DR. KUMAR R SANNAGOWDARA M D
NPI 1063779601
Psychiatry & Neurology - Neurology with Special Qualifications in Child Neurology in Greenfield, WI

Q: What is Kumar Sannagowdara's NPI number?

The NPI number for Kumar Sannagowdara is 1063779601. It was assigned to this individual provider in the NPPES registry on April 20, 2012.

Q: What is Kumar Sannagowdara's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Neurology with Special Qualifications in Child Neurology, with taxonomy code 2084N0402X.

Active since April 20, 2012PECOS EnrolledAccepts Medicare Assignment

9000 W SURA LN, GREENFIELD, WI 53228(414) 246-6800(414) 246-6405 Get Directions Write a Review

NPPES record last updated: August 11, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 11, 2023, Nov 18, 2021, Mar 4, 2021 and 2 more (5 updates tracked since 2017).

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About Dr. Kumar R Sannagowdara M D NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. KUMAR R SANNAGOWDARA M D (NPI 1063779601) is an individual neurology with special qualifications in child neurology provider in Greenfield, Wisconsin, licensed in Wisconsin (57263) and active in the NPI registry since April 2012. He is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Other (1995).

NPPES Registry Identity

NPI1063779601

Entity TypeIndividualMale

Primary Taxonomy2084N0402X

Provider Legal NameDR. KUMAR R SANNAGOWDARACredential: M D

Location Address9000 W SURA LNGreenfield, WI 53228-3477

Mailing Address3301 W Forest Home AveMilwaukee, WI 53215-2843 · (414) 246-6800 · Fax (414) 246-6405

Phone(414) 246-6800

Fax(414) 246-6405

Sole ProprietorNo

Medical School CMSOtherGraduated 1995

Enumeration DateApril 20, 2012

Last NPPES UpdateAugust 11, 20235 updates tracked since enumeration

NPPES CertifiedAugust 11, 2023

✔ NPI 1063779601 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · Neurology with Special Qualifications in Child NeurologyAllopathic & Osteopathic Physicians

Taxonomy Code2084N0402X

License✔ Licensed in WI · 57263

Definition

A Child Neurologist specializes in neurology with special skills in diagnosis and treatment of neurologic disorders of the neonatal period, infancy, early childhood, and adolescence.

9000 W SURA LN, Greenfield, WI 53228

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Secondary Practice Locations 2

Location 112500 Aurora DrPleasant Prairie, WI 53158-1227 · Phone (262) 857-5000 · Fax (262) 857-5001

Location 29000 W Wisconsin Ave, Pediatric NeurologyMilwaukee, WI 53226-4874 · Phone (414) 266-3464 · Fax (414) 266-3466

Other Identifiers 1

Medicaid1063779601WI

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Aspirus Health Plan, CareSource (Common Ground Healthcare) and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Kumar R Sannagowdara M D is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID7618296732

PECOS Enrollment IDI20160701000471

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 53228 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$123.69 typical visit price

range $53.90 – $163.24

Typical copayment $30.92 (range $13.47 – $40.81)

Most-billed visit code 99204

Established Patient

$95.41 typical visit price

range $17.40 – $133.76

Typical copayment $23.85 (range $4.35 – $33.44)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

STEPHANEY ANNE BUBLITZ OTR/L

Occupational Therapist