AJHANI KESAVAN (MD) – Family Medicine Physician, NPI 1043837271

AJHANI KESAVAN (MD) is a healthcare provider. based in Green bay, Wisconsin. specializing in FAMILY PRACTICE. They hold the professional credentials MD. They hold a License No. RT-3658 (NH). The NPI Number for AJHANI KESAVAN (MD) is 1043837271

Main info

Female
6 Years Of Experience
Accepts Medicare Assignment
Name
AJHANI KESAVAN (MD)
NPI
1043837271
Phone
(920) 496-4700
Address
PO BOX 19070
Enumeration Date
4 July 2020
Last Update Date
18 January 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9204574858
Graduation Year
2020 (6 years ago)
PAC ID
1759708043
Group Practice PAC ID
8325931652
Professional Enrollment ID
I20231114002156
Address ID
WI530813043SH1411XDRXX400

Contacts

Secure Messaging
akesavan395131@ewd.direct.hshs.org
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience43
Completeness85
Years active:5State licenses:2Other namesUpdated within 12 months

3,047 FAMILY PRACTICE in WI

Provider Addresses for AJHANI KESAVAN (MD)

  • PO BOX 19070

    GREEN BAY, WI 543079070

    Phone: (920) 496-4700

    Type: Mailing

  • 1411 N TAYLOR DR

    SHEBOYGAN, WI 530813043

    Phone: (920) 496-4700

    Fax: (603) 228-7307

    Type: Location

  • 250 PLEASANT ST

    CONCORD, NH 033012598

    Phone: (603) 228-7000

    Fax: (603) 228-7307

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $93.

Total Amount is formed as General ($93) + Research ($0) + Ownership ($0) = $93.

Last reported payment date: 2024-01-20 • Largest payer in this snapshot: Edwards Lifesciences Corporation ($93).

Total Amount

$93

General + Research + Ownership

Payments

1

Total payment records

General Amount

$93

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-01-20

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2023-11-14

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20231114002156IFamily PracticeWITBD

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.

Verify on CMS Revalidation Lookup Tool

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

HCPCSDescriptionServicesBeneficiariesMedicare allowed
36415Insertion of needle into vein for collection of blood sample1614$0
View full utilization report →

Insurance plans in this area (ZIP 54307)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 8325931652View full group profile
NameSpecialtyState
P O D I A T R YWI
Nurse PractitionerWI
Interventional Radiology, Diagnostic RadiologyWI
-WI
Internal MedicineWI
Diagnostic Radiology, Interventional RadiologyWI
-WI
-WI
-WI
Qualified AudiologistWI

Reviews

All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.

No reviews yet. Be the first to share your experience — your opinion helps families compare providers.

Frequently asked questions

What number should I use to identify AJHANI KESAVAN (MD) for billing?
Administrative and clinical systems typically use NPI 1043837271 for AJHANI KESAVAN (MD).
Is AJHANI KESAVAN (MD) currently accepting referrals based on NPI status?
Registry metadata lists AJHANI KESAVAN (MD) as active.
How should patients interpret AJHANI KESAVAN (MD)'s specialty?
The extract shows Family Medicine Physician for AJHANI KESAVAN (MD). Clinical services aligned with this taxonomy classification.
Is AJHANI KESAVAN (MD) tied to Green Bay, Wisconsin?
If you are local to Green Bay, Wisconsin, AJHANI KESAVAN (MD) may be relevant to your search.
What is the difference between NPI and a medical license?
An NPI is a federal identifier; a medical license is issued by a state and governs where someone may practice.

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