SURESH K MISRA MD
NPI 1174588768
Family Medicine in Milwaukee, WI

Active since April 18, 2006PECOS EnrolledAccepts Medicare AssignmentCLIA 52D0936337 · Waiver
3267 S 16TH ST, SUITE 208, MILWAUKEE, WI 53215(414) 643-7448 Get Directions Write a Review

NPPES record last updated: February 19, 2013. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Suresh K Misra Md NPPES

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

SURESH K MISRA MD (NPI 1174588768) is an individual family medicine provider in Milwaukee, Wisconsin, licensed in Wisconsin (21429) and active in the NPI registry since April 2006. He is enrolled in Medicare PECOS, holds a CLIA Waiver certificate valid through November 18, 2027, and is affiliated with Ascension St Francis Hospital.

NPPES Registry Identity

NPI1174588768
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameSURESH K MISRACredential: MD
Location Address3267 S 16TH ST, SUITE 208Milwaukee, WI 53215-4500
Mailing Address3267 S 16th Street, Suite 208Milwaukee, WI 53215 · (414) 643-7448
Sole ProprietorNo
Medical School CMSOtherGraduated 1972
Enumeration DateApril 18, 2006
Last NPPES UpdateFebruary 19, 2013
NPI 1174588768 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in WI · 21429
Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

3267 S 16TH ST, Milwaukee, WI 53215

Other Identifiers 4

Other080172544Rr Medicare
Medicare UPIND03149
Medicaid30156400WI
Medicare PIN000101050WI

Accepted 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

Suresh K Misra 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 ID2961492509
PECOS Enrollment IDI20040519000598
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.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 52D0936337

Suresh K Misra MD · Milwaukee, WI
Active · expires Nov 18, 2027
CLIA Number52D0936337
Laboratory TypePhysician Office
Certificate Effective DateNovember 19, 2025
Certificate Expiration DateNovember 18, 2027
Laboratory DirectorSuresh K. Misra, MD
Laboratory Phone(414) 643-7448
Laboratory LocationSuresh K Misra MD3267 S 16th, Milwaukee, WI 53215
CLIA data matches this NPI record on: Address Phone
This certificate is issued to a laboratory to perform only waived tests.

Areas of Expertise CMS Part B claims 16

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.

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.
742 services136 patients
Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more 99308
A follow-up nursing facility visit per day is a daily check-up service provided by healthcare professionals. It lasts around 15 minutes and involves assessing your health status, monitoring your recovery progress, and addressing any concerns you may have about your health or treatment.
193 services24 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
180 services82 patients
Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309
A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.
177 services27 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
105 services83 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000
An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.
102 services86 patients

Hospital Affiliations CMS Care Compare 3

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

Ascension St Francis Hospital

Acute Care Hospitals · Milwaukee, WI
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number520078
Location3237 S 16th StMilwaukee, WI 53215 · Milwaukee County
Emergency services

Ascension SE Wisconsin Hospital

Acute Care Hospitals · Milwaukee, WI
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number520136
Location5000 W Chambers StMilwaukee, WI 53210 · Milwaukee County
Emergency services Birthing friendly

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

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
$82.92 typical visit price
range $53.90 – $163.24
Typical copayment $20.73 (range $13.47 – $40.81)
Most-billed visit code 99203
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.

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
13 suppliers32 claims71 services$5.62 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
2 suppliers15 claims15 services$65.36 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

Family Medicine
3267 S 16TH ST, SUITE 208
MILWAUKEE, WI 53215
Psychiatry & Neurology (Psychiatry)
3267 S 16TH ST, OHIO BUILDING SUITE 209
MILWAUKEE, WI 53215
Internal Medicine (Hospice and Palliative Medicine)
3267 S 16TH ST, SUITE 208
MILWAUKEE, WI 53215
Social Worker (Clinical)
3267 S 16TH ST, OHIO BUILDING - ROOM 209
MILWAUKEE, WI 53215
Social Worker (Clinical)
3267 S 16TH ST, OHIO BLDG ROOM 200
MILWAUKEE, WI 53215
Nurse Practitioner (Psychiatric/Mental Health)
3267 S 16TH ST, OHIO BLDG ROOM 200
MILWAUKEE, WI 53215
Otolaryngology
3267 S 16TH ST, SUITE 101
MILWAUKEE, WI 53215
Psychiatry & Neurology (Psychiatry)
3267 S 16TH ST, OHIO BUILDING - ROOM 209
MILWAUKEE, WI 53215

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 Suresh Misra's NPI number?

The NPI number for Suresh Misra is 1174588768. It was assigned to this individual provider in the NPPES registry on April 18, 2006.

Where is Suresh Misra located?

Suresh Misra practices at 3267 S 16th St Suite 208, Milwaukee, WI 53215. The listed phone number is (414) 643-7448.

What is Suresh Misra's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Suresh Misra enrolled in Medicare?

Yes. Suresh Misra 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.

Does Suresh Misra hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 52D0936337) is associated with this NPI, valid through November 18, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Suresh Misra accept?

Health plans from Anthem Blue Cross and Blue Shield, Network Health and UnitedHealthcare list Suresh Misra 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 Suresh Misra affiliated with any hospitals?

According to CMS data, Suresh Misra is affiliated with Ascension St Francis Hospital, Ascension SE Wisconsin Hospital and Aurora St Lukes Medical Center.

When was this NPI record last updated?

The NPPES record for Suresh Misra was last updated on February 19, 2013. NPI Profile syncs with the weekly NPPES data releases published by CMS.