DR. PRAMOD ACHARYA MD
NPI 1932439254
Hospitalist in Milwaukee, WI
About Dr. Pramod Acharya Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. PRAMOD ACHARYA MD (NPI 1932439254) is an individual hospitalist provider in Milwaukee, Wisconsin, licensed in Wisconsin (65783) and active in the NPI registry since January 2010. He is enrolled in Medicare PECOS, is affiliated with Froedtert Memorial Lutheran Hospital, and is a graduate of Other (1997).
NPPES Registry Identity
Specialties & Licenses 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. Pramod Acharya 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.
Medicare Billing Reassignment
Medicare enrollment records show Pramod Acharya reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Milwaukee, WI 53226
- Reassigned Medicare billing, Wisconsin enrollment
- 3,983 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 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.
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, WIPhysician 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.
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.
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.
MILWAUKEE, WI 53226
MILWAUKEE, WI 53226
MILWAUKEE, WI 53226
MILWAUKEE, WI 53226
MILWAUKEE, WI 53226
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 Pramod Acharya's NPI number?
The NPI number for Pramod Acharya is 1932439254. It was assigned to this individual provider in the NPPES registry on January 8, 2010.
Where is Pramod Acharya located?
Pramod Acharya practices at 9200 W Wisconsin Ave Dept Of Internal Medicine, Milwaukee, WI 53226. The listed phone number is (414) 955-0350.
What is Pramod Acharya's specialty?
The primary specialty registered for this NPI is Hospitalist with taxonomy code 208M00000X.
Is Pramod Acharya enrolled in Medicare?
Yes. Pramod Acharya 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 Pramod Acharya's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Pramod Acharya reassigns Medicare benefits to The Medical College Of Wisconsin, 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 Pramod Acharya's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Pramod Acharya accept?
Health plans from Anthem Blue Cross and Blue Shield and Aspirus Health Plan list Pramod Acharya 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 Pramod Acharya affiliated with any hospitals?
According to CMS data, Pramod Acharya is affiliated with Froedtert Memorial Lutheran Hospital.
When was this NPI record last updated?
The NPPES record for Pramod Acharya 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.
# Dr. Pramod Acharya, MD · NPI 1932439254
Hospitalist physician in Milwaukee, Wisconsin. Individual provider, active in the CMS NPPES registry since January 8, 2010.
## Identity
- **NPI:** 1932439254 (Entity type: Individual)
- **Enumerated:** January 8, 2010
- **Primary specialty:** Hospitalist · taxonomy 208M00000X
- **State license:** 65783 (Wisconsin)
- **Sole proprietor:** No
## Practice location
- **Address:** 9200 W WISCONSIN AVE, DEPT OF INTERNAL MEDICINE, Milwaukee, WI 53226-3522
- **Phone:** (414) 955-0350 · **Fax:** (414) 805-6851
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** The Medical College Of Wisconsin, Inc. (NPI 1699720086, Milwaukee, WI), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 1997
## Record status
- **NPPES last updated:** March 15, 2023
- **Other identifiers:** Medicaid 1932439254 (WI)
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Source: [NPI Profile](https://npiprofile.com/npi/1932439254) · Data from the CMS NPPES public registry.