DR. SRUTHA P RAJKUMAR (MD) – Psychiatry Physician, NPI 1801887914

DR. SRUTHA P RAJKUMAR (MD) is a healthcare provider. based in Milwaukee, Wisconsin. specializing in PSYCHIATRY. They hold the professional credentials MD. They hold a License No. 33105-020 (WI). The NPI Number for DR. SRUTHA P RAJKUMAR (MD) is 1801887914

Main info

Female
36 Years Of Experience
Accepts Medicare Assignment
Name
DR. SRUTHA P RAJKUMAR (MD)
NPI
1801887914
Phone
(414) 291-1620
Address
2323 N LAKE DR
Enumeration Date
31 October 2005
Last Update Date
12 June 2012

Doctor Profile

Medical School Name
OTHER
Secondary Phone
-
Graduation Year
1990 (36 years ago)
PAC ID
0345207957
Group Practice PAC ID
5890604722
Professional Enrollment ID
I20041215000740
Address ID
WI532114508MI2301XDRXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

677 PSYCHIATRY in WI

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Provider Addresses for DR. SRUTHA P RAJKUMAR (MD)

  • Ascension Columbia Saint Mary's Women's Medical Center, 2323, North Lake Drive, The East Side, Milwaukee, Milwaukee County, Wisconsin, 53211, United States

    BEHAVIORAL MEDICINE, 7TH FLOOR

    MILWAUKEE, WI 532114508

    Phone: (414) 291-1620

    Fax: (414) 291-5969

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 51 Open Payments records for all available years, with a total value of $959.

Total Amount is formed as General ($959) + Research ($0) + Ownership ($0) = $959.

Last reported payment date: 2024-12-11 • Largest payer in this snapshot: Corium, LLC ($241).

Total Amount

$959

General + Research + Ownership

Payments

51

Total payment records

General Amount

$959

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-11

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2004-12-15

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20041215000740IPsychiatryWITBD

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.

Verify on CMS Revalidation Lookup Tool

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 53211)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 5890604722View full group profile

Reviews

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Frequently asked questions

How is DR. SRUTHA P RAJKUMAR (MD) identified in CMS data?
CMS-hosted NPPES data lists DR. SRUTHA P RAJKUMAR (MD) with NPI 1801887914.
Does the file indicate DR. SRUTHA P RAJKUMAR (MD) is practicing under active NPI?
Directory data currently reports DR. SRUTHA P RAJKUMAR (MD) as active.
What taxonomy line describes DR. SRUTHA P RAJKUMAR (MD)?
For research purposes, treat DR. SRUTHA P RAJKUMAR (MD) as Psychiatry Physician in this dataset. Clinical services aligned with this taxonomy classification.
Where should I expect DR. SRUTHA P RAJKUMAR (MD) on a map?
Expect Milwaukee, Wisconsin as a primary anchor for DR. SRUTHA P RAJKUMAR (MD) unless the record lists multiple sites.
Why does DR. SRUTHA P RAJKUMAR (MD) have multiple addresses?
2 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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