LATHA RAJA SHANKAR M.D.
NPI 1568565646
Family Medicine in Wauwatosa, WI

Active since September 06, 2006PECOS Enrolled
97.58/100
CMS Quality Rating
10400 W NORTH AVE, WAUWATOSA, WI 53226(414) 479-2374 Get Directions Write a Review

NPPES record last updated: June 22, 2009. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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

NPI1568565646
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameLATHA RAJA SHANKARCredential: M.D.
Location Address10400 W NORTH AVEWauwatosa, WI 53226-2425
Mailing Address10400 West North AvenueWauwatosa, WI 53226 · (414) 479-2374
Sole ProprietorNo
Enumeration DateSeptember 6, 2006
Last NPPES UpdateJune 22, 2009
NPI 1568565646 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 · 43816
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.
10400 W NORTH AVE, Wauwatosa, WI 53226

Other Identifiers 2

Medicaid34148600WI
Medicare ID-Type Unspecified001001408WI

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Latha Raja Shankar M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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

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.

Transitional care management services for problem of high complexity 99496
Transitional care management services are designed to ensure a smooth transition from a hospital to home or another care setting for patients with complex health issues. These services include medication management, patient education, and coordination with healthcare providers.
16 services16 patients

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.

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.

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.

97.58/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality86.53
Promoting Interoperability100
Improvement Activities40

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.

General Acute Care Hospital
10400 W NORTH AVE, SUITE 495
WAUWATOSA, WI 53226
Social Worker (Clinical)
10400 W NORTH AVE, SUITE 495
WAUWATOSA, WI 53226
Radiology (Diagnostic Radiology)
10400 W NORTH AVE, SUITE 300
MILWAUKEE, WI 53226
Counselor (Mental Health)
10400 W NORTH AVE, SUITE 495
WAUWATOSA, WI 53226
Radiology (Diagnostic Radiology)
10400 W NORTH AVE, SUITE 300
MILWAUKEE, WI 53226
Radiology (Diagnostic Radiology)
10400 W NORTH AVE, SUITE 300
MILWAUKEE, WI 53226
Radiology (Diagnostic Radiology)
10400 W NORTH AVE, SUITE 300
MILWAUKEE, WI 53226
Radiology (Diagnostic Radiology)
10400 W NORTH AVE, SUITE 300
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.

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.