Sushant M Nanavati, MD - Medicare Pulmonary Disease in Kenosha, WI

Sushant M Nanavati, MD is a medicare enrolled "Internal Medicine - Pulmonary Disease" physician in Kenosha, Wisconsin. He graduated from medical school in 2013 and has 11 years of diverse experience with area of expertise as Pulmonary Disease. He is a member of the group practice Aurora Medical Group, Inc. and his current practice location is 10400 75th St, Kenosha, Wisconsin. You can reach out to his office (for appointments etc.) via phone at (262) 948-5600.

Sushant M Nanavati is licensed to practice in Wisconsin (license number 100789) and he also participates in the medicare program. He may accept medicare assignments (which means he may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and his NPI Number is 1821449182.

Contact Information

Sushant M Nanavati, MD
10400 75th St,
Kenosha, WI 53142-7884
(262) 948-5600
Not Available

Map and Direction




Physician's Profile

Full NameSushant M Nanavati
GenderMale
SpecialityPulmonary Disease
Experience11 Years
Location10400 75th St, Kenosha, Wisconsin
Accepts Medicare AssignmentsMay be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Sushant M Nanavati graduated from medical school in 2013
  NPI Data:
  • NPI Number: 1821449182
  • Provider Enumeration Date: 06/28/2016
  • Last Update Date: 07/27/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 8325427826
  • Enrollment ID: I20230726002421

Medical Identifiers

Medical identifiers for Sushant M Nanavati such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1821449182NPI-NPPES
100239287MedicaidWI

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207R00000XInternal Medicine 036160634 (Illinois)Secondary
207RC0200XInternal Medicine - Critical Care Medicine 036160634 (Illinois)Secondary
207RP1001XInternal Medicine - Pulmonary Disease 036160634 (Illinois)Secondary
390200000XStudent In An Organized Health Care Education/training Program (* (Not Available))Secondary
207RP1001XInternal Medicine - Pulmonary Disease 100789 (Wisconsin)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Aurora Medical Center KenoshaKenosha, WIHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Aurora Medical Group, Inc.67097942583269

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Sushant M Nanavati allows following entities to bill medicare on his behalf.
Entity NameAurora Medical Group, Inc.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1427271378
PECOS PAC ID: 6709794258
Enrollment ID: O20031105000725

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Sushant M Nanavati is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Sushant M Nanavati, MD
Po Box 735044,
Chicago, IL 60673-5044

Ph: (262) 948-5600
Sushant M Nanavati, MD
10400 75th St,
Kenosha, WI 53142-7884

Ph: (262) 948-5600

Reviews and Comments


Internal Medicine Doctors in Kenosha, WI

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Zebi Fatima, MD
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Timothy A. Sanborn, M.D.
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Practice Location: 6308 8th Ave, Kenosha, WI 53143
Phone: 262-653-3650    Fax: 262-656-3672

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

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