SUNITHA GUNDAMRAJ M.D.
NPI 1245269398
Internal Medicine in Wauwatosa, WI

Q: What is Sunitha Gundamraj's NPI number?

The NPI number for Sunitha Gundamraj is 1245269398. It was assigned to this individual provider in the NPPES registry on July 1, 2006.

Q: What is Sunitha Gundamraj's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Sunitha Gundamraj was last updated on January 8, 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 July 01, 2006PECOS Enrolled

3289 N MAYFAIR RD, WAUWATOSA, WI 53222(414) 771-7900(414) 607-6336 Get Directions Write a Review

NPPES record last updated: January 8, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

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About Sunitha Gundamraj M.d. NPPES

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

SUNITHA GUNDAMRAJ M.D. (NPI 1245269398) is an individual internal medicine provider in Wauwatosa, Wisconsin, licensed in Wisconsin (41379) and active in the NPI registry since July 2006. She is enrolled in Medicare PECOS, is affiliated with Aurora St Lukes Medical Center, and is a graduate of Other (1994).

NPPES Registry Identity

NPI1245269398

Entity TypeIndividualFemale

Primary Taxonomy207R00000X

Provider Legal NameSUNITHA GUNDAMRAJCredential: M.D.

Location Address3289 N MAYFAIR RDWauwatosa, WI 53222-3203

Mailing AddressPo Box 735044Chicago, IL 60673-5044 · (800) 326-2250

Phone(414) 771-7900

Fax(414) 607-6336

Sole ProprietorNo

Medical School CMSOtherGraduated 1994

Enumeration DateJuly 1, 2006

Last NPPES UpdateJanuary 8, 2024

NPPES CertifiedJanuary 8, 2024

✔ NPI 1245269398 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 · 41379

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.

3289 N MAYFAIR RD, Wauwatosa, WI 53222

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Other Identifiers 2

OtherP00452792WI · Rr Medicare

Medicaid32615100WI

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, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Sunitha Gundamraj M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID8123034311

PECOS Enrollment IDI20060224000541

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.

Medicare Billing Reassignments

Medicare enrollment records show Sunitha Gundamraj reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Aurora Advanced Healthcare, Inc.

7.0 mi

Family Medicine

3003 W GOOD HOPE RD
Milwaukee, WI 53209

Reassigned Medicare billing, Wisconsin enrollment
1,615 clinicians in this Medicare group

NPI 1265629133 (414) 352-3100

Aamg Reach PLLC

97 mi

Family Medicine

1357 W 103RD ST
Chicago, IL 60643

Reassigned Medicare billing, Wisconsin enrollment
41 clinicians in this Medicare group

NPI 1609502707 (773) 238-0800

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 9

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.

361 services167 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.

101 services101 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.

51 services51 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.

44 services43 patients

Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment G0402

An Initial Preventive Physical Examination, also known as a "Welcome to Medicare" visit, is a one-time, face-to-face visit during your first 12 months of Medicare enrollment. It includes a review of your health, as well as education and counseling about preventive services and further screenings.

21 services21 patients

Hemoglobin a1c level 83036

Hemoglobin A1c (HbA1c) is a test that measures your average blood sugar level over the past 2-3 months. It's used to monitor how well diabetes is being controlled. High levels may indicate that your diabetes treatment plan needs adjustment.

19 services15 patients

Hospital Affiliations CMS Care Compare 4

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

Froedtert Memorial Lutheran Hospital

Acute Care Hospitals · Milwaukee, WI

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number520177

Location9200 W Wisconsin AveMilwaukee, WI 53226 · Milwaukee 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 53222 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 2

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

8 suppliers20 claims88 services$5.33 avg. paid by Medicare

Lancets, per box of 100 A4259

DME-Medical/Surgical Supplies · category DA000N

8 suppliers19 claims38 services$0.93 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.

GEETHA GANESAN M.D.

Internal Medicine