Rizwan Loya, MD - Medicare Emergency Medicine in Sheboygan, WI

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Rizwan Loya, MD is a medicare enrolled "Emergency Medicine" physician in Sheboygan, Wisconsin. He graduated from medical school in 1998 and has 27 years of diverse experience with area of expertise as Emergency Medicine. He is a member of the group practice Aurora Medical Group, Inc. and his current practice location is 3400 Union Ave, Sheboygan, Wisconsin. You can reach out to his office (for appointments etc.) via phone at (920) 802-2100.

Rizwan Loya is licensed to practice in Wisconsin (license number 47617) 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 1447218755.

Contact Information

Rizwan Loya, MD
3400 Union Ave,
Sheboygan, WI 53081-8426
(920) 802-2100
(920) 802-1500

Map and Direction




Physician's Profile

Full NameRizwan Loya
GenderMale
SpecialityEmergency Medicine
Experience27 Years
Location3400 Union Ave, Sheboygan, 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:
  • Rizwan Loya graduated from medical school in 1998
  NPI Data:
  • NPI Number: 1447218755
  • Provider Enumeration Date: 05/03/2006
  • Last Update Date: 01/09/2025
  Medicare PECOS Information:
  • PECOS PAC ID: 5890785166
  • Enrollment ID: I20050126000206

Medical Identifiers

Medical identifiers for Rizwan Loya such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1447218755NPI-NPPES
34607800MedicaidWI
001OtherWIBCBS

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207P00000XEmergency Medicine 47617 (Wisconsin)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Lake HealthConcord, OHHospital
Thedacare Medical Center-waupacaWaupaca, WIHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Aurora Medical Group, Inc.67097942583491

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. Rizwan Loya allows following entities to bill medicare on his behalf.
Entity NameAurora Medical Group, Inc.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1427271378
PECOS PAC ID: 6709794258
Enrollment ID: O20031105000725
Entity NameLakeshore Medical Clinic Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1003861188
PECOS PAC ID: 7719890730
Enrollment ID: O20031106000481
Entity NameThedacare Medical Center - Shawano, Inc.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1548260839
PECOS PAC ID: 5890605836
Enrollment ID: O20031117000117
Entity NameThedacare Medical Center - Berlin, Inc.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1760413777
PECOS PAC ID: 0446151666
Enrollment ID: O20040120000214
Entity NameThedacare Medical Center - New London, Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1538127220
PECOS PAC ID: 5698664480
Enrollment ID: O20040311000254
Entity NameThedacare Medical Center - Waupaca, Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1780782680
PECOS PAC ID: 3072504216
Enrollment ID: O20040524000645
Entity NameThedacare Medical Center - Wild Rose, Inc.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1043263999
PECOS PAC ID: 6507840923
Enrollment ID: O20040615000235
Entity NameAurora Advanced Healthcare, Inc.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1265629133
PECOS PAC ID: 3375625833
Enrollment ID: O20080123000694

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. Rizwan Loya 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
Rizwan Loya, MD
Po Box 735044,
Chicago, IL 60673-5044

Ph: (800) 326-2250		Rizwan Loya, MD
3400 Union Ave,
Sheboygan, WI 53081-8426

Ph: (920) 802-2100

Reviews and Comments


Emergency Medicine Doctors in Sheboygan, WI

Beth Kreutzer, MD
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 3400 Union Ave, Sheboygan, WI 53081
Phone: 920-802-2100    
Tyler Beranek, D.O.
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 3400 Union Ave, Sheboygan, WI 53081
Phone: 902-802-8426    
Jonathan J Pickos, DO
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 3400 Union Ave, Sheboygan, WI 53081
Phone: 920-802-2100    
Charles R Strancke Jr., MD
Emergency Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 2629 N 7th St, Sheboygan, WI 53083
Phone: 920-451-5553    Fax: 920-451-5113
Dr. Carissa Tyo, M.D.
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 3400 Union Ave, Sheboygan, WI 53081
Phone: 920-802-2100    
John Longano, MD
Emergency Medicine
Medicare: Medicare Enrolled
Practice Location: 3100 Superior Ave, Sheboygan, WI 53081
Phone: 414-290-6715    
David L Paton, DO
Emergency Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 2629 N 7th St, Sheboygan, WI 53083
Phone: 920-451-5553    Fax: 920-451-5113

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.