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

Sushant M Nanavati, MD

Individual provider Internal Medicine Physician · NPI 1821449182

Sushant M Nanavati, MD is a Pulmonary Disease in Kenosha, Wisconsin. Qualified in 2013, 13 years ago. Practices with Aurora Medical Group, Inc, a 3,741-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in Illinois and Wisconsin.

Years since qualifying
13
Licensed in
IL, WI
In the registry since
2016
Specialties on file
5
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

10400 75th St
Kenosha, WI 53142-7884
Phone: (262) 948-5600
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 800 Biesterfield Rd Ste 510, Elk Grove Village, IL 60007-3367 — (847) 981-3660

Specialties & licences

Pulmonary Disease Physician (primary) Taxonomy 207RP1001X · Licence 100789 (WI)
Internal Medicine Physician Taxonomy 207R00000X · Licence 036160634 (IL)
Critical Care Medicine (Internal Medicine) Physician Taxonomy 207RC0200X · Licence 036160634 (IL)
Pulmonary Disease Physician Taxonomy 207RP1001X · Licence 036160634 (IL)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1821449182
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedJune 28, 2016
Last updated in NPPESJuly 27, 2023
Certification dateJuly 27, 2023

Medicare enrollment

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

Medicare specialtyPULMONARY DISEASE
Also practisesINTERNAL MEDICINE
Medical schoolOTHER
Graduated 2013 (13 years in practice)
Group practice Aurora Medical Group, Inc. — 3741 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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