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

Dr. Dmitry K Pasikhov, MD

Individual provider Surgery Physician · NPI 1780791012

Dr. Dmitry K Pasikhov, MD is a General Surgery in Lake Geneva, Wisconsin. Qualified in 1997, 29 years ago. Practices with Aurora Medical Group, Inc, a 3,741-clinician group and accepts Medicare assignment. Licensed in Illinois and Wisconsin.

Years since qualifying
29
Licensed in
IL, WI
In the registry since
2006
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

146 E Geneva Sq
Lake Geneva, WI 53147
Phone: (262) 249-5000
Fax: (262) 249-7142
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgery Physician (primary) Taxonomy 208600000X · Licence 44347 (WI)
Surgery Physician Taxonomy 208600000X · Licence 36100851 (IL)

Record details

NPI number1780791012
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedAugust 23, 2006
Last updated in NPPESOctober 19, 2023
Certification dateOctober 19, 2023
Mailing addressPo Box 735044, Chicago, IL 60673-5044

Medicare enrollment

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

Medicare specialtyGENERAL SURGERY
Medical schoolOTHER
Graduated 1997 (29 years in practice)
Group practice Aurora Medical Group, Inc. — 3741 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations5 on file with Medicare

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