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SUSIANI INTAN MD
NPI 1114274529
Ophthalmology - Neuro-ophthalmology in Milwaukee, WI

Active since August 06, 2012PECOS EnrolledAccepts Medicare Assignment
2801 W KINNICKINNIC RIVER PKWY, MILWAUKEE, WI 53215(414) 385-1922(414) 385-1988 Get Directions Write a Review

NPPES record last updated: October 14, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 17, 2024, Mar 1, 2023, Jul 21, 2022 and 5 more (8 updates tracked since 2017).

About Susiani Intan Md NPPES

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

SUSIANI INTAN MD (NPI 1114274529) is an individual neuro-ophthalmology provider in Milwaukee, Wisconsin, licensed in Wisconsin (62499) and active in the NPI registry since August 2012. She is enrolled in Medicare PECOS, is affiliated with Aurora St Lukes Medical Center, and is a graduate of Other (2007).

NPPES Registry Identity

NPI1114274529
Entity TypeIndividualFemale
Primary Taxonomy207WX0109X
Provider Legal NameSUSIANI INTANCredential: MD
Location Address2801 W KINNICKINNIC RIVER PKWYMilwaukee, WI 53215-3669
Mailing AddressPo Box 735044Chicago, IL 60673-5044 · (800) 326-2250
Phone(414) 385-1922
Fax(414) 385-1988
Sole ProprietorNo
Medical School CMSOtherGraduated 2007
Enumeration DateAugust 6, 2012
Last NPPES UpdateOctober 14, 20248 updates tracked since enumeration
NPPES CertifiedOctober 14, 2024
✔ NPI 1114274529 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyOphthalmology · Neuro-ophthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207WX0109X
License✔ Licensed in WI · 62499
Definition
A neuro-ophthalmologist is a subspecialist of ophthalmology. This physician evaluates, treats, and studies disorders of the eye, orbit and nervous system having to do with interactions of the visual motor and visual sensory systems with the central nervous system. Neuro-ophthalmologists manage patients with complex and severe neuro-ophthalmological disorders.
Also ListedPsychiatry & Neurology · NeurologyTaxonomy 2084N0400X · License 62449 (WI)
2801 W KINNICKINNIC RIVER PKWY, Milwaukee, WI 53215
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Other Identifiers 4

Medicaid100038273WI
Medicaid1114274529WA
OtherG8966407WA · Wvh Ptan
OtherG8966408WA · Wvh Ptan

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

Susiani Intan Md 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 ID6709105190
PECOS Enrollment IDI20211025001227
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.

Areas of Expertise CMS Part B claims 10

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Imaging of optic nerve 92133
Imaging of the optic nerve is a non-invasive procedure that captures detailed pictures of your optic nerve. It helps doctors assess eye health, particularly for conditions like glaucoma. It's painless, quick, and uses safe technology like MRI or OCT (Optical Coherence Tomography).
126 services98 patients
Exam of visual field with extended testing 92083
An extended visual field exam is a detailed test to evaluate your peripheral (side) vision. It helps to detect any potential blind spots which may not be noticeable in daily life. These could be caused by eye diseases like glaucoma, or neurological conditions.
91 services67 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
51 services32 patients
Exam to measure eye deviation and range of motion 92060
This is an eye exam that checks for any misalignment in your eyes, also known as deviation. It also assesses the movement range of your eyes. The procedure is painless and helps in detecting conditions like strabismus or other vision issues.
49 services36 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
41 services33 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
36 services36 patients

Hospital Affiliations CMS Care Compare 4

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Aurora St Lukes Medical Center

Acute Care Hospitals · Milwaukee, WI
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number520138
Location2900 W Oklahoma AveMilwaukee, WI 53215 · Milwaukee County
Emergency services Birthing friendly

Aurora Medical Center Kenosha

Acute Care Hospitals · Kenosha, WI
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number520189
Location10400 75th StKenosha, WI 53142 · Kenosha County
Emergency services Birthing friendly

Aurora Medical Center - Summit

Acute Care Hospitals · Summit, WI
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number520206
Location36500 Aurora DriveSummit, WI 53066 · Waukesha County
Emergency services Birthing friendly

Aurora Medical Center

Acute Care Hospitals · Grafton, WI
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number520207
Location975 Port Washington RoadGrafton, WI 53024 · Ozaukee County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 53215 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
$67.37 typical visit price
range $17.40 – $133.76
Typical copayment $16.84 (range $4.35 – $33.44)
Most-billed visit code 99213
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.

CARRIE S BILICKI RN
Registered Nurse
2801 W KINNICKINNIC RIVER PKWY, STE 525
MILWAUKEE, WI 53215
Milwaukee County (414) 385-2630
BRIANNA CECELIA MURPHY PA-C
Physician Assistant
2801 W KINNICKINNIC RIVER PKWY
MILWAUKEE, WI 53215
Milwaukee County (414) 646-9820
DR. PAUL S BERNSTEIN
Internal Medicine (Cardiovascular Disease)
2801 W KINNICKINNIC RIVER PKWY, 840
MILWAUKEE, WI 53215
Milwaukee County (414) 649-3530
DR. PRAKASH D SHAH M.D.
Internal Medicine (Cardiovascular Disease)
2801 W KINNICKINNIC RIVER PKWY, STE 840
MILWAUKEE, WI 53215
Milwaukee County (414) 649-3530
M CHRISTINE GIEBEL PA-C
Physician Assistant
2801 W KINNICKINNIC RIVER PKWY, SUITE 345
MILWAUKEE, WI 53215
Milwaukee County (414) 385-2700
ROBERT A. DIULIO M.D.
Orthopaedic Surgery
2801 W KINNICKINNIC RIVER PKWY, SUITE 575
MILWAUKEE, WI 53215
Milwaukee County (414) 643-8800
CHRISTINE A KENYON LAUNDRE M.D.
Anesthesiology
2801 W KINNICKINNIC RIVER PKWY, SUITE 453
MILWAUKEE, WI 53215
Milwaukee County (414) 385-2380
JODI L ZILINSKI M.D.
Internal Medicine (Clinical Cardiac Electrophysiology)
2801 W KINNICKINNIC RIVER PKWY, SUITE 777
MILWAUKEE, WI 53215
Milwaukee County (414) 649-3390

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Susiani Intan's NPI number?

The NPI number for Susiani Intan is 1114274529. It was assigned to this individual provider in the NPPES registry on August 6, 2012.

Where is Susiani Intan located?

Susiani Intan practices at 2801 W Kinnickinnic River Pkwy, Milwaukee, WI 53215. The listed phone number is (414) 385-1922.

What is Susiani Intan's specialty?

The primary specialty registered for this NPI is Ophthalmology, specializing in Neuro-ophthalmology, with taxonomy code 207WX0109X.

Is Susiani Intan enrolled in Medicare?

Yes. Susiani Intan is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Susiani Intan accept?

Health plans from Anthem Blue Cross and Blue Shield, Aspirus Health Plan, CareSource (Common Ground Healthcare), HealthPartners and PacificSource Health Plans and 2 other insurers list Susiani Intan as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Susiani Intan affiliated with any hospitals?

According to CMS data, Susiani Intan is affiliated with Aurora St Lukes Medical Center, Aurora Medical Center Kenosha, Aurora Medical Center - Summit and Aurora Medical Center.

When was this NPI record last updated?

The NPPES record for Susiani Intan was last updated on October 14, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.