LATHA RAJA SHANKAR M.D.
NPI 1568565646
Family Medicine in Wauwatosa, WI
About Latha Raja Shankar M.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
LATHA RAJA SHANKAR M.D. (NPI 1568565646) is an individual family medicine provider in Wauwatosa, Wisconsin, licensed in Wisconsin (43816) and active in the NPI registry since September 2006. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 2
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Latha Raja Shankar M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignments
3Medicare enrollment records show Latha Raja Shankar reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Tucumcari, NM 88401
- Reassigned Medicare billing, New Mexico enrollment
- 2,331 clinicians in this Medicare group
Albuquerque, NM 87109
- Reassigned Medicare billing, New Mexico enrollment
- 554 clinicians in this Medicare group
Long Beach, CA 90802
- Reassigned Medicare billing, New Mexico enrollment
- 49 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims
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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 53226 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
Other Providers at the Same Location NPPES 18
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
WAUWATOSA, WI 53226
WAUWATOSA, WI 53226
MILWAUKEE, WI 53226
MILWAUKEE, WI 53226
MILWAUKEE, WI 53226
MILWAUKEE, WI 53226
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 Latha Raja Shankar's NPI number?
The NPI number for Latha Raja Shankar is 1568565646. It was assigned to this individual provider in the NPPES registry on September 6, 2006.
Where is Latha Raja Shankar located?
Latha Raja Shankar practices at 10400 W North Ave, Wauwatosa, WI 53226. The listed phone number is (414) 479-2374.
What is Latha Raja Shankar's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Latha Raja Shankar enrolled in Medicare?
Yes. Latha Raja Shankar is registered in the Medicare PECOS enrollment system.
Which organizations bill Medicare for Latha Raja Shankar's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Latha Raja Shankar reassigns Medicare benefits to 3 organizations: Presbyterian Healthcare Services (Tucumcari, NM), Southwest Medical Associates, LLC (Albuquerque, NM) and Molina Care Connections, LLC. (Long Beach, CA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Latha Raja Shankar's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Latha Raja Shankar was last updated on June 22, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 years 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.
# Latha Raja Shankar, M.D. · NPI 1568565646
Family Medicine physician in Wauwatosa, Wisconsin. Individual provider, active in the CMS NPPES registry since September 6, 2006.
## Identity
- **NPI:** 1568565646 (Entity type: Individual)
- **Enumerated:** September 6, 2006
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **State license:** 43816 (Wisconsin)
- **Sole proprietor:** No
## Practice location
- **Address:** 10400 W NORTH AVE, Wauwatosa, WI 53226-2425
- **Phone:** (414) 479-2374
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 3 organizations under Medicare reassignment (form CMS-855R): Presbyterian Healthcare Services (NPI 1962488304, Tucumcari, NM); Southwest Medical Associates, LLC (NPI 1164491072, Albuquerque, NM); Molina Care Connections, LLC. (NPI 1407243223, Long Beach, CA) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** June 22, 2009
- **Other identifiers:** Medicaid 34148600 (WI); Medicare ID-Type Unspecified 001001408 (WI)
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Source: [NPI Profile](https://npiprofile.com/npi/1568565646) · Data from the CMS NPPES public registry.