Prakash D Shah (NPI# 1013917996, PAC ID# 7315859600) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CARDIOVASCULAR DISEASE (CARDIOLOGY).
| Nation Provider ID (NPI) | 1013917996 |
| PAC ID by PECOS | 7315859600 |
| Professional Enrollment ID | I20040318001000 |
| Full Name | Prakash D Shah |
| Organization Legal Name | AURORA MEDICAL GROUP INC |
| Address |
2801 W Kinnickinnic River Pkwy Milwaukee WI 53215-3669 |
| Phone Number | 4143858600 |
| Gender | M |
| Credential | MD |
| Medical School | MEDICAL COLLEGE OF WISCONSIN |
| Graduation Year | 1990 |
| Primary Specialty | CARDIOVASCULAR DISEASE (CARDIOLOGY) |
| Group Practice PAC ID | 6709794258 |
| Number of Group Practice Members | 2463 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 520189 | AURORA MEDICAL CENTER KENOSHA |
| 520138 | AURORA ST LUKES MEDICAL CENTER |
| 520021 | UNITED HOSPITAL SYSTEM |
| Address | Phone | Organization |
|---|---|---|
| 45 Tower Ct, Gurnee, IL 60031-3376 | 8476233200 | AMG ILLINOIS LTD |
| 2801 W Kinnickinnic River Pkwy, Milwaukee, WI 53215-3669 | 4143858600 | AURORA MEDICAL GROUP INC |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| MIPS_EC_113_overall | Colorectal Cancer Screening | 65% | |
| MIPS_EC_128_overall | Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan | 37% | |
| MIPS_EC_130_overall | Documentation of Current Medications in the Medical Record | 100% | |
| MIPS_EC_226_overall | Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention | 99% |
| Organization Legal Name | AURORA MEDICAL GROUP INC |
| Physicians | 2268 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Brianna A Smith | Psychologist, Clinical | Aurora Medical Group Inc | 2424 S 90th St, West Allis, WI 53227-2455 |
| Ryan F Brower | Family Medicine | Aurora Medical Group Inc | 201 Townline Rd, Lake Geneva, WI 53147-4612 |
| Jeffrey T Lyvers | Anesthesiology | Aurora Medical Group Inc | 2900 W Oklahoma Ave, Milwaukee, WI 53215-4330 |
| Vanja Z Rissky | Nurse Practitioner | Aurora Medical Group Inc | 2801 W Kinnickinnic River Pkwy, Milwaukee, WI 53215-3669 |
| Kelly J Herbst-frailing | Physical Therapy | Aurora Medical Group Inc | 9000 W Sura Ln, Greenfield, WI 53228-3477 |
| Chinwe D Opara | Nurse Practitioner | Aurora Medical Group Inc | 3023 S 84th St, West Allis, WI 53227-3703 |
| Courtney F Klatt | Nurse Practitioner | Aurora Medical Group Inc | 1902 Mead Ave, Sheboygan, WI 53081-6140 |
| Nandita Batchra | Otolaryngology | Aurora Medical Group Inc | 8400 Washington Ave, Mount Pleasant, WI 53406-3735 |
| Phenu V Zachariah | Endocrinology | Aurora Medical Group Inc | 1151 Warwick Way, Racine, WI 53406-5661 |
| Adam M Stoll | Clinical Social Worker | Aurora Medical Group Inc | 12225 71st St, Kenosha, WI 53142-7320 |
| Street Address |
2801 W KINNICKINNIC RIVER PKWY |
| City | MILWAUKEE |
| State | WI |
| Zip | 53215-3669 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Vanja Z Rissky | Nurse Practitioner | Aurora Medical Group Inc | 2801 W Kinnickinnic River Pkwy, Milwaukee, WI 53215-3669 |
| Stephen R Thompson | Anesthesiology | Anesthesia Partners Services Sc | 2801 W Kinnickinnic River Pkwy, Suite 1025, Milwaukee, WI 53215-5211 |
| Nicole M Zaremba | General Surgery | Aurora Medical Group Inc | 2801 W Kinnickinnic River Pkwy, Milwaukee, WI 53215-3669 |
| Brent Witten | Orthopedic Surgery | Aurora Advanced Healthcare Inc | 2801 W Kinnickinnic River Pkwy, Suite 345, Milwaukee, WI 53215-3693 |
| Jodi L Zilinski | Cardiac Electrophysiology | Aurora Medical Group Inc | 2801 W Kinnickinnic River Pkwy, Milwaukee, WI 53215-3669 |
| Catherine M De Grandville | Family Medicine | Aurora Health Care Metro Inc | 2801 W Kinnickinnic River Pkwy, Suite 250, Milwaukee, WI 53215-3678 |
| Betiel F Voss | Endocrinology | Aurora Medical Group Inc | 2801 W Kinnickinnic River Pkwy, Milwaukee, WI 53215-3669 |
| Maggie Y Yang | Physician Assistant | Aurora Medical Group Inc | 2801 W Kinnickinnic River Pkwy, Milwaukee, WI 53215-3669 |
| Rebecca A Schultz | Nurse Practitioner | Aurora Health Care Metro Inc | 2801 W Kinnickinnic River Pkwy, Suite 250, Milwaukee, WI 53215-3678 |
| Christopher S Wilson | General Surgery | Aurora Medical Group Inc | 2801 W Kinnickinnic River Pkwy, Milwaukee, WI 53215-3669 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Alvaro Aleman | General Practice | 3527 W National Ave, Milwaukee, WI 53215-1024 | |
| Sergio C Casaclang | Family Medicine | 3501 W Greenfield Ave, Milwaukee, WI 53215-1445 | |
| Katherine A Michalek | Nurse Practitioner | Aurora Medical Group Inc | 4111 W Mitchell St, Milwaukee, WI 53215-1748 |
| Cynthia M Bellanger | Nurse Practitioner | Aurora Medical Group Inc | 4111 W Mitchell St, Milwaukee, WI 53215-1748 |
| Leslie A Mueller Grady | Nurse Practitioner | Aurora Medical Group Inc | 4111 W Mitchell St, Milwaukee, WI 53215-1748 |
| Michelle Suzanne Wangrow | Physical Therapy | Chad Novasic Pt Ltd | 2512 W Lincoln Ave, Milwaukee, WI 53215-2575 |
| Daniel Gage | Physical Therapy | Chad Novasic Pt Ltd | 2512 W Lincoln Ave, Milwaukee, WI 53215-2575 |
| Mark J Neu | Physical Therapy | Chad Novasic Pt Ltd | 2512 W Lincoln Ave, Milwaukee, WI 53215-2575 |
| Chad M Novasic | Physical Therapy | Chad Novasic Pt Ltd | 2512 W Lincoln Ave, Milwaukee, WI 53215-2575 |
| Travis R Hill | Physical Therapy | Chad Novasic Pt Ltd | 2512 W Lincoln Ave, Milwaukee, WI 53215-2575 |
| Find all physicians in zip 53215 | |||
| City | MILWAUKEE |
| Zip Code | 53215 |
| Specialty | CARDIOVASCULAR DISEASE (CARDIOLOGY) |
| City + Specialty | MILWAUKEE + CARDIOVASCULAR DISEASE (CARDIOLOGY) |
Please comment or provide details below to improve the information on Prakash D Shah.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.