ADITYA SUKHWAL MD
NPI 1104881259
Family Medicine in Madison, WI

Q: 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.

Q: What is Aditya Sukhwal's specialty?

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

Q: 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.

Active since April 20, 2006PECOS EnrolledAccepts Medicare Assignment

7102 MINERAL POINT RD, MADISON, WI 53717(608) 828-7676(608) 833-6932 Get Directions Write a Review

NPPES record last updated: May 7, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 7, 2024, Nov 17, 2022, May 4, 2021 and 2 more (5 updates tracked since 2018).

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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

NPI1104881259

Entity TypeIndividualMale

Primary Taxonomy207Q00000X

Provider Legal NameADITYA SUKHWALCredential: MD

Location Address7102 MINERAL POINT RDMadison, WI 53717-1706

Mailing Address7974 Uw Health CtMiddleton, WI 53562-5531

Phone(608) 828-7676

Fax(608) 833-6932

Sole ProprietorNo

Medical School CMSOtherGraduated 1995

Enumeration DateApril 20, 2006

Last NPPES UpdateMay 7, 20245 updates tracked since enumeration

NPPES CertifiedMay 7, 2024

✔ NPI 1104881259 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in WI · 39690-020

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.

7102 MINERAL POINT RD, Madison, WI 53717

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Secondary Practice Locations 2

Location 11450 Eastside Rd, STE 110Platteville, WI 53818-9800 · Phone (608) 348-4330 · Fax (608) 342-4810

Location 21836 South AveLA Crosse, WI 54601-5429 · Phone (608) 782-7300

Other Identifiers 4

Other2024429WI · Physicians Plus

Other6011WI · Dean Health Insurance

Medicaid0592410IA

Medicaid32418500WI

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Group Health Cooperative-SCW, HealthPartners, Medica.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

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.

PECOS PAC ID8527014570

PECOS Enrollment IDI20050323000822

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.

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, IA

OwnershipGovernment - Local

CMS Certification Number161329

Location700 W Grove StMaquoketa, IA 52060 · Jackson County

Emergency services

Gundersen Moundview Hospital And Clinics

Critical Access Hospitals · Friendship, WI

OwnershipVoluntary non-profit - Private

CMS Certification Number521309

Location402 W Lake StFriendship, WI 53934 · Adams County

Emergency services

Ripon Medical Center

Critical Access Hospitals · Ripon, WI

OwnershipVoluntary non-profit - Private

CMS Certification Number521321

Location845 Parkside StRipon, WI 54971 · Fond Du Lac County

Emergency services

Waupun Memorial Hospital

Critical Access Hospitals · Waupun, WI

OwnershipVoluntary non-profit - Private

CMS Certification Number521327

Location620 W Brown StWaupun, WI 53963 · Fond Du Lac County

Emergency services

Physician 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.

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.

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.

Power wheelchair, group 2 heavy duty, captains chair, patient weight capacity 301 to 450 pounds K0825

DME-Wheelchairs · category DD009N

1 supplier12 claims12 services$251.71 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

DANALYN K RAYNER M.D.

Family Medicine