SANKALP DWIVEDI
NPI 1902215759
Internal Medicine - Gastroenterology in Menasha, WI

Active since August 06, 2014PECOS EnrolledAccepts Medicare Assignment
95.81/100
CMS Quality Rating
1550 MIDWAY PL, MENASHA, WI 54952(920) 738-2000 Get Directions Write a Review

NPPES record last updated: March 21, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 21, 2025, Jul 21, 2022, Jun 2, 2020 and 2 more (5 updates tracked since 2017).

About Sankalp Dwivedi NPPES

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

SANKALP DWIVEDI (NPI 1902215759) is an individual gastroenterology provider in Menasha, Wisconsin, licensed in Wisconsin (71749) and active in the NPI registry since August 2014. He is enrolled in Medicare PECOS, is affiliated with Ascension Ne Wisconsin - St Elizabeth Campus, and is a graduate of Other (2011).

NPPES Registry Identity

NPI1902215759
Entity TypeIndividualMale
Primary Taxonomy207RG0100X
Provider Legal NameSANKALP DWIVEDI
Location Address1550 MIDWAY PLMenasha, WI 54952-1165
Mailing Address1550 Midway PlMenasha, WI 54952-1165 · (920) 738-2000
Sole ProprietorYes
Medical School CMSOtherGraduated 2011
Enumeration DateAugust 6, 2014
Last NPPES UpdateMarch 21, 20255 updates tracked since enumeration
NPPES CertifiedMarch 21, 2025
NPI 1902215759 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians
Taxonomy Code207RG0100X
License Licensed in WI · 71749
Definition
An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.
Also ListedInternal MedicineTaxonomy 207R00000X · License 71749 (WI)
1550 MIDWAY PL, Menasha, WI 54952

Other Identifiers 1

Medicaid100099717WI

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Sankalp Dwivedi 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 ID6406165232
PECOS Enrollment IDI20200608003067
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.

Areas of Expertise CMS Part B claims 9

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.

Removal of polyps or growths of large bowel using an endoscope with mechanical snare 45385
This procedure involves using a thin, flexible tube called an endoscope to examine the large bowel. If any abnormal growths or polyps are found, a tool called a mechanical snare is used to remove them. This is a common method to prevent potential health issues.
113 services113 patients
Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43239
This procedure involves using a thin, flexible tube with a light and camera, known as an endoscope, to examine the esophagus, stomach, and upper part of the small intestine. Small tissue samples are taken for further examination to help diagnose various conditions.
94 services88 patients
Biopsy of large bowel using a flexible endoscope 45380
A biopsy of the large bowel using a flexible endoscope is a procedure where a thin, flexible tube with a camera is inserted through the rectum to examine the bowel. If abnormal tissue is found, a small sample is taken for further examination. This helps in diagnosing conditions like inflammation, polyps, or cancer.
50 services50 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
20 services20 patients
Diagnostic exam of large bowel using a flexible endoscope 45378
This procedure, known as a colonoscopy, involves using a flexible tube with a light and camera to examine the large intestine. It helps detect any abnormalities such as polyps or inflammation. It's a standard procedure to ensure gut health.
18 services18 patients
Colorectal cancer screening; colonoscopy on individual at high risk G0105
Colorectal cancer screening, specifically a colonoscopy, is a preventive measure for those at high risk. A thin, flexible tube with a camera inspects the colon to spot any abnormal growths. This test helps detect potential issues early, enhancing the effectiveness of treatment.
16 services16 patients

Hospital Affiliations CMS Care Compare

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

Ascension NE Wisconsin - St Elizabeth Campus

Acute Care Hospitals · Appleton, WI
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number520009
Location1506 S Oneida StAppleton, WI 54915 · Outagamie County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 54952 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.

95.81/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality100
Promoting Interoperability81
Improvement Activities40

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.

Occupational Therapist
1550 MIDWAY PL
MENASHA, WI 54952
Occupational Therapist
1550 MIDWAY PL
MENASHA, WI 54952
Dermatology (MOHS-Micrographic Surgery)
1550 MIDWAY PL
MENASHA, WI 54952
Nurse Practitioner (Family)
1550 MIDWAY PL
MENASHA, WI 54952
Clinic/Center (Ambulatory Surgical)
1550 MIDWAY PL
MENASHA, WI 54952
Speech-Language Pathologist
1550 MIDWAY PL
MENASHA, WI 54952
Occupational Therapy Assistant
1550 MIDWAY PL
MENASHA, WI 54952
Internal Medicine (Rheumatology)
1550 MIDWAY PL
MENASHA, WI 54952

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 Sankalp Dwivedi's NPI number?

The NPI number for Sankalp Dwivedi is 1902215759. It was assigned to this individual provider in the NPPES registry on August 6, 2014.

Where is Sankalp Dwivedi located?

Sankalp Dwivedi practices at 1550 Midway Pl, Menasha, WI 54952. The listed phone number is (920) 738-2000.

What is Sankalp Dwivedi's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Is Sankalp Dwivedi enrolled in Medicare?

Yes. Sankalp Dwivedi 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.

What insurance does Sankalp Dwivedi accept?

Health plans from Anthem Blue Cross and Blue Shield and Network Health list Sankalp Dwivedi 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 Sankalp Dwivedi affiliated with any hospitals?

According to CMS data, Sankalp Dwivedi is affiliated with Ascension NE Wisconsin - St Elizabeth Campus.

When was this NPI record last updated?

The NPPES record for Sankalp Dwivedi was last updated on March 21, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.