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

Sujan Fernando

Individual provider Diagnostic Radiology Physician · NPI 1023272200

Sujan Fernando is a Diagnostic Radiology in Milwaukee, Wisconsin. Graduated from University of Missouri, Kansas City, School of Medicine in 2008, 18 years ago. Practices with The Medical College of Wisconsin Inc, a 2,093-clinician group and accepts Medicare assignment. Licensed in Florida and Wisconsin.

Years since qualifying
18
Trained at
University of Missouri, Kansas City, School of Medicine
Licensed in
FL, WI
In the registry since
2008
Specialties on file
2
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Practice location Address checks out

9200 W Wisconsin Ave Dept OF Radiology
Milwaukee, WI 53226-3522
Phone: (414) 805-3750
Fax: (414) 259-9290
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Diagnostic Radiology Physician (primary) Taxonomy 2085R0202X · Licence 54297 (WI)
Diagnostic Radiology Physician Taxonomy 2085R0202X · Licence ME115385 (FL)

Record details

NPI number1023272200
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJuly 16, 2008
Last updated in NPPESJune 25, 2014
Mailing address9200 W Wisconsin Ave, Department Of Radiology, Milwaukee, WI 53226-3522

Medicare enrollment

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

Medicare specialtyDIAGNOSTIC RADIOLOGY
Also practisesINTERVENTIONAL RADIOLOGY
Medical schoolUNIVERSITY OF MISSOURI, KANSAS CITY, SCHOOL OF MEDICINE
Graduated 2008 (18 years in practice)
Group practice The Medical College Of Wisconsin Inc — 2093 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations26 on file with Medicare

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