DR. SUNIL PENESETTI MD
NPI 1255644555
Internal Medicine - Cardiovascular Disease in Monroe, WI

Active since July 15, 2010PECOS EnrolledAccepts Medicare Assignment
515 22ND AVE, MONROE, WI 53566(608) 324-2000 Get Directions Write a Review

NPPES record last updated: December 23, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Dec 23, 2020, Mar 24, 2017 (2 updates tracked since 2017).

About Dr. Sunil Penesetti Md NPPES

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

DR. SUNIL PENESETTI MD (NPI 1255644555) is an individual cardiovascular disease provider in Monroe, Wisconsin, licensed in Wisconsin (69193-20) and active in the NPI registry since July 2010. He is enrolled in Medicare PECOS, is affiliated with Fhn Memorial Hospital, and is a graduate of Other (2006).

NPPES Registry Identity

NPI1255644555
Entity TypeIndividualMale
Primary Taxonomy207RC0000X
Provider Legal NameDR. SUNIL PENESETTICredential: MD
Location Address515 22ND AVEMonroe, WI 53566-1569
Mailing Address515 22nd AveMonroe, WI 53566-1569 · (608) 324-2000
Sole ProprietorYes
Medical School CMSOtherGraduated 2006
Enumeration DateJuly 15, 2010
Last NPPES UpdateDecember 23, 20202 updates tracked since enumeration
NPPES CertifiedDecember 23, 2020
NPI 1255644555 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RC0000X
Licenses Licensed in WI · 69193-20 Licensed in NY · 270212
Definition
An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.
Also ListedInternal MedicineTaxonomy 207R00000X · License 14938 (NH)
515 22ND AVE, Monroe, WI 53566

Accepted 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

Dr. Sunil Penesetti 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 ID7214129162
PECOS Enrollment IDI20180611000328, I20180622001460
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 27

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.
1,367 services652 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010
A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.
1,115 services803 patients
Ultrasound of heart with color-depicted blood flow, rate, direction and valve function 93306
This is a heart ultrasound, also known as an echocardiogram. It uses sound waves to create pictures of your heart, showing how blood flows through it. The color depicts the blood flow's speed and direction. It also checks the heart's valves to ensure they're working properly.
348 services332 patients
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.
242 services137 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.
137 services98 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010
A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.
98 services95 patients

Hospital Affiliations CMS Care Compare 4

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

Fhn Memorial Hospital

Acute Care Hospitals · Freeport, IL
3/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number140160
Location1045 West Stephenson StreetFreeport, IL 61032 · Stephenson County
Emergency services Birthing friendly

The Monroe Clinic

Acute Care Hospitals · Monroe, WI
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number520028
Location515 22nd AveMonroe, WI 53566 · Green County
Emergency services Birthing friendly

Ssm Health St Mary's Hospital - Madison

Acute Care Hospitals · Madison, WI
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number520083
Location700 South Park StMadison, WI 53715 · Dane County
Emergency services Birthing friendly

Memorial Hospital Of Lafayette County

Critical Access Hospitals · Darlington, WI
OwnershipVoluntary non-profit - Other
CMS Certification Number521312
Location800 Clay StDarlington, WI 53530 · Lafayette County
Emergency services

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
$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
$67.37 typical visit price
range $17.40 – $133.76
Typical copayment $16.84 (range $4.35 – $33.44)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

Pharmacist (Pharmacotherapy)
515 22ND AVE
MONROE, WI 53566
Nurse Practitioner (Family)
515 22ND AVE
MONROE, WI 53566
Emergency Medicine
515 22ND AVE
MONROE, WI 53566
Pharmacist
515 22ND AVE
MONROE, WI 53566
Family Medicine
515 22ND AVE
MONROE, WI 53566
Nurse Practitioner
515 22ND AVE
MONROE, WI 53566
Internal Medicine (Cardiovascular Disease)
515 22ND AVE
MONROE, WI 53566
Physician Assistant
515 22ND AVE, MONROE CLINIC
MONROE, WI 53566

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 Sunil Penesetti's NPI number?

The NPI number for Sunil Penesetti is 1255644555. It was assigned to this individual provider in the NPPES registry on July 15, 2010.

Where is Sunil Penesetti located?

Sunil Penesetti practices at 515 22nd Ave, Monroe, WI 53566. The listed phone number is (608) 324-2000.

What is Sunil Penesetti's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

Is Sunil Penesetti enrolled in Medicare?

Yes. Sunil Penesetti 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 Sunil Penesetti accept?

Health plans from Quartz list Sunil Penesetti 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 Sunil Penesetti affiliated with any hospitals?

According to CMS data, Sunil Penesetti is affiliated with Fhn Memorial Hospital, The Monroe Clinic, Ssm Health St Mary's Hospital - Madison and Memorial Hospital Of Lafayette County.

When was this NPI record last updated?

The NPPES record for Sunil Penesetti was last updated on December 23, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.