AJHANI KESAVAN MD
NPI 1043837271
Family Medicine in Sheboygan, WI

Active since July 04, 2020PECOS EnrolledAccepts Medicare Assignment
1411 N TAYLOR DR, SHEBOYGAN, WI 53081(920) 496-4700(603) 228-7307 Get Directions Write a Review

NPPES record last updated: January 18, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Ajhani Kesavan Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

AJHANI KESAVAN MD (NPI 1043837271) is an individual family medicine provider in Sheboygan, Wisconsin, licensed in Wisconsin (82441-20) and active in the NPI registry since July 2020. She is enrolled in Medicare PECOS, is affiliated with St Nicholas Hospital, and is a graduate of Other (2020).

NPPES Registry Identity

NPI1043837271
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameAJHANI KESAVANCredential: MD
Location Address1411 N TAYLOR DRSheboygan, WI 53081-3043
Mailing AddressPo Box 19070Green Bay, WI 54307-9070 · (920) 496-4700
Fax(603) 228-7307
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateJuly 4, 2020
Last NPPES UpdateJanuary 18, 2024
NPPES CertifiedJanuary 18, 2024
NPI 1043837271 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Licenses Licensed in WI · 82441-20 Licensed in NH · RT-3658
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
1411 N TAYLOR DR, Sheboygan, WI 53081

Other Identifiers 1

Medicaid100252791WI

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Ajhani Kesavan Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID1759708043
PECOS Enrollment IDI20231114002156
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 4

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
71 services41 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
56 services37 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
55 services45 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
11 services11 patients

Hospital Affiliations CMS Care Compare 3

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

St Nicholas Hospital

Acute Care Hospitals · Sheboygan, WI
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number520044
Location3100 Superior AveSheboygan, WI 53081 · Sheboygan County
Emergency services Birthing friendly

St Vincent Hospital

Acute Care Hospitals · Green Bay, WI
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number520075
Location835 S Van Buren StGreen Bay, WI 54301 · Brown County
Emergency services Birthing friendly

St Mary's Hospital Medical Center

Acute Care Hospitals · Green Bay, WI
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number520097
Location1726 Shawano AveGreen Bay, WI 54303 · Brown County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 53081 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$82.92 typical visit price
range $53.90 – $163.24
Typical copayment $20.73 (range $13.47 – $40.81)
Most-billed visit code 99203
Established Patient
$95.41 typical visit price
range $17.40 – $133.76
Typical copayment $23.85 (range $4.35 – $33.44)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Podiatrist
1411 N TAYLOR DR
SHEBOYGAN, WI 53081
Nurse Anesthetist, Certified Registered
1411 N TAYLOR DR
SHEBOYGAN, WI 53081
Registered Nurse
1411 N TAYLOR DR
SHEBOYGAN, WI 53081
Anesthesiology
1411 N TAYLOR DR
SHEBOYGAN, WI 53081
Otolaryngology (Facial Plastic Surgery)
1411 N TAYLOR DR
SHEBOYGAN, WI 53081
Internal Medicine
1411 N TAYLOR DR
SHEBOYGAN, WI 53081
Orthopaedic Surgery
1411 N TAYLOR DR
SHEBOYGAN, WI 53081
Nurse Practitioner (Family)
1411 N TAYLOR DR
SHEBOYGAN, WI 53081

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Ajhani Kesavan's NPI number?

The NPI number for Ajhani Kesavan is 1043837271. It was assigned to this individual provider in the NPPES registry on July 4, 2020.

Where is Ajhani Kesavan located?

Ajhani Kesavan practices at 1411 N Taylor Dr, Sheboygan, WI 53081. The listed phone number is (920) 496-4700.

What is Ajhani Kesavan's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Ajhani Kesavan enrolled in Medicare?

Yes. Ajhani Kesavan is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Ajhani Kesavan accept?

Health plans from Anthem Blue Cross and Blue Shield, Network Health and Security Health Plan list Ajhani Kesavan as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Ajhani Kesavan affiliated with any hospitals?

According to CMS data, Ajhani Kesavan is affiliated with St Nicholas Hospital, St Vincent Hospital and St Mary's Hospital Medical Center.

When was this NPI record last updated?

The NPPES record for Ajhani Kesavan was last updated on January 18, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.