SUJAN FERNANDO – Diagnostic Radiology Physician, NPI 1023272200
Diagnostic Radiology Physician
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Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,101 DIAGNOSTIC RADIOLOGY in WI
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Provider Addresses for SUJAN FERNANDO
Froedtert Hospital, 9200, West Wisconsin Avenue, Cannon Park, Wauwatosa, Milwaukee County, Wisconsin, 53226, United States
DEPARTMENT OF RADIOLOGY
MILWAUKEE, WI 532263522
Phone: (414) 805-3750
Fax: (414) 259-9290
Mailing address matches the actual address.
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2024-02-29
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20140717002543 | I | Diagnostic Radiology | WI | TBD |
| I20240229000324 | I | Diagnostic Radiology | TX | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 71046 | X-ray of chest, 2 views | 707 | 519 | $0 |
| 71045 | X-ray of chest, 1 view | 652 | 581 | $0 |
| 71250 | Ct scan of chest without contrast | 393 | 297 | $0 |
| 74177 | Ct scan of abdomen and pelvis with contrast | 386 | 303 | $0 |
| 71260 | Ct scan of chest with contrast | 337 | 252 | $0 |
Insurance plans in this area (ZIP 53226)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| DIAGNOSTIC RADIOLOGY | WI | 73110 | X-ray of wrist, minimum of 3 views | 21 | 15 |
| DIAGNOSTIC RADIOLOGY | WI | 73562 | X-ray of knee, 3 views | 64 | 33 |
| DIAGNOSTIC RADIOLOGY | WI | 73630 | X-ray of foot, minimum of 3 views | 57 | 33 |
| DIAGNOSTIC RADIOLOGY | WI | 74177 | CT scan of abdomen and pelvis with contrast | 11 | 11 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| - | WI | |
| - | WI | |
| Diagnostic Radiology | WI | |
| Family Practice, Emergency Medicine | WI | |
| P S Y C H I A T R Y | WI | |
| Internal Medicine | WI | |
| - | WI | |
| - | WI | |
| Physical Therapist In Private Practice | WI | |
| - | WI |
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