MS. NISHA D. SHETH M.D.
NPI 1992949895
Internal Medicine - Infectious Disease in Elkhorn, WI
About Ms. Nisha D. Sheth M.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MS. NISHA D. SHETH M.D. (NPI 1992949895) is an individual infectious disease provider in Elkhorn, Wisconsin, licensed in Wisconsin (57140) and active in the NPI registry since April 2009. She is enrolled in Medicare PECOS, is affiliated with Aurora Memorial Hospital Burlington, and is a graduate of Other (2009).
NPPES Registry Identity
Specialties & Licenses
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
Ms. Nisha D. Sheth 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
2Medicare enrollment records show Nisha Sheth reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
West Allis, WI 53227
- Reassigned Medicare billing, Wisconsin enrollment
- 4,609 clinicians in this Medicare group
South Milwaukee, WI 53172
- Reassigned Medicare billing, Wisconsin enrollment
- 960 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 7
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 2
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Aurora Memorial Hospital Burlington
Acute Care Hospitals · Burlington, WIAurora Lakeland Medical Center
Acute Care Hospitals · Elkhorn, WIPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 53121 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 11
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
ELKHORN, WI 53121
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 Nisha Sheth's NPI number?
The NPI number for Nisha Sheth is 1992949895. It was assigned to this individual provider in the NPPES registry on April 23, 2009.
Where is Nisha Sheth located?
Nisha Sheth practices at 201 E Morrissey Dr, Elkhorn, WI 53121. The listed phone number is (262) 723-3100.
What is Nisha Sheth's specialty?
The primary specialty registered for this NPI is Internal Medicine, specializing in Infectious Disease, with taxonomy code 207RI0200X.
Is Nisha Sheth enrolled in Medicare?
Yes. Nisha Sheth 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 Nisha Sheth's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Nisha Sheth reassigns Medicare benefits to 2 organizations: Aurora Medical Group, Inc. (West Allis, WI) and Lakeshore Medical Clinic Ltd (South Milwaukee, WI). 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 Nisha Sheth's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Nisha Sheth accept?
Health plans from Anthem Blue Cross and Blue Shield, Aspirus Health Plan, CareSource (Common Ground Healthcare), HealthPartners and Network Health and 1 other insurer list Nisha Sheth 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 Nisha Sheth affiliated with any hospitals?
According to CMS data, Nisha Sheth is affiliated with Aurora Memorial Hospital Burlington and Aurora Lakeland Medical Center.
When was this NPI record last updated?
The NPPES record for Nisha Sheth was last updated on October 31, 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.
# Ms. Nisha D. Sheth, M.D. · NPI 1992949895
Infectious Disease physician in Elkhorn, Wisconsin. Individual provider, active in the CMS NPPES registry since April 23, 2009.
## Identity
- **NPI:** 1992949895 (Entity type: Individual)
- **Enumerated:** April 23, 2009
- **Primary specialty:** Internal Medicine - Infectious Disease · taxonomy 207RI0200X
- **State license:** 57140 (Wisconsin)
- **Sole proprietor:** No
## Practice location
- **Address:** 201 E MORRISSEY DR, Elkhorn, WI 53121-4395
- **Phone:** (262) 723-3100
## 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:** 2 organizations under Medicare reassignment (form CMS-855R): Aurora Medical Group, Inc. (NPI 1457592735, West Allis, WI); Lakeshore Medical Clinic Ltd (NPI 1174851893, South Milwaukee, WI) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2009
## Record status
- **NPPES last updated:** October 31, 2023
- **Other identifiers:** Medicaid 100034252 (WI)
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Source: [NPI Profile](https://npiprofile.com/npi/1992949895) · Data from the CMS NPPES public registry.