DR. SUSHMA BANGALORE RAJU M.D
NPI 1912138199
Hospitalist in Milwaukee, WI

Q: What is Sushma Bangalore Raju's NPI number?

The NPI number for Sushma Bangalore Raju is 1912138199. It was assigned to this individual provider in the NPPES registry on August 5, 2009.

Q: What is Sushma Bangalore Raju's specialty?

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

Active since August 05, 2009PECOS EnrolledAccepts Medicare Assignment

80.46/100

CMS Quality Rating

9200 W WISCONSIN AVE, INTERNAL MEDICINE HOSPITALIST DIVISION, MILWAUKEE, WI 53226(414) 955-0350(414) 805-0988 Get Directions Write a Review

NPPES record last updated: March 15, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Dr. Sushma Bangalore Raju M.d NPPES

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

DR. SUSHMA BANGALORE RAJU M.D (NPI 1912138199) is an individual hospitalist provider in Milwaukee, Wisconsin, licensed in Wisconsin (57608) and active in the NPI registry since August 2009. She is enrolled in Medicare PECOS, is affiliated with Froedtert Memorial Lutheran Hospital, and is a graduate of Other (2002).

NPPES Registry Identity

NPI1912138199

Entity TypeIndividualFemale

Primary Taxonomy208M00000X

Provider Legal NameDR. SUSHMA BANGALORE RAJUCredential: M.D

Location Address9200 W WISCONSIN AVE, INTERNAL MEDICINE HOSPITALIST DIVISIONMilwaukee, WI 53226-3522

Mailing Address9200 W Wisconsin Ave, Internal Medicine Hospitalist DivisionMilwaukee, WI 53226-3522 · (414) 955-0350 · Fax (414) 805-0988

Phone(414) 955-0350

Fax(414) 805-0988

Sole ProprietorNo

Medical School CMSOtherGraduated 2002

Enumeration DateAugust 5, 2009

Last NPPES UpdateMarch 15, 2023

NPPES CertifiedMarch 15, 2023

✔ NPI 1912138199 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyHospitalistAllopathic & Osteopathic Physicians

Taxonomy Code208M00000X

License✔ Licensed in WI · 57608

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.

Also ListedInternal MedicineTaxonomy 207R00000X · License 57608 (WI), 4301093946 (MI)

9200 W WISCONSIN AVE, Milwaukee, WI 53226

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Other Identifiers 1

Medicaid1912138199WI

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Aspirus Health Plan.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

Dr. Sushma Bangalore Raju 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 ID5991959561

PECOS Enrollment IDI20130206000643

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 4

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 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.

252 services76 patients

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.

41 services20 patients

Hospital discharge day management, more than 30 minutes 99239

Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.

34 services33 patients

Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222

Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.

18 services18 patients

Hospital Affiliations CMS Care Compare

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

Froedtert Memorial Lutheran Hospital

Acute Care Hospitals · Milwaukee, WI

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number520177

Location9200 W Wisconsin AveMilwaukee, WI 53226 · Milwaukee County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 53226 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.

80.46/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

66.24

Promoting Interoperability

100

Improvement Activities

Cost

68.64

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431

DME-Oxygen and Supplies · category DC000N

2 suppliers20 claims20 services$14.82 avg. paid by Medicare

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390

DME-Oxygen and Supplies · category DC002N

2 suppliers28 claims28 services$65.78 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

TRACY BLAIR WANDTKE HERRMANN APNP, CNM

Advanced Practice Midwife

9200 W WISCONSIN AVE
MILWAUKEE, WI 53226

Milwaukee County (414) 805-4777

DR. ZACHARY SMITH DO

Internal Medicine (Gastroenterology)

9200 W WISCONSIN AVE
MILWAUKEE, WI 53226

Milwaukee County (414) 955-6830

DR. COLLEEN ANN CROWE M.D., M.P.H.

Emergency Medicine

9200 W WISCONSIN AVE
MILWAUKEE, WI 53226

Milwaukee County (414) 805-6469

ROBERTO MEJIAS APNP

Nurse Practitioner (Pediatrics)

9200 W WISCONSIN AVE
MILWAUKEE, WI 53226

Milwaukee County (414) 805-6600

MRS. ANNE E B LAKATOS APN-BC, APNP, RN

Nurse Practitioner (Adult Health)

9200 W WISCONSIN AVE, DEPT OF INTERNAL MEDICINE
MILWAUKEE, WI 53226

Milwaukee County (414) 805-6850

MRS. AMANDA M MANDERS APNP

Nurse Practitioner (Adult Health)

9200 W WISCONSIN AVE
MILWAUKEE, WI 53226

Milwaukee County (414) 805-6850

KATHLEEN A WATERHOUSE-SKIBICKI CRNA

Nurse Anesthetist, Certified Registered

9200 W WISCONSIN AVE
MILWAUKEE, WI 53226

Milwaukee County (414) 805-5951

ANDREA L BEQUEST PA

Physician Assistant (Medical)

9200 W WISCONSIN AVE, INTERNAL MEDICINE
MILWAUKEE, WI 53226

Milwaukee County (414) 955-0350

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 Sushma Bangalore Raju's NPI number?

The NPI number for Sushma Bangalore Raju is 1912138199. It was assigned to this individual provider in the NPPES registry on August 5, 2009.

Where is Sushma Bangalore Raju located?

Sushma Bangalore Raju practices at 9200 W Wisconsin Ave Internal Medicine Hospitalist Division, Milwaukee, WI 53226. The listed phone number is (414) 955-0350.

What is Sushma Bangalore Raju's specialty?

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

Is Sushma Bangalore Raju enrolled in Medicare?

Yes. Sushma Bangalore Raju 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 Sushma Bangalore Raju accept?

Health plans from Aspirus Health Plan list Sushma Bangalore Raju 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 Sushma Bangalore Raju affiliated with any hospitals?

According to CMS data, Sushma Bangalore Raju is affiliated with Froedtert Memorial Lutheran Hospital.

When was this NPI record last updated?

The NPPES record for Sushma Bangalore Raju was last updated on March 15, 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.