| Dr Abhishek Sundaram, MBBS | |
|
975 Port Washington Rd, Grafton, WI 53024-9201 | |
| (262) 329-1000 | |
| (262) 329-1001 |
| Full Name | Dr Abhishek Sundaram |
|---|---|
| Gender | Male |
| Speciality | Vascular Surgery |
| Experience | 19 Years |
| Location | 975 Port Washington Rd, Grafton, Wisconsin |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104055839 | NPI | - | NPPES |
| 100078312 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208600000X | Surgery | 68978 (Wisconsin) | Secondary |
| 2086S0129X | Surgery - Vascular Surgery | 68978 (Wisconsin) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Aurora At Home | Milwaukee, WI | Home health agency |
| Aurora Medical Center - Grafton | Grafton, WI | Hospital |
| Aurora Sheboygan Memorial Medical Ctr | Sheboygan, WI | Hospital |
| Aurora St Lukes Medical Center | Milwaukee, WI | Hospital |
| Aurora Medical Ctr Washington County | Hartford, WI | Hospital |
| Aurora Medical Center - Summit | Summit, WI | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Aurora Advanced Healthcare, Inc. | 3375625833 | 1012 |
| Entity Name | Aurora Advanced Healthcare, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1265629133 PECOS PAC ID: 3375625833 Enrollment ID: O20080123000694 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Abhishek Sundaram, MBBS Po Box 735044, Chicago, IL 60673-5044 Ph: (800) 326-2250 | Dr Abhishek Sundaram, MBBS 975 Port Washington Rd, Grafton, WI 53024-9201 Ph: (262) 329-1000 |
James D Larson, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 975 Port Washington Rd, Suite 320, Grafton, WI 53024 Phone: 262-329-8100 | |
Allison Kimball Brown, Surgery Medicare: Accepting Medicare Assignments Practice Location: 975 Port Washington Rd, Grafton, WI 53024 Phone: 262-329-1000 | |
Gwenn K. Pavlovitz, M.D. Surgery Medicare: Not Enrolled in Medicare Practice Location: 975 Port Washington Road, Suite 320, Grafton, WI 53024 Phone: 262-387-8100 | |
Michael D Erickson, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 975 Port Washington Rd, Grafton, WI 53024 Phone: 262-387-8300 | |
Nicholas Ward, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 975 Port Washington Rd, Grafton, WI 53024 Phone: 262-329-1000 Fax: 262-329-1001 |