DR. ABHISHEK SUNDARAM M.B.B.S
NPI 1104055839
Surgery - Vascular Surgery in Grafton, WI

Active since July 01, 2009PECOS EnrolledAccepts Medicare Assignment
975 PORT WASHINGTON RD, GRAFTON, WI 53024(262) 329-1000(262) 329-1001 Get Directions Write a Review

NPPES record last updated: June 21, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 21, 2024, Nov 29, 2021, Jul 29, 2019 and 2 more (5 updates tracked since 2018).

About Dr. Abhishek Sundaram M.b.b.s NPPES

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

DR. ABHISHEK SUNDARAM M.B.B.S (NPI 1104055839) is an individual vascular surgery provider in Grafton, Wisconsin, licensed in Wisconsin (68978) and active in the NPI registry since July 2009. He is enrolled in Medicare PECOS, is affiliated with Aurora Health Care Central Inc, and is a graduate of Other (2006).

NPPES Registry Identity

NPI1104055839
Entity TypeIndividualMale
Primary Taxonomy2086S0129X
Provider Legal NameDR. ABHISHEK SUNDARAMCredential: M.B.B.S
Location Address975 PORT WASHINGTON RDGrafton, WI 53024-9201
Mailing AddressPo Box 735044Chicago, IL 60673-5044 · (800) 326-2250
Fax(262) 329-1001
Sole ProprietorYes
Medical School CMSOtherGraduated 2006
Enumeration DateJuly 1, 2009
Last NPPES UpdateJune 21, 20245 updates tracked since enumeration
NPPES CertifiedJune 21, 2024
NPI 1104055839 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtySurgery · Vascular SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code2086S0129X
License Licensed in WI · 68978
Definition
A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.
Also ListedSurgeryTaxonomy 208600000X · License 68978 (WI)
975 PORT WASHINGTON RD, Grafton, WI 53024

Other Identifiers 1

Medicaid100078312WI

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

Dr. Abhishek Sundaram M.b.b.s 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 ID9537417902
PECOS Enrollment IDI20180801000265
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 8

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.

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.
173 services132 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.
62 services62 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
45 services36 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
44 services41 patients
Ultrasonic guidance for blood vessel access 76937
Ultrasonic guidance for blood vessel access is a medical procedure where sound waves are used to create images of your blood vessels. This helps doctors to accurately locate and access the vessels for treatments or tests, ensuring safety and precision.
40 services27 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
33 services33 patients

Hospital Affiliations CMS Care Compare 5

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

Aurora Health Care Central Inc

Acute Care Hospitals · Sheboygan, WI
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number520035
Location3400 Union AveSheboygan, WI 53081 · Sheboygan County
Emergency services Birthing friendly

Aurora Medical Ctr Washington County

Acute Care Hospitals · Hartford, WI
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number520038
Location1032 E Sumner StHartford, WI 53027 · Washington County
Emergency services

Aurora St Lukes Medical Center

Acute Care Hospitals · Milwaukee, WI
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number520138
Location2900 W Oklahoma AveMilwaukee, WI 53215 · Milwaukee County
Emergency services Birthing friendly

Aurora Medical Center - Summit

Acute Care Hospitals · Summit, WI
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number520206
Location36500 Aurora DriveSummit, WI 53066 · Waukesha County
Emergency services Birthing friendly

Aurora Medical Center

Acute Care Hospitals · Grafton, WI
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number520207
Location975 Port Washington RoadGrafton, WI 53024 · Ozaukee County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 53024 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
$67.37 typical visit price
range $17.40 – $133.76
Typical copayment $16.84 (range $4.35 – $33.44)
Most-billed visit code 99213
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.

Physical Therapist
975 PORT WASHINGTON RD
GRAFTON, WI 53024
Nurse Practitioner (Acute Care)
975 PORT WASHINGTON RD
GRAFTON, WI 53024
Pharmacist
975 PORT WASHINGTON RD
GRAFTON, WI 53024
Physician Assistant
975 PORT WASHINGTON RD
GRAFTON, WI 53024
Internal Medicine (Interventional Cardiology)
975 PORT WASHINGTON RD
GRAFTON, WI 53024
Nurse Practitioner
975 PORT WASHINGTON RD
GRAFTON, WI 53024
Hospitalist
975 PORT WASHINGTON RD
GRAFTON, WI 53024
Speech-Language Pathologist
975 PORT WASHINGTON RD
GRAFTON, WI 53024

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 Abhishek Sundaram's NPI number?

The NPI number for Abhishek Sundaram is 1104055839. It was assigned to this individual provider in the NPPES registry on July 1, 2009.

Where is Abhishek Sundaram located?

Abhishek Sundaram practices at 975 Port Washington Rd, Grafton, WI 53024. The listed phone number is (262) 329-1000.

What is Abhishek Sundaram's specialty?

The primary specialty registered for this NPI is Surgery, specializing in Vascular Surgery, with taxonomy code 2086S0129X.

Is Abhishek Sundaram enrolled in Medicare?

Yes. Abhishek Sundaram 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 Abhishek Sundaram accept?

Health plans from Aspirus Health Plan, CareSource (Common Ground Healthcare), HealthPartners, Quartz and UnitedHealthcare list Abhishek Sundaram 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 Abhishek Sundaram affiliated with any hospitals?

According to CMS data, Abhishek Sundaram is affiliated with Aurora Health Care Central Inc, Aurora Medical Ctr Washington County, Aurora St Lukes Medical Center, Aurora Medical Center - Summit and Aurora Medical Center.

When was this NPI record last updated?

The NPPES record for Abhishek Sundaram was last updated on June 21, 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.