Individual provider Active NPI

Suraj Pal Singh, M.D.,MRCPSYCH

  • Psychiatry Physician
  • Milwaukee, WI
National Provider Identifier
1801027602
Registry record updated Nov 18, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
55120 Issued in WI
Practice address
8701 W Watertown Plank Rd
Post Office Box 266509
Milwaukee, WI 53226-3548
Phone
(414) 456-4575
Fax
(414) 456-6528
NPI assigned
Jul 28, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 18, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction Medicine (Preventive Medicine) Physician 2083A0300X 55120 WI
Psychiatry Physician 2084P0800X 55120 WI Primary

Addresses

Primary practice location

8701 W Watertown Plank Rd
Post Office Box 266509
Milwaukee, WI 53226-3548

Mailing address

8701 W Watertown Plank Rd
Post Office Box 266509
Milwaukee, WI 53226-3548
Phone (414) 456-4575

Other practice location 1

11101 W Lincoln Ave
West Allis, WI 53227-1133
Phone (800) 767-4411

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
I20110322000841 WI Practitioner - PsychiatryPractitioner - General Practice 1153504535 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 2000
Medicare assignment
May accept Medicare assignment
Group practices
Rogers Memorial Hospital IncorporatedGroup PAC ID 3476455809, 46 clinicians

Practice addresses (Care Compare)

11101 W Lincoln Ave
West Allis, WI 53227-1133
Phone (414) 327-3000

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
55120WIMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
County of Milwaukee CurrentSince Jan 24, 2011 Accepting new patients
County of Milwaukee CurrentSince Jan 24, 2011 Accepting new patients
Rogers Behavioral Health - Wisconsin SC Addiction Medicine Past Accepting new patients

Locations

1220 W Vliet St
Milwaukee, WI 53205
Phone (414) 257-7475

Organizations & group practices 4

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": "1248739200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1668729600000",
    "number": "1801027602",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8701 W WATERTOWN PLANK RD",
            "address_2": "POST OFFICE BOX 266509",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532263548",
            "telephone_number": "414-456-4575",
            "fax_number": "414-456-6528"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8701 W WATERTOWN PLANK RD",
            "address_2": "POST OFFICE BOX 266509",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532263548",
            "telephone_number": "414-456-4575",
            "fax_number": "414-456-6528"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11101 W Lincoln Ave",
            "address_purpose": "LOCATION",
            "city": "West Allis",
            "state": "WI",
            "postal_code": "532271133",
            "country_code": "US",
            "telephone_number": "800-767-4411",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SINGH",
        "first_name": "SURAJ",
        "middle_name": "PAL",
        "name_prefix": "Dr.",
        "credential": "M.D.,MRCPSYCH",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-07-28",
        "last_updated": "2022-11-18",
        "certification_date": "2022-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2083A0300X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Addiction Medicine",
            "state": "WI",
            "license": "55120",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "WI",
            "license": "55120",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Milwaukee, WI

Sources for this page

Verify at the official NPI Registry.