Individual provider Active NPI

Vikram Bamra

  • Diagnostic Radiology Physician
  • Wauwatosa, WI
National Provider Identifier
1952569667
Registry record updated Nov 22, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
60930 - 20 Issued in WI
Practice address
4025 N 92ND St
Wauwatosa, WI 53222-1613
Phone
(414) 358-5437
Fax
(414) 358-5421
NPI assigned
May 29, 2008
Last updated
Nov 22, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 22, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 60930 - 20 WI Primary

Addresses

Primary practice location

4025 N 92ND St
Wauwatosa, WI 53222-1613

Mailing address

444 E Corcoran Ave
601
Milwaukee, WI 53202-6121
Phone (510) 590-1498

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address vbamra87041@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
I20130827000974 WI Practitioner - Diagnostic Radiology 6507009263 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Other, 2007
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
Lakeshore Medical Clinic LLCGroup PAC ID 7719890730, 375 clinicians

Practice addresses (Care Compare)

1005 Spring City Dr
Waukesha, WI 53186-5934
Phone (262) 371-4040

1020 N 12TH St
Milwaukee, WI 53233-1308
Phone (414) 219-3056

1032 E Sumner St
Hartford, WI 53027-1608
Phone (262) 673-2300

10400 75TH St
Kenosha, WI 53142-7884
Phone (262) 948-7000

1100 Gateway CT
West Bend, WI 53095-8539
Phone (262) 335-8600

120 Chapman Farms Blvd
Mukwonago, WI 53149-9337
Phone (262) 363-6160

12203 N Corporate Pkwy
Mequon, WI 53092-3388
Phone (262) 387-8200

12500 Aurora Dr
Pleasant Prairie, WI 53158-1227
Phone (262) 857-5000

13250 Washington Ave
Mount Pleasant, WI 53177-1516
Phone (262) 884-4000

14555 W National Ave
Suite 120
New Berlin, WI 53151-4494
Phone (262) 827-2955

146 E Geneva SQ
Lake Geneva, WI 53147-9694
Phone (262) 249-5000

1640 E Sumner St
Hartford, WI 53027-2684
Phone (262) 670-4000

1881 Chicago St
De Pere, WI 54115-3770
Phone (920) 403-8000

2000 E Layton Ave
Suite 130
St Francis, WI 53235-6067
Phone (414) 747-8856

201 E Morrissey Dr
Elkhorn, WI 53121-4395
Phone (262) 723-3100

205 Valley Ave
West Bend, WI 53095-5312
Phone (262) 338-1123

210 Wisconsin American Dr
Fond Du Lac, WI 54937-2999
Phone (920) 907-4800

215 W Washington St
Grafton, WI 53024-1700
Phone (262) 375-3700

2414 Kohler Memorial Dr
Sheboygan, WI 53081-3129
Phone (920) 457-4461

248 McHenry St
Burlington, WI 53105-1828
Phone (262) 767-8000

252 McHenry St
Burlington, WI 53105-1828
Phone (262) 767-7000

2600 Kiley Way
Plymouth, WI 53073-5020
Phone (920) 449-7000

2621 S Green Bay Rd
Racine, WI 53406-4948
Phone (262) 504-6100

2900 W Oklahoma Ave
Milwaukee, WI 53215-4330
Phone (414) 646-5410

3003 University Dr
Marinette, WI 54143-4110
Phone (715) 735-6621

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
60930 - 20WIMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Lakeshore Medical Clinic, LLC CurrentSince Dec 14, 2014 Accepting new patients
Lakeshore Medical Clinic LTD CurrentSince Dec 14, 2014 Accepting new patients
Aurora Advanced Healthcare, Inc. CurrentSince May 1, 2014 Accepting new patients
Aurora Medical Group, Inc. CurrentSince Jul 1, 2013 Accepting new patients
Aurora Medical Group, Inc. Diagnostic Radiology CurrentSince Jul 1, 2013 Accepting new patients
Aurora Advanced Healthcare Inc CurrentSince May 1, 2014 Accepting new patients
Visiting Nurse Association of Wisconsin, Inc. Past Accepting new patients
Aurora Medical Group, Inc. Past Accepting new patients
Aurora Medical Group, Inc. Past Accepting new patients

Locations (25 of 37)

1611 S Madison St
Appleton, WI 54915
Phone (920) 727-4395

112 N US Highway 141
Crivitz, WI 54114
Phone (715) 735-6621

W3985 Highway NN
Elkhorn, WI 53121
Phone (262) 741-2000

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

9200 W Loomis Rd
Franklin, WI 53132
Phone (414) 529-9200

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

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

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

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

2845 Greenbrier Rd
#4
Green Bay, WI 54311
Phone (920) 288-8400

1004 E Sumner St
Hartford, WI 53027
Phone (262) 670-7000

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

7550 22nd Ave
Kenosha, WI 53143
Phone (262) 658-2500

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

3003 University Dr
Marinette, WI 54143
Phone (715) 732-8200

3130 Shore Dr
Marinette, WI 54143
Phone (715) 735-7421

4061 Old Peshtigo Rd
Marinette, WI 54143
Phone (715) 732-8000

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

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

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

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

5818 W Capitol Dr
Milwaukee, WI 53216
Phone (414) 447-8071

945 N 12th St
Ste E360
Milwaukee, WI 53233
Phone (414) 219-7226

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

Interoperability endpoints

  • Direct secure messaging: vbamra87041@direct.myadvocateaurora.org

Organizations & group practices 9

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.

Hospital & facility affiliations 8

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": "1212019200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1637539200000",
    "number": "1952569667",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "444 E CORCORAN AVE",
            "address_2": "601",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532026121",
            "telephone_number": "510-590-1498"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4025 N 92ND ST",
            "city": "WAUWATOSA",
            "state": "WI",
            "postal_code": "532221613",
            "telephone_number": "414-358-5437",
            "fax_number": "414-358-5421"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAMRA",
        "first_name": "VIKRAM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-05-29",
        "last_updated": "2021-11-22",
        "certification_date": "2021-11-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "WI",
            "license": "60930 - 20",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "vbamra87041@direct.myadvocateaurora.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "4025 N 92nd St",
            "city": "Wauwatosa",
            "state": "WI",
            "country_code": "US",
            "postal_code": "532221613",
            "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": "4025 N 92nd St",
            "city": "Wauwatosa",
            "state": "WI",
            "country_code": "US",
            "postal_code": "532221613",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Wauwatosa, WI

Sources for this page

Verify at the official NPI Registry.