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MR. SUHAIL A SHAIKH M.D.
NPI 1184808529
Family Medicine in Monroe, WI

Active since December 20, 2007PECOS EnrolledAccepts Medicare Assignment
515 22ND AVE., MONROE CLINIC, MONROE, WI 53566(608) 324-2222(608) 755-7873 Get Directions Write a Review

NPPES record last updated: May 14, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mr. Suhail A Shaikh M.d. NPPES

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

MR. SUHAIL A SHAIKH M.D. (NPI 1184808529) is an individual family medicine provider in Monroe, Wisconsin, licensed in Wisconsin (57187-20) and active in the NPI registry since December 2007. He is enrolled in Medicare PECOS, is affiliated with Mercy Health System Corp, and maintains a secondary practice location in Janesville.

NPPES Registry Identity

NPI1184808529
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameMR. SUHAIL A SHAIKHCredential: M.D.
Location Address515 22ND AVE., MONROE CLINICMonroe, WI 53566-1569
Mailing Address515 22nd AveMonroe, WI 53566-1569 · (608) 755-7960 · Fax (608) 755-7873
Phone(608) 324-2222
Fax(608) 755-7873
Sole ProprietorNo
Medical School CMSOtherGraduated 2001
Enumeration DateDecember 20, 2007
Last NPPES UpdateMay 14, 2026
NPPES CertifiedMay 14, 2026
✔ NPI 1184808529 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Licenses✔ Licensed in WI · 57187-20✔ Licensed in WA · MD00049089
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.
Also ListedFamily Medicine · Obesity MedicineTaxonomy 207QB0002X · License 57187-20 (WI)
515 22ND AVE., Monroe, WI 53566
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Other Names 1

Former Name (1)Suhail Ahmed Shaikh Md

Secondary Practice Location 1

Location 11000 Mineral Point AveJanesville, WI 53548-2982 · Phone (608) 756-6868 · Fax (608) 756-6289

Other Identifiers 2

OtherSHAIKSUHWI · Mercycare Insurance
Medicaid1184808529WI

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, MercyCare Health Plans.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

Mr. Suhail A Shaikh M.d. 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 ID143380451
PECOS Enrollment IDI20120917000337
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 5

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.
175 services116 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
52 services17 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 services42 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.
43 services43 patients
Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309
A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.
29 services16 patients

Hospital Affiliations CMS Care Compare 2

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

Mercy Health System Corp

Acute Care Hospitals · Janesville, WI
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number520066
Location1000 Mineral Point AveJanesville, WI 53548 · Rock County
Emergency services Birthing friendly

Mercy Walworth Hospital & Medical Center

Critical Access Hospitals · Lake Geneva, WI
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number521357
LocationN2950 State Road 67Lake Geneva, WI 53147 · Walworth County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 53566 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 4

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
7 suppliers17 claims43 services$5.26 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
6 suppliers11 claims14 services$0.89 avg. paid by Medicare
Skin barrier, wipes or swabs, each A5120
DME-Orthotic Devices · category DF010N
1 supplier11 claims350 services$0.19 avg. paid by Medicare
Nebulizer, with compressor E0570
DME-Other DME · category DE000N
2 suppliers16 claims16 services$4.10 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 2

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

MS. VIPASHA KUMAR D.O.
Student in an Organized Health Care Education/Training Program
515 22ND AVE.
MONROE, WI 53566
Green County (201) 795-8201
MS. MICHELE M. GRUENENFELDER PA
Physician Assistant
515 22ND AVE.
MONROE, WI 53566
Green County (608) 263-1530

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 Suhail Shaikh's NPI number?

The NPI number for Suhail Shaikh is 1184808529. It was assigned to this individual provider in the NPPES registry on December 20, 2007. The provider is also known as Suhail Ahmed Shaikh MD.

Where is Suhail Shaikh located?

Suhail Shaikh practices at 515 22nd Ave. Monroe Clinic, Monroe, WI 53566. The listed phone number is (608) 324-2222.

What is Suhail Shaikh's specialty?

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

Is Suhail Shaikh enrolled in Medicare?

Yes. Suhail Shaikh 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 Suhail Shaikh accept?

Health plans from Anthem Blue Cross and Blue Shield and MercyCare Health Plans list Suhail Shaikh 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 Suhail Shaikh affiliated with any hospitals?

According to CMS data, Suhail Shaikh is affiliated with Mercy Health System Corp and Mercy Walworth Hospital & Medical Center.

When was this NPI record last updated?

The NPPES record for Suhail Shaikh was last updated on May 14, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.