SYEDA ROSHAN (DPM) – Foot & Ankle Surgery Podiatrist, NPI 1770915589
Foot & Ankle Surgery Podiatrist
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
297 PODIATRY in WI
Provider Addresses for SYEDA ROSHAN (DPM)
361 West Town Square Way
Oak Creek, WI 53154
Phone: (414) 274-4600
Type: Location
PO BOX 78866
MILWAUKEE, WI 532788866
Phone: (414) 253-8330
Fax: (414) 244-9957
Type: Mailing
4282 E ROCKTON RD
ROSCOE, IL 61073
Phone: (779) 696-9000
Fax: (779) 696-8170
Type: Location
1271 N 6TH ST
MILWAUKEE, WI 532123360
Phone: (414) 978-9100
Fax: (414) 978-9112
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 4 Open Payments records for all available years, with a total value of $396.
Total Amount is formed as General ($396) + Research ($0) + Ownership ($0) = $396.
Last reported payment date: 2024-10-24 • Largest payer in this snapshot: MIMEDX Group, Inc. ($169).
Total Amount
$396
General + Research + Ownership
Payments
4
Total payment records
General Amount
$396
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-10-24
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| MIMEDX Group, Inc. | $169 |
| Organogenesis Inc. | $139 |
| Advanced Oxygen Therapy Inc. | $88 |
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: 2022-08-25
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
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 |
|---|---|---|---|---|
| I20220825000098 | I | Podiatry | WI | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 53154)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | WI | |
| - | WI | |
| Diagnostic Radiology | WI | |
| Family Practice, Emergency Medicine | WI | |
| P S Y C H I A T R Y | WI | |
| Internal Medicine | WI | |
| - | WI | |
| - | WI | |
| Physical Therapist In Private Practice | WI | |
| - | WI |
Reviews
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