SUSHANT M NANAVATI M.D.
NPI 1821449182
Internal Medicine - Pulmonary Disease in Kenosha, WI

Q: What is Sushant Nanavati's NPI number?

The NPI number for Sushant Nanavati is 1821449182. It was assigned to this individual provider in the NPPES registry on June 28, 2016.

Q: What is Sushant Nanavati's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Pulmonary Disease, with taxonomy code 207RP1001X.

Q: When was this NPI record last updated?

The NPPES record for Sushant Nanavati was last updated on July 27, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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 June 28, 2016PECOS EnrolledAccepts Medicare Assignment

10400 75TH ST, KENOSHA, WI 53142(262) 948-5600 Get Directions Write a Review

NPPES record last updated: July 27, 2023. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Jul 27, 2023, Jul 15, 2022, Jun 28, 2016 (3 updates tracked since 2016).

On this page

About Sushant M Nanavati M.d. NPPES

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

SUSHANT M NANAVATI M.D. (NPI 1821449182) is an individual pulmonary disease provider in Kenosha, Wisconsin, licensed in Wisconsin (100789) and active in the NPI registry since June 2016. He is enrolled in Medicare PECOS, is affiliated with Aurora Memorial Hospital Burlington, and maintains a secondary practice location in Elk Grove Village.

NPPES Registry Identity

NPI1821449182

Entity TypeIndividualMale

Primary Taxonomy207RP1001X

Provider Legal NameSUSHANT M NANAVATICredential: M.D.

Location Address10400 75TH STKenosha, WI 53142-7884

Mailing AddressPo Box 735044Chicago, IL 60673-5044 · (262) 948-5600

Phone(262) 948-5600

Sole ProprietorYes

Medical School CMSOtherGraduated 2013

Enumeration DateJune 28, 2016

Last NPPES UpdateJuly 27, 20233 updates tracked since enumeration

NPPES CertifiedJuly 27, 2023

✔ NPI 1821449182 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyInternal Medicine · Pulmonary DiseaseAllopathic & Osteopathic Physicians

Taxonomy Code207RP1001X

Licenses✔ Licensed in WI · 100789✔ Licensed in IL · 036160634

Definition

An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs.

Also ListedInternal MedicineTaxonomy 207R00000X · License 036160634 (IL)

Also ListedInternal Medicine · Critical Care MedicineTaxonomy 207RC0200X · License 036160634 (IL)

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

10400 75TH ST, Kenosha, WI 53142

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Secondary Practice Location 1

Location 1800 Biesterfield Rd Ste 510Elk Grove Village, IL 60007-3367 · Phone (847) 981-3660

Other Identifiers 1

Medicaid100239287WI

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 and accepts Medicare assignment

Sushant M Nanavati M.d. 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 ID8325427826

PECOS Enrollment IDI20230726002421

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 Reassignment

Medicare enrollment records show Sushant Nanavati reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Aurora Medical Group, Inc.

29 mi

Family Medicine

3301 W FOREST HOME AVE
Milwaukee, WI 53215

Reassigned Medicare billing, Wisconsin enrollment
4,609 clinicians in this Medicare group

NPI 1427271378 (877) 576-3544

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 23

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 50 minutes 99233

Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.

162 services65 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.

141 services83 patients

New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205

This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.

82 services82 patients

Test to examine how well the lungs exchange gases 94729

This is a test called a pulmonary function test, which helps understand the efficiency of your lungs. It measures how much air your lungs can hold, how quickly you can move air in and out of your lungs, and how well your lungs put oxygen into and remove carbon dioxide from your blood.

79 services79 patients

Test to determine lung volumes using sensors 94726

This test, called spirometry, measures lung capacity using sensors. You breathe into a mouthpiece attached to a device that records the amount and rate of air you inhale and exhale. It helps diagnose and monitor lung conditions.

78 services78 patients

Critical care, first 30-74 minutes 99291

Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.

73 services36 patients

Test to measure expiratory airflow and volume changes before and after medication administration 94060

This procedure measures how air flows in and out of your lungs. It's done before and after medication to see if the treatment improves your breathing. It's a simple, non-invasive test that involves breathing into a device called a spirometer.

70 services70 patients

Irrigation and suction of lung airways to obtain cells using an endoscope 31624

This is a procedure where a thin, flexible tube called an endoscope is inserted through your mouth into the lungs. A small amount of saline is then introduced to wash the airways. The fluid, along with cells from the lung, is suctioned back for analysis.

40 services38 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.

32 services31 patients

Aspiration of initial secretion of lung airway using an endoscope 31645

This procedure involves using a thin, flexible tube called an endoscope to collect initial secretions from your lung airway. This helps doctors diagnose and treat respiratory conditions. It's a safe, minimally invasive procedure.

27 services27 patients

Review by radiologist of ct guidance for needle placement 77012

This process involves a radiologist examining CT scan images to accurately guide a needle's placement within the body. This technique is often used for biopsies or treatments, ensuring precision and safety.

27 services27 patients

Biopsy of lobe of lung using an endoscope, 1 lobe 31628

A lung biopsy is a procedure where a small piece of lung tissue is taken for testing. An endoscope, a flexible tube with a light and camera, is used. It's inserted through the mouth or nose, down the windpipe, and into one lobe of the lung.

26 services26 patients

Computer-assisted image-guided navigation of lung airways using an endoscope 31627

This procedure involves the use of a special camera, called an endoscope, and computer technology to create real-time images of your lung airways. This helps doctors navigate through your lungs accurately, aiding in diagnosis or treatment.

