ADITYA SUKHWAL MD
NPI 1104881259
Family Medicine in Madison, WI
About Aditya Sukhwal Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ADITYA SUKHWAL MD (NPI 1104881259) is an individual family medicine provider in Madison, Wisconsin, licensed in Wisconsin (39690-020) and active in the NPI registry since April 2006. He is enrolled in Medicare PECOS, is affiliated with Jackson County Regional Health Center, and maintains 2 additional practice locations.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Locations 2
Other Identifiers 4
Accepted Insurance
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
Aditya Sukhwal 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
16Medicare enrollment records show Aditya Sukhwal reassigns Medicare billing to 16 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Edgerton, WI 53534
- Reassigned Medicare billing, Wisconsin enrollment
- Also billed through NPI 1154350049 (Wisconsin)
- 70 clinicians in this Medicare group
Columbus, WI 53925
- Reassigned Medicare billing, Wisconsin enrollment
- Medicare enrollment name: Beaver Dam Community Hospitals Inc.
- 1,447 clinicians in this Medicare group
Darlington, WI 53530
- Reassigned Medicare billing, Wisconsin enrollment
- 175 clinicians in this Medicare group
Beaver Dam, WI 53916
- Reassigned Medicare billing, Wisconsin enrollment
- 606 clinicians in this Medicare group
Muscoda, WI 53573
- Reassigned Medicare billing, Wisconsin enrollment
- 299 clinicians in this Medicare group
Wonewoc, WI 53968
- Reassigned Medicare billing, Wisconsin enrollment
- Medicare enrollment name: St Josephs Health Services Inc
- 282 clinicians in this Medicare group
Westfield, WI 53964
- Reassigned Medicare billing, Wisconsin enrollment
- Also billed through NPI 1710939533 (Wisconsin)
- 280 clinicians in this Medicare group
Hillsboro, WI 54634
- Reassigned Medicare billing, Wisconsin enrollment
- 928 clinicians in this Medicare group
Elm Grove, WI 53122
- Reassigned Medicare billing, Wisconsin enrollment
- 1,457 clinicians in this Medicare group
Maquoketa, IA 52060
- Reassigned Medicare billing, Iowa enrollment
- 65 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.
Hospital Affiliations CMS Care Compare 4
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Jackson County Regional Health Center
Critical Access Hospitals · Maquoketa, IAGundersen Moundview Hospital And Clinics
Critical Access Hospitals · Friendship, WIRipon Medical Center
Critical Access Hospitals · Ripon, WIWaupun Memorial Hospital
Critical Access Hospitals · Waupun, WIPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 53717 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Referred Medical Equipment & Supplies CMS DME claims
Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.
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.
MADISON, WI 53717
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 Aditya Sukhwal's NPI number?
The NPI number for Aditya Sukhwal is 1104881259. It was assigned to this individual provider in the NPPES registry on April 20, 2006.
Where is Aditya Sukhwal located?
Aditya Sukhwal practices at 7102 Mineral Point Rd, Madison, WI 53717. The listed phone number is (608) 828-7676.
What is Aditya Sukhwal's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Aditya Sukhwal enrolled in Medicare?
Yes. Aditya Sukhwal 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 Aditya Sukhwal's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Aditya Sukhwal reassigns Medicare benefits to 16 organizations: Edgerton Hospital And Health Services (Edgerton, WI), Beaver Dam Community Hosptials Inc (Columbus, WI), Southwest Health Center, Inc. (Darlington, WI), Agnesian Healthcare (Beaver Dam, WI), Memorial Hospital Of Boscobel (Muscoda, WI) and 11 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 Aditya Sukhwal's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Aditya Sukhwal accept?
Health plans from Group Health Cooperative-SCW, HealthPartners and Wellmark Health Plan of Iowa, Inc. list Aditya Sukhwal 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 Aditya Sukhwal affiliated with any hospitals?
According to CMS data, Aditya Sukhwal is affiliated with Jackson County Regional Health Center, Gundersen Moundview Hospital And Clinics, Ripon Medical Center and Waupun Memorial Hospital.
When was this NPI record last updated?
The NPPES record for Aditya Sukhwal was last updated on May 7, 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.
# Aditya Sukhwal, MD · NPI 1104881259
Family Medicine physician in Madison, Wisconsin. Individual provider, active in the CMS NPPES registry since April 20, 2006.
## Identity
- **NPI:** 1104881259 (Entity type: Individual)
- **Enumerated:** April 20, 2006
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **State license:** 39690-020 (Wisconsin)
- **Sole proprietor:** No
## Practice location
- **Address:** 7102 MINERAL POINT RD, Madison, WI 53717-1706
- **Phone:** (608) 828-7676 · **Fax:** (608) 833-6932
## 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:** 16 organizations under Medicare reassignment (form CMS-855R): Edgerton Hospital And Health Services (NPI 1538845805, Edgerton, WI); Beaver Dam Community Hosptials Inc (NPI 1275833659, Columbus, WI); Southwest Health Center, Inc. (NPI 1811511272, Darlington, WI); Agnesian Healthcare (NPI 1700817657, Beaver Dam, WI); Memorial Hospital Of Boscobel (NPI 1255620613, Muscoda, WI); and 11 more · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 1995
## Record status
- **NPPES last updated:** May 7, 2024
- **Other identifiers:** Other 2024429 (WI); Other 6011 (WI); Medicaid 0592410 (IA); and 1 more
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Source: [NPI Profile](https://npiprofile.com/npi/1104881259) · Data from the CMS NPPES public registry.