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SANDHYA SUREDDI MD
NPI 1124134655
Internal Medicine in South Milwaukee, WI

Active since August 21, 2006PECOS EnrolledAccepts Medicare Assignment
3611 S CHICAGO AVE, SOUTH MILWAUKEE, WI 53172(414) 762-7270 Get Directions Write a Review

NPPES record last updated: September 20, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Sep 20, 2024, Nov 29, 2021 (2 updates tracked since 2021).

About Sandhya Sureddi Md NPPES

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

SANDHYA SUREDDI MD (NPI 1124134655) is an individual internal medicine provider in South Milwaukee, Wisconsin, licensed in Wisconsin (38991-20) and active in the NPI registry since August 2006. She is enrolled in Medicare PECOS, is affiliated with Aurora St Lukes Medical Center, and maintains a secondary practice location in South Milwaukee.

NPPES Registry Identity

NPI1124134655
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameSANDHYA SUREDDICredential: MD
Location Address3611 S CHICAGO AVESouth Milwaukee, WI 53172-3738
Mailing AddressPo Box 735044Chicago, IL 60673-5044 · (800) 326-2250
Phone(414) 762-7270
Sole ProprietorNo
Medical School CMSOtherGraduated 1992
Enumeration DateAugust 21, 2006
Last NPPES UpdateSeptember 20, 20242 updates tracked since enumeration
NPPES CertifiedSeptember 20, 2024
✔ NPI 1124134655 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in WI · 38991-20
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
3611 S CHICAGO AVE, South Milwaukee, WI 53172
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Secondary Practice Location 1

Location 1902 Milwaukee AvenueSouth Milwaukee, WI 53172-2118 · Phone (414) 764-4003 · Fax (414) 764-4005

Other Identifiers 1

Medicaid32363700WI

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Aspirus Health Plan, CareSource (Common Ground Healthcare) and more.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

Sandhya Sureddi 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 ID8729021472
PECOS Enrollment IDI20050603000879
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 10

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.
506 services184 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
137 services137 patients
Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
55 services55 patients
Influenza vaccine split virus, preservative free 90662
The Influenza Vaccine Split Virus, preservative-free, is a flu shot to protect against the influenza virus. It is made from parts of inactivated flu viruses and doesn't contain preservatives, reducing potential side effects. It helps your body develop immunity to the flu.
51 services51 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.
29 services25 patients
Transitional care management services for problem of at least moderate complexity 99495
Transitional care management services focus on coordinating and managing your care after you leave the hospital. For moderate complexity problems, this involves managing your medications, arranging further treatments, and ensuring you have the necessary follow-ups.
26 services23 patients

Hospital Affiliations CMS Care Compare 2

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

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

West Allis Memorial Hospital

Acute Care Hospitals · West Allis, WI
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number520139
Location8901 W Lincoln AveWest Allis, WI 53227 · Milwaukee County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 53172 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
$123.69 typical visit price
range $53.90 – $163.24
Typical copayment $30.92 (range $13.47 – $40.81)
Most-billed visit code 99204
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 6

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
10 suppliers26 claims67 services$5.27 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
7 suppliers19 claims26 services$0.97 avg. paid by Medicare
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
3 suppliers22 claims22 services$15.34 avg. paid by Medicare
Nebulizer, with compressor E0570
DME-Other DME · category DE000N
1 supplier18 claims18 services$3.37 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
3 suppliers27 claims27 services$64.79 avg. paid by Medicare
Pharmacy dispensing fee for inhalation drug(s); per 30 days Q0513
DME-Other DME · category DE000N
3 suppliers14 claims14 services$20.52 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 10

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

LAKESHORE MEDICAL CLINIC, LLC
Durable Medical Equipment & Medical Supplies
3611 S CHICAGO AVE
SOUTH MILWAUKEE, WI 53172
Milwaukee County (414) 762-7270
DR. JILL C LYONS DPT
Physical Therapist
3611 S CHICAGO AVE, SUTIE 120
SOUTH MILWAUKEE, WI 53172
Milwaukee County (414) 766-2440
MADELINE PRESTON OTD
Occupational Therapist
3611 S CHICAGO AVE
SOUTH MILWAUKEE, WI 53172
Milwaukee County (414) 766-2440
JOHN P VIEAU PA
Physician Assistant (Medical)
3611 S CHICAGO AVE
SOUTH MILWAUKEE, WI 53172
Milwaukee County (414) 762-7270
CASSANDRA MARASCH DPT
Physical Therapist
3611 S CHICAGO AVE
SOUTH MILWAUKEE, WI 53172
Milwaukee County (414) 766-2440
DREW GUNDERSON MD
Family Medicine
3611 S CHICAGO AVE
SOUTH MILWAUKEE, WI 53172
Milwaukee County (414) 762-7270
KATIE J RASMUSSEN PA-C
Physician Assistant
3611 S CHICAGO AVE
SOUTH MILWAUKEE, WI 53172
Milwaukee County (414) 762-7270
DR. JILLIAN HUYCK HUDSON MD
Family Medicine
3611 S CHICAGO AVE, SUITE 100
SOUTH MILWAUKEE, WI 53172
Milwaukee County (414) 762-7270

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 Sandhya Sureddi's NPI number?

The NPI number for Sandhya Sureddi is 1124134655. It was assigned to this individual provider in the NPPES registry on August 21, 2006.

Where is Sandhya Sureddi located?

Sandhya Sureddi practices at 3611 S Chicago Ave, South Milwaukee, WI 53172. The listed phone number is (414) 762-7270.

What is Sandhya Sureddi's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Sandhya Sureddi enrolled in Medicare?

Yes. Sandhya Sureddi 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 Sandhya Sureddi accept?

Health plans from Anthem Blue Cross and Blue Shield, Aspirus Health Plan, CareSource (Common Ground Healthcare), HealthPartners and Quartz and 1 other insurer list Sandhya Sureddi 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 Sandhya Sureddi affiliated with any hospitals?

According to CMS data, Sandhya Sureddi is affiliated with Aurora St Lukes Medical Center and West Allis Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Sandhya Sureddi was last updated on September 20, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 months 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.