal Medicine Current Accepting new patients
Aurora Advanced Healthcare Inc CurrentSince Feb 1, 2008 Accepting new patients
Aurora Medical Group, Inc. CurrentSince Jul 1, 2003 Accepting new patients
A2Cl Services, LLC Current Accepting new patients
Aurora Health Care Metro, Inc. CurrentSince Dec 1, 2004 Accepting new patients
Aurora Medical Group, Inc. Past Accepting new patients
Heart Care Associates LLC Cardiovascular Disease 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

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

7080 N Port Washington Rd
Glendale, WI 53217
Phone (414) 228-4940

975 Port Washington Rd
Ste 310
Grafton, WI 53024
Phone (262) 329-1000

123 N Military Ave
Green Bay, WI 54303
Phone (920) 494-3421

2733 S Ridge Rd
Green Bay, WI 54304
Phone (920) 497-6200

2845 Greenbrier Rd
#1
Green Bay, WI 54311
Phone (920) 288-8100

10117 74th St
Ste 110
Kenosha, WI 53142
Phone (262) 697-1919

6308 8th Ave
Kenosha, WI 53143
Phone (262) 653-5300

601 Reed Ave
Manitowoc, WI 54220
Phone (920) 682-8841

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

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

1218 W Kilbourn Ave
Milwaukee, WI 53233
Phone (414) 219-7343

1575 N Rivercenter Dr
Milwaukee, WI 53212
Phone (414) 283-8444

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

2801 W Kinnickinnic River Pkwy
Ste 440
Milwaukee, WI 53215
Phone (414) 385-2700

2801 W Kinnickinnic River Pkwy
Ste 777
Milwaukee, WI 53215
Phone (414) 649-3370

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

3301 W Forest Home Ave
Milwaukee, WI 53215
Phone (414) 389-2233

4131 W Loomis Rd
Ste 110
Milwaukee, WI 53221
Phone (414) 281-3509

5000 W Chambers St
Milwaukee, WI 53210
Phone (414) 447-2089

5017 S 110th St
Milwaukee, WI 53228
Phone (414) 427-8282

8400 Washington Ave
Mount Pleasant, WI 53406
Phone (262) 231-3000

Interoperability endpoints

  • Direct secure messaging: sallaqaband485@direct.myadvocateaurora.org

Organizations & group practices 13

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.

View all 13

Hospital & facility affiliations 9

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": "1141257600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1637193600000",
    "number": "1669449203",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2040",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532012040",
            "telephone_number": "414-649-3370",
            "fax_number": "414-649-3278"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2801 W KINNICKINNIC RIVER PKWY",
            "address_2": "SUITE 777",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "53215",
            "telephone_number": "414-649-3370",
            "fax_number": "414-649-3278"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALLAQABAND",
        "first_name": "SUHAIL",
        "middle_name": "QADIR",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-02",
        "last_updated": "2021-11-18",
        "certification_date": "2021-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "WI",
            "license": "39001-020",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "WI",
            "license": "39001",
            "primary": false
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "WI",
            "license": "39001-020",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "sallaqaband485@direct.myadvocateaurora.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "2801 W Kinnickinnic River Pkwy",
            "address_2": "Suite 777",
            "city": "Milwaukee",
            "state": "WI",
            "country_code": "US",
            "postal_code": "53215",
            "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": "2801 W Kinnickinnic River Pkwy",
            "address_2": "Suite 777",
            "city": "Milwaukee",
            "state": "WI",
            "country_code": "US",
            "postal_code": "53215",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Milwaukee, WI

Sources for this page

Verify at the official NPI Registry.