24 services24 patients

Needle biopsy of windpipe cartilage, airway, and/or lung using an endoscope 31629

A needle biopsy of windpipe cartilage, airway, or lung involves using a thin, flexible tube with a camera (endoscope) to access and collect tissue samples. This procedure helps doctors diagnose lung conditions or diseases effectively and safely.

23 services23 patients

Exam of lung airways with diagnostic or therapeutic procedure on growths using an endoscope and ultrasound 31654

This procedure involves using a specialized instrument, called an endoscope, to examine the lung airways. An ultrasound is also used to get a clearer image of any growths. If necessary, the doctor can perform procedures to diagnose or treat these growths.

23 services23 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

21 services21 patients

Destruction of growth or narrowing of lung airway using an endoscope 31641

This procedure involves using a special tool called an endoscope to treat abnormal growths or narrowing in the lung airway. The endoscope, inserted through the mouth, allows the doctor to visualize and treat the affected area without making large incisions.

20 services20 patients

Exam of lung airways using an endoscope 31623

This procedure, known as a bronchoscopy, involves a doctor examining your lung airways with a thin tube called an endoscope. It helps detect any issues in your lungs or airways, such as infections or blockages. It's a safe, routine procedure.

17 services16 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.

16 services16 patients

Exam of lung airways and sampling of lymph nodes using an endoscope and ultrasound guidance, 1-2 lymph nodes 31652

This procedure involves a special tube with a camera (endoscope) entering your lung airways. Guided by ultrasound, it collects samples from 1-2 lymph nodes. This helps doctors understand and diagnose potential issues in your lungs.

13 services12 patients

3d radiographic procedure with computerized image postprocessing 76377

A 3D radiographic procedure with computerized image postprocessing is a high-tech imaging test. It uses X-rays to create detailed 3D images of the body. The computerized postprocessing further enhances these images for more precise diagnosis and treatment planning.

13 services13 patients

Test to measure expiratory airflow and volume 94010

This test, known as spirometry, assesses how well your lungs work. It measures how much air you can inhale, how much you can exhale and how quickly you can exhale. It's non-invasive and helps diagnose conditions like asthma or COPD.

12 services12 patients

Removal of growth of lung airways using an endoscope 31640

This procedure involves the use of an endoscope, a flexible tube with a light and camera, to access and remove a growth in the lung airways. It's a less invasive method, often resulting in quicker recovery times.

11 services11 patients

Hospital Affiliations CMS Care Compare 4

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

Aurora Memorial Hospital Burlington

Acute Care Hospitals · Burlington, WI

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number520059

Location252 Mchenry StBurlington, WI 53105 · Racine County

Emergency services

Aurora Lakeland Medical Center

Acute Care Hospitals · Elkhorn, WI

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number520102

LocationW3985 County Road NnElkhorn, WI 53121 · Walworth County

Emergency services Birthing friendly

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

Aurora Medical Center Kenosha

Acute Care Hospitals · Kenosha, WI

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number520189

Location10400 75th StKenosha, WI 53142 · Kenosha County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 53142 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.

DR. UZMA REZVI M. D.

Anesthesiology

10400 75TH ST
KENOSHA, WI 53142

Kenosha County (262) 948-5600

DAVID B KITE PA

Physician Assistant

10400 75TH ST
KENOSHA, WI 53142

Kenosha County (262) 948-7000

MRS. SUSAN H. PERGANDE WHNP

Nurse Practitioner (Women's Health)

10400 75TH ST
KENOSHA, WI 53142

Kenosha County (262) 948-6714

DAVID ERIC FARKAS MD

Emergency Medicine

10400 75TH ST, AURORA MEDICAL CENTER
KENOSHA, WI 53142

Kenosha County (262) 697-7000

PAULA MICHELLE OSGOOD CRNA

Nurse Anesthetist, Certified Registered

10400 75TH ST
KENOSHA, WI 53142

Kenosha County (262) 948-5600

DOROTHY KATHERINE FREE

Nurse Anesthetist, Certified Registered

10400 75TH ST
KENOSHA, WI 53142

Kenosha County (262) 948-5600

ZEBI FATIMA MD

Internal Medicine

10400 75TH ST
KENOSHA, WI 53142

Kenosha County (262) 942-5600

JENNIFER J JOHNSON RN

Registered Nurse (Critical Care Medicine)

10400 75TH ST
KENOSHA, WI 53142

Kenosha County (262) 948-5730

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 Sushant Nanavati's NPI number?

The NPI number for Sushant Nanavati is 1821449182. It was assigned to this individual provider in the NPPES registry on June 28, 2016.

Where is Sushant Nanavati located?

Sushant Nanavati practices at 10400 75th St, Kenosha, WI 53142. The listed phone number is (262) 948-5600.

What is Sushant Nanavati's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Pulmonary Disease, with taxonomy code 207RP1001X.

Is Sushant Nanavati enrolled in Medicare?

Yes. Sushant Nanavati 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 organization bills Medicare for Sushant Nanavati's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Sushant Nanavati reassigns Medicare benefits to Aurora Medical Group, Inc. (Milwaukee, WI). The 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 Sushant Nanavati's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Sushant Nanavati accept?

Health plans from Anthem Blue Cross and Blue Shield, Aspirus Health Plan, CareSource (Common Ground Healthcare), Network Health and Quartz list Sushant Nanavati 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 Sushant Nanavati affiliated with any hospitals?

According to CMS data, Sushant Nanavati is affiliated with Aurora Memorial Hospital Burlington, Aurora Lakeland Medical Center, Aurora St Lukes Medical Center and Aurora Medical Center Kenosha.

When was this NPI record last updated?

The NPPES record for Sushant Nanavati was last updated on July 27, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.