BENNY KUSUMA MD
NPI 1073734133
Internal Medicine in La Crosse, WI
About Benny Kusuma Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
BENNY KUSUMA MD (NPI 1073734133) is an individual internal medicine provider in La Crosse, Wisconsin, licensed in Wisconsin (52325) and active in the NPI registry since May 2007. He is enrolled in Medicare PECOS, is affiliated with Gundersen Lutheran Medical Center, and is a graduate of Other (2002).
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Benny Kusuma 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.
Medicare Billing Reassignments
7Medicare enrollment records show Benny Kusuma reassigns Medicare billing to 7 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
La Crosse, WI 54601
- Reassigned Medicare billing, Wisconsin enrollment
- 928 clinicians in this Medicare group
La Crosse, WI 54601
- Reassigned Medicare billing, Wisconsin enrollment
- 1,457 clinicians in this Medicare group
Blair, WI 54616
- Reassigned Medicare billing, Wisconsin enrollment
- Also billed through NPI 1124063573 (Wisconsin)
- 293 clinicians in this Medicare group
Hillsboro, WI 54634
- Reassigned Medicare billing, Wisconsin enrollment
- Medicare enrollment name: St Josephs Health Services Inc
- 282 clinicians in this Medicare group
Boscobel, WI 53805
- Reassigned Medicare billing, Wisconsin enrollment
- 76 clinicians in this Medicare group
Friendship, WI 53934
- Reassigned Medicare billing, Wisconsin enrollment
- 67 clinicians in this Medicare group
Cedar Rapids, IA 52403
- Reassigned Medicare billing, Iowa enrollment
- 153 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims 3
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.
Hospital Affiliations CMS Care Compare 5
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Gundersen Lutheran Medical Center
Acute Care Hospitals · La Crosse, WIGundersen St Josephs Hospital And Clinics
Critical Access Hospitals · Hillsboro, WIGundersen Tri-County Hospital & Clinics
Critical Access Hospitals · Whitehall, WITomah Memorial Hospital
Critical Access Hospitals · Tomah, WIBlack River Memorial Hospital
Critical Access Hospitals · Black River Falls, WIPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 54601 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
LA CROSSE, WI 54601
LA CROSSE, WI 54601
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 Benny Kusuma's NPI number?
The NPI number for Benny Kusuma is 1073734133. It was assigned to this individual provider in the NPPES registry on May 2, 2007.
Where is Benny Kusuma located?
Benny Kusuma practices at 1836 South Ave, La Crosse, WI 54601. The listed phone number is (608) 782-7300.
What is Benny Kusuma's specialty?
The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.
Is Benny Kusuma enrolled in Medicare?
Yes. Benny Kusuma 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.
Which organizations bill Medicare for Benny Kusuma's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Benny Kusuma reassigns Medicare benefits to 7 organizations: Gundersen Clinic Ltd (La Crosse, WI), Gundersen Lutheran Medical Center, Inc (La Crosse, WI), Tri-County Memorial Hospital, Inc. (Blair, WI), St. Joseph's Health Services, Inc. (Hillsboro, WI), Memorial Hospital Of Boscobel (Boscobel, WI) and 2 more organizations, listed in the Medicare section above. Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Benny Kusuma's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
Is Benny Kusuma affiliated with any hospitals?
According to CMS data, Benny Kusuma is affiliated with Gundersen Lutheran Medical Center, Gundersen St Josephs Hospital And Clinics, Gundersen Tri-County Hospital & Clinics, Tomah Memorial Hospital and Black River Memorial Hospital.
When was this NPI record last updated?
The NPPES record for Benny Kusuma was last updated on February 8, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.
# Benny Kusuma, MD · NPI 1073734133
Internal Medicine physician in La Crosse, Wisconsin. Individual provider, active in the CMS NPPES registry since May 2, 2007.
## Identity
- **NPI:** 1073734133 (Entity type: Individual)
- **Enumerated:** May 2, 2007
- **Primary specialty:** Internal Medicine · taxonomy 207R00000X
- **State license:** 52325 (Wisconsin)
- **Sole proprietor:** No
## Practice location
- **Address:** 1836 SOUTH AVE, La Crosse, WI 54601-5429
- **Phone:** (608) 782-7300
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 7 organizations under Medicare reassignment (form CMS-855R): Gundersen Clinic Ltd (NPI 1851343115, La Crosse, WI); Gundersen Lutheran Medical Center, Inc (NPI 1619210895, La Crosse, WI); Tri-County Memorial Hospital, Inc. (NPI 1659625192, Blair, WI); St. Joseph's Health Services, Inc. (NPI 1972591410, Hillsboro, WI); Memorial Hospital Of Boscobel (NPI 1760459846, Boscobel, WI); and 2 more · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2002
## Record status
- **NPPES last updated:** February 8, 2016
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Source: [NPI Profile](https://npiprofile.com/npi/1073734133) · Data from the CMS NPPES public registry.