Dr Mustafa Syed Badrudduja, MD - Medicare General Surgery in Kenosha, WI

Dr Mustafa Syed Badrudduja, MD is a medicare enrolled "Surgery" physician in Kenosha, Wisconsin. He went to Wright State University Boonshoft School Of Medicine and graduated in 2008 and has 16 years of diverse experience with area of expertise as General Surgery. He is a member of the group practice Jandali Surgical Associates Sc and his current practice location is 6308 8th Ave, Suite 3050, Kenosha, Wisconsin. You can reach out to his office (for appointments etc.) via phone at (262) 654-7002.

Dr Mustafa Syed Badrudduja is licensed to practice in Wisconsin (license number 51809) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1083744486.

Contact Information

Dr Mustafa Syed Badrudduja, MD
6308 8th Ave, Suite 3050,
Kenosha, WI 53143-5031
(262) 654-7002
(262) 654-6822

Map and Direction




Physician's Profile

Full NameDr Mustafa Syed Badrudduja
GenderMale
SpecialityGeneral Surgery
Experience16 Years
Location6308 8th Ave, Kenosha, Wisconsin
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Dr Mustafa Syed Badrudduja attended and graduated from Wright State University Boonshoft School Of Medicine in 2008
  NPI Data:
  • NPI Number: 1083744486
  • Provider Enumeration Date: 03/06/2007
  • Last Update Date: 11/08/2011
  Medicare PECOS Information:
  • PECOS PAC ID: 6507939329
  • Enrollment ID: I20080725000691

Medical Identifiers

Medical identifiers for Dr Mustafa Syed Badrudduja such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1083744486NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208600000XSurgery 35.087678 (Ohio)Secondary
208600000XSurgery 51809 (Wisconsin)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
United Hospital SystemKenosha, WIHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Jandali Surgical Associates Sc28604618112

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Dr Mustafa Syed Badrudduja allows following entities to bill medicare on his behalf.
Entity NameJandali Surgical Associates Sc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1528101433
PECOS PAC ID: 2860461811
Enrollment ID: O20040928000126

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Mustafa Syed Badrudduja is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Dr Mustafa Syed Badrudduja, MD
6308 8th Ave, Suite 3050,
Kenosha, WI 53143-5031

Ph: (262) 654-7002
Dr Mustafa Syed Badrudduja, MD
6308 8th Ave, Suite 3050,
Kenosha, WI 53143-5031

Ph: (262) 654-7002

Reviews and Comments


Surgery Doctors in Kenosha, WI

Steven J. Ryder, M.D.
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Timothy B Lesage, MD
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Phone: 262-648-5600    Fax: 262-948-5735
Dr. Roger Thomas Pacanowski, M.D.
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Medicare: Not Enrolled in Medicare
Practice Location: 6308 8th Ave, Kenosha, WI 53143
Phone: 262-656-8217    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.