Mohanasruthi Sanku, MD

Primary specialty

Child & Adolescent Psychiatry PhysicianTaxonomy code 2084P0804X

License

81827 Issued in WI

Practice address

11101 W Lincoln Ave
West Allis, WI 53227-1133

Phone

(800) 767-4411

NPI assigned

Apr 18, 2018

Last updated

Sep 18, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in MO

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

Specialty

Psychiatry

Education

University of Texas Medical Branch at Galveston, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

SSM Regional Health ServicesGroup PAC ID 8921917352, shared by 13 NPIs, 165 clinicians

Heartland Regional Medical CenterGroup PAC ID 6709772767, 394 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Mosaic Medical Center Albany Hospital, Albany, MO, CCN 261328
• Mosaic Life Care at St Joseph Hospital, Saint Joseph, MO, CCN 260006
• Mosaic Medical Center - Maryville Hospital, Maryville, MO, CCN 261340

Merit-based Incentive Payment System (MIPS)

Final score

84.76 of 100Reported as group

Quality

74.35

Promoting interoperability

100

Improvement activities

40

Cost

74.85

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Heartland Regional Medical Center

  dba Mosaic Life Care

  • General Practice Physician
  • Saint Joseph, MO
  • NPI 1477575405

  Neurology

  Medicare reassignment Care Compare group NPD
• Mosaic Medical Center - Maryville

  • Specialist
  • Maryville, MO
  • NPI 1184189797

  Psychiatry

  Medicare reassignment NPD
• Northwest Medical Center Association Inc

  dba Mosaic Medical Center Albany

  • Medicare Defined Swing Bed Hospital Unit
  • Albany, MO
  • NPI 1124164322
  Medicare reassignment NPD
• Heartland Regional Medical Center

  dba Mosaic Life Care

  • General Practice Physician
  • Saint Joseph, MO
  • NPI 1538200357

  Psychiatry

  NPD
• Heartland Regional Medical Center

  dba Mosaic Life Care at St. Joseph Acute Rehab

  • Rehabilitation Hospital Unit
  • Saint Joseph, MO
  • NPI 1841385093
  NPD
• Mosaic Medical Center - Maryville

  dba Mosaic Behavioral Health - Maryville

  • Psychiatric Hospital Unit
  • Maryville, MO
  • NPI 1477027803
  NPD
• Northwest Medical Center Association Inc

  dba Mosaic Professional Services Albany

  • Family Medicine Physician
  • Albany, MO
  • NPI 1447313721
  NPD

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

• Heartland Regional Medical Center

  dba Mosaic Life Care at St Joseph Medical Center

  • General Acute Care Hospital
  • Saint Joseph, MO
  • NPI 1437259694
  Care Compare affiliation
• Mosaic Medical Center - Maryville

  • Critical Access Hospital
  • Maryville, MO
  • NPI 1265906663
  Care Compare affiliation
• Northwest Medical Center Association Inc

  dba Mosaic Medical Center Albany

  • Critical Access Hospital
  • Albany, MO
  • NPI 1306893268
  Care Compare affiliation

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

{
    "created_epoch": "1524009600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726617600000",
    "number": "1891282562",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "34700 VALLEY RD",
            "city": "OCONOMOWOC",
            "state": "WI",
            "postal_code": "530664500",
            "telephone_number": "262-646-4411"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11101 W LINCOLN AVE",
            "city": "WEST ALLIS",
            "state": "WI",
            "postal_code": "532271133",
            "telephone_number": "800-767-4411"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "802 N Riverside Rd Ste 100B",
            "address_purpose": "LOCATION",
            "city": "Saint Joseph",
            "state": "MO",
            "postal_code": "645072502",
            "country_code": "US",
            "telephone_number": "816-271-8133",
            "fax_number": "816-271-8134",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SANKU",
        "first_name": "MOHANASRUTHI",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-04-18",
        "last_updated": "2024-09-18",
        "certification_date": "2024-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "MO",
            "license": "2024033693",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "WI",
            "license": "81827",
            "primary": false
        },
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "WI",
            "license": "81827",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sainta Inc
• Haley A Sampson, DPT
• Armando Sanchez, MD
• Vanessa Sanchez
• Sarah Sanderson
• Ani L Saryan Kopf, MD
• Lynne Saucedo, PHARMD
• Kukuhla Sawlon
• Kenneth M Saydel, DO
• Kaitlin Saylor

• Child & Adolescent Psychiatry Physician in West Allis, WI
• Providers in West Allis, WI by specialty
• Child & Adolescent Psychiatry Physician in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.