Susiani Intan
MD | Neurology | 18+ years Exp
2801 W Kinnickinnic River Pkwy, Milwaukee
Wisconsin, 53215-3669
414-385-1922 414-385-1988
Maps & DirectionsSusiani Intan is a Milwaukee, Wisconsin based neurologist with 18 years of experience in Neurology. She completed her graduation in 2007. She is also affiliated with hospitals like She accepts the Medicare-approved amount. Patients will not be billed for any more than the Medicare deductible and coinsurance. Active license number of Susiani Intan is 62499 in Wisconsin. Her current practice location is 2801 W Kinnickinnic River Pkwy, Milwaukee. Patients can reach her at 414-385-1922 or can fax her at 414-385-1988. Susiani Intan is MD in Neurology and her NPI number (Unique professional ID assigned by NPPES) is 1114274529.
Susiani Intan specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.
Complete Profile:
Susiani Intan speciality, credentials, practice address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointment.
| Name: | Susiani Intan |
| Specialization: | Neurology |
| Gender: | Female |
| Credentials: | MD |
| Experience: | 18+ years |
| Medical School Attended: | Other |
| Graduation Year: | 2007 |
| Accepts Medicare Assignment: | Yes |
| Practice Address: | 2801 W Kinnickinnic River Pkwy, Milwaukee,
Wisconsin, 53215-3669 |
| Phone: | 414-385-1922 |
| Fax: | 414-385-1988 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
| PAC ID: | 6709105190 |
| Enrollment ID: | I20211025001227 |
| NPI Number: | 1114274529 |
| NPI Enumeration Date: | 06 Aug, 2012 |
| NPI Last Update On: | 14 Oct, 2024 |
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Susiani Intan are as mentioned below.
| License Number | Specialization | State | Status | |
| 62499 | | Wisconsin | Primary | |
| 62449 | Neurology | Wisconsin | Secondary | |
Hospital Affiliation:
Surgeons are affiliated to many hospitals whom they worked with in the past or are presently working with. One surgeon can be affiliated to four to five hospitals at a time.
| Hospital Name (CCN) | State | Hospital Type |
| (520138) | Milwaukee, WI | Acute Care Hospital |
Group Practice:
Group practices are practice of medicine by a group of physicians who share their premises and other resources. Following list states all the group name
with which Susiani Intan is associated with along with the number of members in that group.
| Organization Name (Group PAC ID) | Members |
| Aurora Medical Group, Inc. (6709794258) | 2867 |
Other Medical Identifiers:
Other legacy medical identifiers associated with Susiani Intan such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 100038273 | Medicaid | Wisconsin | |
| 1114274529 | Medicaid | Washington | |
| G8966407 | Other | Washington | WVH PTAN |
| G8966408 | Other | Washington | WVH PTAN |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | Susiani Intan
Po Box 735044,
Chicago, Illinois |
| Zip: | 60673-5044 |
| Phone Number: | 800-326-2250 |
Patients can reach Susiani Intan at
2801 W Kinnickinnic River Pkwy, Milwaukee, Wisconsin or can
call to book an appointment on 414-385-1922.
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Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 13 October, 2025.