DR. CHINAR OMPRAKASH LATH (M.D) – Diagnostic Radiology Physician, NPI 1366716250
Diagnostic Radiology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
144 INTERVENTIONAL RADIOLOGY in CT
Provider Addresses for DR. CHINAR OMPRAKASH LATH (M.D)
1570 RIVERS BND APT 112
WAUWATOSA, WI 532263065
Phone:
Type: Mailing
20 YORK ST
NEW HAVEN, CT 06510
Phone: (203) 200-5590
Fax: (203) 200-5170
Type: Location
700 E MOREHEAD ST STE 300
CHARLOTTE, NC 282022742
Phone:
Type: Mailing
677 N WILMOT RD
TUCSON, AZ 857112701
Phone: (520) 795-2889
Type: Location
20 York St
New Haven, CT 06510
Phone: (203) 200-5590
Fax: (203) 200-5170
Type: Location
1304 Fawcett Ave Ste 100
Tacoma, WA 984021900
Phone: (253) 761-4200
Type: Location
9200 W Wisconsin Ave
DEPARTMENT OF RADIOLOGY
Milwaukee, WI 532263522
Phone: (414) 805-3700
Fax: (414) 805-3777
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2014-07-01
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Past revalidation due date
Earliest CMS due date was 2023-07-31 (1045 days ago).
Enrollment records
1
Earliest due date
2023-07-31
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20140701001114 | I | Diagnostic Radiology | WI | 2023-07-31 |
What to do next
- Verify current status on the CMS Revalidation Lookup Tool immediately.
- Complete revalidation in PECOS or contact your Medicare Administrative Contractor (MAC).
- Overdue revalidation can lead to deactivation of Medicare billing privileges.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 77067 | Screening mammography | 53 | 53 | $0 |
| 77063 | Screening 3d breast mammography | 52 | 52 | $0 |
Insurance plans in this area (ZIP 53226)
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Group practice members
- 1
- 2
- 3
| Name | Specialty | State |
|---|---|---|
| Diagnostic Radiology | WI | |
| Diagnostic Radiology | WI | |
| Diagnostic Radiology | MA | |
| - | WI | |
| - | WI | |
| Diagnostic Radiology | WI | |
| Nuclear Medicine, Diagnostic Radiology | WI | |
| - | WI | |
| Diagnostic Radiology | WI | |
| Diagnostic Radiology | WI |
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