Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Sridhar Vallabhaneni, MD

Individual provider Physical Medicine & Rehabilitation Physician · NPI 1164740122

Sridhar Vallabhaneni, MD is a Physical Medicine and Rehabilitation in Milwaukee, Wisconsin. Qualified in 2009, 17 years ago. Practices with Aurora Medical Group, Inc, a 3,741-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Illinois, Indiana and Wisconsin.

Years since qualifying
17
Licensed in
IL, IN, WI
In the registry since
2010
Specialties on file
3
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

2901 W Kinnickinnic River Pkwy Ste 310
Milwaukee, WI 53215-5643
Phone: (414) 649-3300
Fax: (414) 649-7012
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 2450 Wolf Rd, Westchester, IL 60154-5643 — (219) 488-0165

Specialties & licences

Physical Medicine & Rehabilitation Physician (primary) Taxonomy 208100000X · Licence 72134 (WI)
Physical Medicine & Rehabilitation Physician Taxonomy 208100000X · Licence 01074949A (IN)
Physical Medicine & Rehabilitation Physician Taxonomy 208100000X · Licence 036.137251 (IL)

Record details

NPI number1164740122
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMay 14, 2010
Last updated in NPPESDecember 11, 2025
Certification dateDecember 11, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICAL MEDICINE AND REHABILITATION
Medical schoolOTHER
Graduated 2009 (17 years in practice)
Group practice Aurora Medical Group, Inc. — 3741 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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