SUDHAKAR BASETTY MD
NPI 1518574243
Family Medicine - Adult Medicine in Wisconsin Rapids, WI

Active since September 27, 2020PECOS EnrolledAccepts Medicare Assignment
410 DEWEY ST, WISCONSIN RAPIDS, WI 54494(718) 920-9892 Get Directions Write a Review

NPPES record last updated: October 1, 2024. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Oct 1, 2024, Sep 27, 2020 (2 updates tracked since 2020).

About Sudhakar Basetty Md NPPES

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

SUDHAKAR BASETTY MD (NPI 1518574243) is an individual adult medicine provider in Wisconsin Rapids, Wisconsin, licensed in Wisconsin (83167-20) and active in the NPI registry since September 2020. He is enrolled in Medicare PECOS, is affiliated with Aspirus Wausau Hospital, and is a graduate of Other (2008).

NPPES Registry Identity

NPI1518574243
Entity TypeIndividualMale
Primary Taxonomy207QA0505X
Provider Legal NameSUDHAKAR BASETTYCredential: MD
Location Address410 DEWEY STWisconsin Rapids, WI 54494-4715
Mailing Address410 Dewey StWisconsin Rapids, WI 54494-4715
Sole ProprietorYes
Medical School CMSOtherGraduated 2008
Enumeration DateSeptember 27, 2020
Last NPPES UpdateOctober 1, 20242 updates tracked since enumeration
NPPES CertifiedOctober 1, 2024
✔ NPI 1518574243 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily Medicine · Adult MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207QA0505X
License✔ Licensed in WI · 83167-20
Definition
The National Uniform Claim Committee (NUCC) recommends code 207QA0505X not be used. Choose a more appropriate code.
410 DEWEY ST, Wisconsin Rapids, WI 54494

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Sudhakar Basetty 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 ID2961887278
PECOS Enrollment IDI20241112001037
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

2

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

Emergency Medicine
410 DEWEY ST
Wisconsin Rapids, WI 54494
  • Reassigned Medicare billing, Wisconsin enrollment
  • 397 clinicians in this Medicare group
General Acute Care Hospital
2817 NEW PINERY RD
Portage, WI 53901
  • Reassigned Medicare billing, Wisconsin enrollment
  • 359 clinicians in this Medicare group

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

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.

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.
30 services11 patients

Hospital Affiliations CMS Care Compare 3

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

Aspirus Wausau Hospital

Acute Care Hospitals · Wausau, WI
4/5 CMS rating
OwnershipProprietary
CMS Certification Number520030
Location333 Pine Ridge BlvdWausau, WI 54401 · Marathon County
Emergency services Birthing friendly

Aspirus Riverview Hospital & Clinics Inc

Acute Care Hospitals · Wisconsin Rapids, WI
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number520033
Location410 Dewey StWisconsin Rapids, WI 54495 · Wood County
Emergency services

Divine Savior Healthcare

Acute Care Hospitals · Portage, WI
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number520041
Location2817 New Pinery RoadPortage, WI 53901 · Columbia County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 54494 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.

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.

Specialist/Technologist (Athletic Trainer)
410 DEWEY ST
WISCONSIN RAPIDS, WI 54494
Nurse Practitioner
410 DEWEY ST
WISCONSIN RAPIDS, WI 54494
Durable Medical Equipment & Medical Supplies
410 DEWEY ST
WISCONSIN RAPIDS, WI 54494
Specialist/Technologist (Athletic Trainer)
410 DEWEY ST
WISCONSIN RAPIDS, WI 54494
Internal Medicine
410 DEWEY ST
WISCONSIN RAPIDS, WI 54494
Internal Medicine
410 DEWEY ST
WISCONSIN RAPIDS, WI 54494
Nurse Practitioner (Family)
410 DEWEY ST
WISCONSIN RAPIDS, WI 54494
Nurse Practitioner
410 DEWEY ST
WISCONSIN RAPIDS, WI 54494

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 Sudhakar Basetty's NPI number?

The NPI number for Sudhakar Basetty is 1518574243. It was assigned to this individual provider in the NPPES registry on September 27, 2020.

Where is Sudhakar Basetty located?

Sudhakar Basetty practices at 410 Dewey St, Wisconsin Rapids, WI 54494. The listed phone number is (718) 920-9892.

What is Sudhakar Basetty's specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Adult Medicine, with taxonomy code 207QA0505X.

Is Sudhakar Basetty enrolled in Medicare?

Yes. Sudhakar Basetty 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.

Which organizations bill Medicare for Sudhakar Basetty's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Sudhakar Basetty reassigns Medicare benefits to 2 organizations: Aspirus Riverview Hospital & Clinics, Inc. (Wisconsin Rapids, WI) and Divine Savior Healthcare, Inc. (Portage, WI). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Sudhakar Basetty's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Sudhakar Basetty accept?

Health plans from Anthem Blue Cross and Blue Shield, Aspirus Health Plan and Dean Health Plan list Sudhakar Basetty 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 Sudhakar Basetty affiliated with any hospitals?

According to CMS data, Sudhakar Basetty is affiliated with Aspirus Wausau Hospital, Aspirus Riverview Hospital & Clinics Inc and Divine Savior Healthcare.

When was this NPI record last updated?

The NPPES record for Sudhakar Basetty was last updated on October 1, 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.