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

Susiani Intan, MD

Individual provider Neurology Physician · NPI 1114274529

Susiani Intan, MD is an Ophthalmology in Milwaukee, Wisconsin. Qualified in 2007, 19 years ago. Practices with Aurora Medical Group, Inc, a 3,741-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Wisconsin.

Years since qualifying
19
Licensed in
WI
In the registry since
2012
Specialties on file
2
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

2801 W Kinnickinnic River Pkwy
Milwaukee, WI 53215-3669
Phone: (414) 385-1922
Fax: (414) 385-1988
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Neuro-ophthalmology Physician (primary) Taxonomy 207WX0109X · Licence 62499 (WI)
Neurology Physician Taxonomy 2084N0400X · Licence 62449 (WI)

Record details

NPI number1114274529
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedAugust 6, 2012
Last updated in NPPESOctober 14, 2024
Certification dateOctober 14, 2024
Mailing addressPo Box 735044, Chicago, IL 60673-5044

Medicare enrollment

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

Medicare specialtyOPHTHALMOLOGY
Also practisesNEUROLOGY
Medical schoolOTHER
Graduated 2007 (19 years in practice)
Group practice Aurora Medical Group, Inc. — 3741 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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