Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Benny Kusuma, MD

Individual provider Internal Medicine Physician · NPI 1073734133

Benny Kusuma, MD is an Internal Medicine in LA Crosse, Wisconsin. Qualified in 2002, 24 years ago. Practices with Gundersen Lutheran Medical Center Inc, a 896-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Kansas and Wisconsin.

Years since qualifying
24
Licensed in
KS, WI
In the registry since
2007
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

1836 S Ave
LA Crosse, WI 54601-5429
Phone: (608) 782-7300
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence 52325 (WI)
Internal Medicine Physician Taxonomy 207R00000X · Licence 6295 (KS)

Record details

NPI number1073734133
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMay 2, 2007
Last updated in NPPESFebruary 8, 2016
Mailing address1836 South Ave, La Crosse, WI 54601-5429

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyINTERNAL MEDICINE
Medical schoolOTHER
Graduated 2002 (24 years in practice)
Group practice Gundersen Lutheran Medical Center Inc — 896 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations5 on file with Medicare

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