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Active NPI 1033589635 Individual Practitioner Female Practitioner

Supatra A Agarwal , AA

Anesthesiologist Assistant • Milwaukee, WI

Professional Overview & Biography Verified Profile Summary

Supatra Agarwal, AA is a registered healthcare professional specializing in Anesthesiologist Assistant in Milwaukee, WI. Practice services are available at 9200 W WISCONSIN AVENUE under active NPI credentials.

Frequently performed procedures and clinical services include anesthesia for procedure on gastrointestinal tract using an endoscope, anesthesia for procedure on lower intestine using an endoscope. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

9200 W Wisconsin Avenue
Department Of Anesthesiology

Milwaukee, WI 532263522

Telephone 4148058700
Fax 4142591522

Specialty Benchmarks & Practice Insights

Comparative analytics for Anesthesiologist Assistant in Milwaukee, WI

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 5.9 Yrs
State Avg: 9.2 Yrs
Regional Practice Density
99 Specialists

Practicing in Milwaukee, WI (264 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
92.1% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2017)
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
00740 Anesthesia for procedure on gastrointestinal tract using an endoscope
20 20 $1117.93 $93.07
00810 Anesthesia for procedure on lower intestine using an endoscope
11 11 $1160.79 $87.52

Medical Specialties & State Licenses

Anesthesiologist Assistant Primary Specialty

NUCC Taxonomy Code: 367H00000X

State License WI 95

An individual certified by the state to perform anesthesia services under the direct supervision of an anesthesiologist. Anesthesiologist Assistants are required to have a bachelor's degree with a premed curriculum prior to entering a two-year anesthesiology assistant program, which is focused upon the delivery and maintenance of anesthesia care as well as advanced patient monitoring techniques. An Anesthesiologist Assistant must work as a member of the anesthesia care team under the direction of a qualified Anesthesiologist.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
015797000 (FL)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Dr. Joy Ikeri , DNP, AGACNP

Nurse Practitioner - Acute Care

NPI 1003387143

Doctor of Nursing Practice, Adult-Gerontology Acute Care Nurse Practitioner

Mackenzie Reid , AA

Anesthesiologist Assistant

NPI 1003529884
Aysha Muhammad , CAA

Anesthesiologist Assistant

NPI 1003696964
Dr. Quinn Hogan , MD

Anesthesiology

NPI 1003867847

Doctor of Medicine (M.D.)

NPI 1013004779

Doctor of Medicine (M.D.)

NPI 1013024207

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

13 Historical Events
NPI Profile Active August 21, 2017

NPI status registered as active in NPPES database

📍
Updated Practice Location August 21, 2017

Registered at 9200 W WISCONSIN AVENUE, DEPARTMENT OF ANESTHESIOLOGY, MILWAUKEE, WI 532263522 (Tel: (414) 805-8700)

📍
Updated Business Mailing Address August 21, 2017

Registered at 9200 W WISCONSIN AVENUE, DEPARTMENT OF ANESTHESIOLOGY, MILWAUKEE, WI 532263522 (Tel: (414) 805-8700)

👤
Provider Name / Credentials Updated August 21, 2017

Recorded as SUPATRA AGARWAL, AA

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 21, 2017

Anesthesiologist Assistant (License #95 in WI)

📍
Updated Practice Location August 01, 2017

Registered at 9200 W WISCONSIN AVENUE, DEPARTMENT OF ANESTHESIOLOGY, MILWAUKEE, WI 532263522 (Tel: (414) 805-8700)

📍
Updated Business Mailing Address August 01, 2017

Registered at 9200 W WISCONSIN AVENUE, DEPARTMENT OF ANESTHESIOLOGY, MILWAUKEE, WI 532263522 (Tel: (414) 805-8700)

NPI Profile Active February 03, 2016

NPI status registered as active in NPPES database

📍
Updated Practice Location February 03, 2016

Registered at 1600 SW ARCHER RD, GAINESVILLE, FL 326103003 (Tel: 3522736575)

📍
Updated Business Mailing Address February 03, 2016

Registered at 1600 SW ARCHER RD, GAINESVILLE, FL 326103003

👤
Provider Name / Credentials Updated February 03, 2016

Recorded as SUPATRA CHANTACHOTE

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) February 03, 2016

Anesthesiologist Assistant (License #AA296 in FL)

🟢
Initial NPI Registration & Enumeration September 25, 2015

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1033589635
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 25, 2015
Last Update: July 21, 2022
Sole Proprietor: No

Mailing Address

9200 W Wisconsin Avenue, Department Of Anesthesiology

Milwaukee, WI 532263522

Phone: 4148058700

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.