SANDIP GHUGE MD
NPI 1770727083
Hospitalist in Rhinelander, WI

Active since April 30, 2009PECOS EnrolledAccepts Medicare Assignment
84.56/100
CMS Quality Rating
2251 N SHORE DR, RHINELANDER, WI 54501(715) 361-4750 Get Directions Write a Review

NPPES record last updated: January 5, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Sandip Ghuge Md NPPES

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

SANDIP GHUGE MD (NPI 1770727083) is an individual hospitalist provider in Rhinelander, Wisconsin, licensed in Wisconsin (52978) and active in the NPI registry since April 2009. He is enrolled in Medicare PECOS, is affiliated with Aurora St Lukes Medical Center, and maintains a secondary practice location in Milwaukee.

NPPES Registry Identity

NPI1770727083
Entity TypeIndividualMale
Primary Taxonomy208M00000X
Provider Legal NameSANDIP GHUGECredential: MD
Location Address2251 N SHORE DRRhinelander, WI 54501-8360
Mailing Address2251 N Shore DrRhinelander, WI 54501-8360 · (715) 361-2000
Sole ProprietorNo
Medical School CMSOtherGraduated 2003
Enumeration DateApril 30, 2009
Last NPPES UpdateJanuary 5, 2026
NPPES CertifiedJanuary 5, 2026
✔ NPI 1770727083 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyHospitalistAllopathic & Osteopathic Physicians
Taxonomy Code208M00000X
License✔ Licensed in WI · 52978
Definition
Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients.
2251 N SHORE DR, Rhinelander, WI 54501

Secondary Practice Location 1

Location 12900 W Oklahoma AveMilwaukee, WI 53215-4330 · Phone (414) 649-6000 · Fax (414) 649-5296

Other Identifiers 1

Medicaid100003455WI

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

Sandip Ghuge 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 ID9537211362
PECOS Enrollment IDI20090709000030
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

13

Medicare enrollment records show Sandip Ghuge reassigns Medicare billing to 13 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

General Acute Care Hospital
2251 N SHORE DR
Rhinelander, WI 54501
  • Reassigned Medicare billing, Wisconsin enrollment
  • 935 clinicians in this Medicare group
Clinic/Center
1630 N CHIPPEWA DRIVE
Rhinelander, WI 54501
  • Reassigned Medicare billing, Wisconsin enrollment
  • Medicare enrollment name: Aspirus Wausau Hospital Inc
  • 633 clinicians in this Medicare group
Critical Access
201 HOSPITAL RD
Eagle River, WI 54521
  • Reassigned Medicare billing, Wisconsin enrollment
  • 262 clinicians in this Medicare group
General Acute Care Hospital
240 MAPLE ST
Woodruff, WI 54568
  • Reassigned Medicare billing, Wisconsin enrollment
  • Medicare enrollment name: Howard Young Medical Center Inc Of Woodruff Wisconsin
  • 358 clinicians in this Medicare group
Critical Access
601 S CENTER AVE
Merrill, WI 54452
  • Reassigned Medicare billing, Wisconsin enrollment
  • 351 clinicians in this Medicare group
Rural Health
1511 RAILROAD AVE
Prentice, WI 54556
  • Reassigned Medicare billing, Wisconsin enrollment
  • 376 clinicians in this Medicare group
Ophthalmology
229 W GENESEE ST
Iron River, MI 49935
  • Reassigned Medicare billing, Michigan enrollment
  • 244 clinicians in this Medicare group
Ophthalmology
229 W GENESEE ST
Iron River, MI 49935
  • Reassigned Medicare billing, Michigan enrollment
  • 264 clinicians in this Medicare group
Multi-Specialty
814 SOUTH ICE LAKE ROAD
Iron River, MI 49935
  • Reassigned Medicare billing, Michigan enrollment
  • Also billed through NPI 1306344783 (Michigan)
  • 187 clinicians in this Medicare group
Family
171033 MOLE BROOK RD
Ringle, WI 54471
  • Reassigned Medicare billing, Wisconsin enrollment
  • 20 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 7

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.

