BENNY KUSUMA (MD) – Internal Medicine Physician, NPI 1073734133

BENNY KUSUMA (MD) is a healthcare provider. based in La crosse, Wisconsin. specializing in INTERNAL MEDICINE. They hold the professional credentials MD. They hold a License No. 6295 (KS). The NPI Number for BENNY KUSUMA (MD) is 1073734133

Main info

Male
24 Years Of Experience
Accepts Medicare Assignment
Name
BENNY KUSUMA (MD)
NPI
1073734133
Phone
(608) 782-7300
Address
1836 SOUTH AVE
Enumeration Date
2 May 2007
Last Update Date
8 February 2016

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6083393331
Graduation Year
2002 (24 years ago)
PAC ID
5698825883
Group Practice PAC ID
1355250432
Professional Enrollment ID
I20090610000023
Address ID
WI539349699FR402XXSTXX400
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience61
Completeness75
Years active:19State licenses:2Digital endpointsOther names

2,941 INTERNAL MEDICINE in WI

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Provider Addresses for BENNY KUSUMA (MD)

  • 1836, South Avenue, La Crosse, La Crosse County, Wisconsin, 54601, United States

    LA CROSSE, WI 546015429

    Phone: (608) 782-7300

    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: 2017-02-13

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

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

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20090610000023IInternal MedicineWITBD
I20170213001525IInternal MedicineIATBD

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
99222Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes6866$0
99223Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes2828$0
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes2214$0
99239Hospital discharge day management, more than 30 minutes1919$0
View full utilization report →

Insurance plans in this area (ZIP 54601)

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Provider's Procedures

BENNY KUSUMA (MD) performs procedures in INTERNAL MEDICINE. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
INTERNAL MEDICINEWI93010Routine electrocardiogram (EKG) using at least 12 leads with interpretation and report1919

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: 1355250432View full group profile
NameSpecialtyState
-WI
Diagnostic Radiology, Interventional Radiology, Diagnostic RadiologyWI
Diagnostic RadiologyMN
-WI
Cardiovascular Disease (Cardiology), Internal Medicine, Interventional Cardiology, Cardiovascular Disease (Cardiology)NY
-WI
Physician AssistantWI
-WI
-WI
Internal MedicineMN

Reviews

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Frequently asked questions

What is the registry number for BENNY KUSUMA (MD)?
The registry entry for BENNY KUSUMA (MD) shows NPI 1073734133.
Quick check: is BENNY KUSUMA (MD) active?
Public NPPES data shows BENNY KUSUMA (MD) with an active NPI status right now.
What type of care does BENNY KUSUMA (MD) provide?
BENNY KUSUMA (MD)'s profile centers on Internal Medicine Physician. Clinical services aligned with this taxonomy classification.
What geographic area is tied to BENNY KUSUMA (MD)?
BENNY KUSUMA (MD) is associated with La Crosse, Wisconsin in the same public data insurers reference.
Who maintains BENNY KUSUMA (MD)'s record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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