DR. SAMPOORNIMA SETTY M.D.
NPI 1851398283
Internal Medicine - Interventional Cardiology in Green Bay, WI
About Dr. Sampoornima Setty M.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. SAMPOORNIMA SETTY M.D. (NPI 1851398283) is an individual interventional cardiology provider in Green Bay, Wisconsin, licensed in Wisconsin (51182) and active in the NPI registry since June 2005. She is enrolled in Medicare PECOS, is affiliated with St James Healthcare, and maintains 2 additional practice locations.
NPPES Registry Identity
Specialties & Licenses 3
Secondary Practice Locations 2
Other Identifiers 1
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
Dr. Sampoornima Setty 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.
Medicare Billing Reassignments
5Medicare enrollment records show Sampoornima Setty reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Manitowoc, WI 54220
- Reassigned Medicare billing, Wisconsin enrollment
- 350 clinicians in this Medicare group
Fond Du Lac, WI 54935
- Reassigned Medicare billing, Wisconsin enrollment
- 606 clinicians in this Medicare group
Madison, WI 53715
- Reassigned Medicare billing, Wisconsin enrollment
- 1,377 clinicians in this Medicare group
Monroe, WI 53566
- Reassigned Medicare billing, Wisconsin enrollment
- 376 clinicians in this Medicare group
Boulder, MT 59632
- Reassigned Medicare billing, Montana enrollment
- 278 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 21
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.
Hospital Affiliations CMS Care Compare 5
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
St James Healthcare
Acute Care Hospitals · Butte, MTMarshfield Medical Center - Beaver Dam (mmc-Bd)
Acute Care Hospitals · Beaver Dam, WISt. Agnes Hospital Hospice
Acute Care Hospitals · Fond Du Lac, WIRipon Medical Center
Critical Access Hospitals · Ripon, WIWaupun Memorial Hospital
Critical Access Hospitals · Waupun, WIPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 54301 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
GREEN BAY, WI 54301
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 Sampoornima Setty's NPI number?
The NPI number for Sampoornima Setty is 1851398283. It was assigned to this individual provider in the NPPES registry on June 30, 2005.
Where is Sampoornima Setty located?
Sampoornima Setty practices at 744 S Webster Ave, Green Bay, WI 54301. The listed phone number is (608) 782-7300.
What is Sampoornima Setty's specialty?
The primary specialty registered for this NPI is Internal Medicine, specializing in Interventional Cardiology, with taxonomy code 207RI0011X.
Is Sampoornima Setty enrolled in Medicare?
Yes. Sampoornima Setty 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 Sampoornima Setty's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Sampoornima Setty reassigns Medicare benefits to 5 organizations: Froedtert Manitowoc Medical Group, LLC (Manitowoc, WI), Agnesian Healthcare, Inc (Fond Du Lac, WI), Dean Health Systems, Inc (Madison, WI), The Monroe Clinic, Inc. (Monroe, WI) and Scl Health Medical Group-Butte LLC (Boulder, MT). 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 Sampoornima Setty's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Sampoornima Setty accept?
Health plans from Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana, Dean Health Plan, Mountain Health CO-OP and Network Health and 2 other insurers list Sampoornima Setty 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 Sampoornima Setty affiliated with any hospitals?
According to CMS data, Sampoornima Setty is affiliated with St James Healthcare, Marshfield Medical Center - Beaver Dam (mmc-Bd), St. Agnes Hospital Hospice, Ripon Medical Center and Waupun Memorial Hospital.
When was this NPI record last updated?
The NPPES record for Sampoornima Setty was last updated on December 2, 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.