NPI
Jaya Prakash Buddineni
This page is a copy of the public NPPES file.
Facts
- Status
- Active
- Credential
- MD
- Type
- Individual
- Enumeration date
- 2007-07-11
- Last updated
- 2026-09-17
Specialties
Licenses
- License MO
- 2009010646
- License PA
- MD443321
- License TX
- P9053
- License NM
- MD2021-0858
- License WI
- 61965-20
- License WI
- 61965
Location
- Practice location
- 2901 W Kinnickinnic River Pkwy, Suite 315
- City
- Milwaukee WI
- Postal code
- 53215-3677
- Phone
- (347) 387-3555
Medicare
- PECOS
- A PECOS enrollment row matches this NPI.
LEIE
No exclusion found for this NPI in the OIG LEIE file dated October 9, 2026. OIG's online search is the official check.
Nearby
Other NPIs in Milwaukee, WI. 23,834 records in the public file.
Removal request
Public data from NPPES and CMS. Not a credentialing determination.
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