Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

SUMAIRA TALIB SHAIKH MD
NPI 1598995995
Internal Medicine - Nephrology in Janesville, WI

Q: What is Sumaira Shaikh's NPI number?

The NPI number for Sumaira Shaikh is 1598995995. It was assigned to this individual provider in the NPPES registry on July 20, 2009.

Q: What is Sumaira Shaikh's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Nephrology, with taxonomy code 207RN0300X.

Q: When was this NPI record last updated?

The NPPES record for Sumaira Shaikh was last updated on September 29, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 30 days 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 20, 2009PECOS EnrolledAccepts Medicare Assignment

903 MINERAL POINT AVE, JANESVILLE, WI 53548(608) 741-3814(608) 741-3816 Get Directions Write a Review

NPPES record last updated: September 29, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Sep 29, 2026, Jun 20, 2018 (2 updates tracked since 2018).

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About Sumaira Talib Shaikh Md NPPES

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

SUMAIRA TALIB SHAIKH MD (NPI 1598995995) is an individual nephrology provider in Janesville, Wisconsin, licensed in Wisconsin (54894-20) and active in the NPI registry since July 2009. She is enrolled in Medicare PECOS, is affiliated with Mercy Health System Corp, and is a graduate of Other (2007).

NPPES Registry Identity

NPI1598995995

Entity TypeIndividualFemale

Primary Taxonomy207RN0300X

Provider Legal NameSUMAIRA TALIB SHAIKHCredential: MD

Location Address903 MINERAL POINT AVEJanesville, WI 53548-2970

Mailing Address903 Mineral Point AveJanesville, WI 53548-2970 · (608) 741-3814 · Fax (608) 741-3816

Phone(608) 741-3814

Fax(608) 741-3816

Sole ProprietorNo

Medical School CMSOtherGraduated 2007

Enumeration DateJuly 20, 2009

Last NPPES UpdateSeptember 29, 20262 updates tracked since enumeration

✔ NPI 1598995995 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · NephrologyAllopathic & Osteopathic Physicians

Taxonomy Code207RN0300X

License✔ Licensed in WI · 54894-20

Definition

An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

903 MINERAL POINT AVE, Janesville, WI 53548

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Other Identifiers 4

OtherK400165796-000054176WI · Wi Medicare

Other1598995995WI · Bcbswi

Medicaid1598995995WI

OtherSHAIKSUMWI · Mercycare Insurance

Accepted Insurance

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

Sumaira Talib Shaikh 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 ID3274756465

PECOS Enrollment IDI20141001000438

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 Sumaira Shaikh reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Mercy Health System Corporation

Same address

Mental Health (Including Community Mental Health Center)

903 MINERAL POINT AVE
Janesville, WI 53548

Reassigned Medicare billing, Wisconsin enrollment
Also billed through NPI 1699728550 (Wisconsin)
1,155 clinicians in this Medicare group

NPI 1669685129 (608) 756-5555

Sauk Prairie Healthcare Inc

50 mi

Rural Health

160 VALLEY DR
Lodi, WI 53555

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

NPI 1225003445 (608) 592-3296

Reedsburg Area Medical Center, Inc.

77 mi

Family Medicine

1900 N DEWEY AVE
Reedsburg, WI 53959

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

NPI 1457780983 (608) 524-8611

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 8

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.

Dialysis services, 2-3 physician visits per month (20 years or older) 90961

Dialysis is a treatment that performs the function of healthy kidneys if they're not working properly. It removes waste and excess fluid from your blood. 2-3 physician visits per month are recommended for monitoring your health and adjusting your treatment as needed. This service is available for those aged 20 years and older.

73 services15 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.

71 services59 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.

67 services51 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 services30 patients

Dialysis services, 4 or more physician visits per month (20 years or older) 90960

Dialysis is a treatment that filters and purifies your blood using a machine. It helps keep your fluids and electrolytes in balance when the kidneys can't do their job. This service includes 4 or more visits per month with a physician to monitor your health and adjust your treatment as needed.

43 services12 patients

Hemodialysis procedure with physician evaluation 90935

Hemodialysis is a treatment that uses a machine to filter waste and excess fluid from your blood when your kidneys can't. A physician checks your health before, during, and after the procedure to ensure it's working effectively for you.

33 services17 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 53548 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.

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.

KAMELA D. CISNEROS

Counselor (Professional)