Susiani Intan, MD
Susiani Intan, MD practises 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.
Practice location Address checks out
2801 W Kinnickinnic River PkwyMilwaukee, WI 53215-3669
Phone: (414) 385-1922
Fax: (414) 385-1988
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Directions in Google Maps · Apple Maps · OpenStreetMap
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 number | 1114274529 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Credentials | MD |
| Sole proprietor | No |
| NPI enumerated | August 6, 2012 |
| Last updated in NPPES | October 14, 2024 |
| Certification date | October 14, 2024 |
Medicare enrollment
| Medicare specialty | OPHTHALMOLOGY |
|---|---|
| Also practises | NEUROLOGY |
| Medical school | OTHER |
| Graduated | 2007 (19 years in practice) |
| Group practice | Aurora Medical Group, Inc. — 3741 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
| Telehealth | Offers telehealth services |
Medicare patients and services, 2024
| Medicare patients | 130 |
|---|---|
| Services billed | 549 |
| Average patient age | 68 |
Practises at
- Aurora Medical Center Hospital · Grafton, WI · listed as Aurora Medical Center Grafton
- Aurora St Lukes Medical Center Hospital · Milwaukee, WI · listed as Aurora St Luke's Medical Center
- Aurora Medical Center Kenosha Hospital · Kenosha, WI
Colleagues at Aurora Medical Group, Inc
- Dr. Kristy Renae Baars, DNP, MSW Psychiatric/Mental Health Nurse Practitioner · New Berlin, WI
- Rebecca Anna Fellenz, APNP Nurse Practitioner · Milwaukee, WI
- Caitlin Marie Ferron Obstetrics & Gynecology Physician · Milwaukee, WI
- Juli A Hafeman, APNP Family Nurse Practitioner · Milwaukee, WI
- Tobias D Kaemmerer, PSYD Psychologist · Milwaukee, WI
- Miss. Amber R Koll, PA-C Physician Assistant · West Bend, WI
- Benjamin D Leist, MD Anesthesiology Physician · Milwaukee, WI
- Miya Rogers, LPC Counselor · Wauwatosa, WI
- Dr. Ali A Sadeghi, MD Anesthesiology Physician · Grafton, WI
- Dr. Isaac Olabode Taiwo, MD Internal Medicine Physician · West Allis, WI
- Lauren E Trautner, AUD Audiologist · West Allis, WI
- Melissa A Wingate, PSYD Clinical Psychologist · Kenosha, WI
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Jitendra K Baruah MD SC
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Elise Johnson, MD
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Mouhammed R Kabbani, MD
2801 W Kinnickinnic River Pkwy Ste 630, Milwaukee, WI 53215-3669 · (414) 385-1922