Telehealth consultation, emergency department or initial inpatient, typically 70 minutes or more communicating with the patient via telehealth G0427
A Telehealth consultation is a virtual visit where you can discuss your health concerns with a healthcare provider from the comfort of your home. In this process, which typically lasts 70 minutes or more, the provider can assess, diagnose, and offer treatment options for your condition using communication technology.
180 services166 patients
Follow-up inpatient consultation, complex, physicians typically spend 35 minutes communicating with the patient via telehealth G0408
A follow-up inpatient consultation is a service where your doctor checks on your health progress after initial treatment. It's complex and typically takes about 35 minutes via telehealth, which means you'll talk to your doctor remotely, using technology.
75 services60 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.
40 services24 patients
Telehealth consultation, emergency department or initial inpatient, typically 70 minutes or more communicating with the patient via telehealth G0427
A Telehealth consultation is a virtual visit where you can discuss your health concerns with a healthcare provider from the comfort of your home. In this process, which typically lasts 70 minutes or more, the provider can assess, diagnose, and offer treatment options for your condition using communication technology.
27 services27 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
17 services16 patients
Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more 99308
A follow-up nursing facility visit per day is a daily check-up service provided by healthcare professionals. It lasts around 15 minutes and involves assessing your health status, monitoring your recovery progress, and addressing any concerns you may have about your health or treatment.
16 services13 patients

Hospital Affiliations CMS Care Compare

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 54501 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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

84.56/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality89.8
Promoting Interoperability100
Improvement Activities40
Cost58.73

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.

Emergency Medicine
2251 N SHORE DR
RHINELANDER, WI 54501
Nurse Practitioner (Primary Care)
2251 N SHORE DR
RHINELANDER, WI 54501
Emergency Medicine (Emergency Medical Services)
2251 N SHORE DR
RHINELANDER, WI 54501
Radiology (Diagnostic Radiology)
2251 N SHORE DR
RHINELANDER, WI 54501
Midwife
2251 N SHORE DR
RHINELANDER, WI 54501
Radiology (Therapeutic Radiology)
2251 N SHORE DR
RHINELANDER, WI 54501
Obstetrics & Gynecology
2251 N SHORE DR
RHINELANDER, WI 54501
Durable Medical Equipment & Medical Supplies
2251 N SHORE DR
RHINELANDER, WI 54501

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 Sandip Ghuge's NPI number?

The NPI number for Sandip Ghuge is 1770727083. It was assigned to this individual provider in the NPPES registry on April 30, 2009.

Where is Sandip Ghuge located?

Sandip Ghuge practices at 2251 N Shore Dr, Rhinelander, WI 54501. The listed phone number is (715) 361-4750.

What is Sandip Ghuge's specialty?

The primary specialty registered for this NPI is Hospitalist with taxonomy code 208M00000X.

Is Sandip Ghuge enrolled in Medicare?

Yes. Sandip Ghuge 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 Sandip Ghuge's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Sandip Ghuge reassigns Medicare benefits to 13 organizations: Aspirus Rhinelander & Tomahawk Hospitals & Clinics, Inc. (Rhinelander, WI), Aspirus Medical Group, Inc. (Rhinelander, WI), Aspirus Eagle River Hospital & Clinics, Inc. (Eagle River, WI), The Howard Young Medical Center, Inc. (Woodruff, WI), Aspirus Merrill Hospital & Clinics, Inc. (Merrill, WI) and 8 more organizations, listed in the Medicare section above. 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 Sandip Ghuge's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Sandip Ghuge accept?

Health plans from Aspirus Health Plan, CareSource (Common Ground Healthcare), Group Health Cooperative-SCW and UnitedHealthcare list Sandip Ghuge 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 Sandip Ghuge affiliated with any hospitals?

According to CMS data, Sandip Ghuge is affiliated with Aurora St Lukes Medical Center.

When was this NPI record last updated?

The NPPES record for Sandip Ghuge was last updated on January 5, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.