SANDIP GHUGE (MD) – Hospitalist Physician, NPI 1770727083
Hospitalist Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
2,939 INTERNAL MEDICINE in WI
Provider Addresses for SANDIP GHUGE (MD)
2900 W Oklahoma Ave
Milwaukee, WI 532154330
Phone: (414) 649-6000
Fax: (414) 649-5296
Type: Location
Ascension St. Mary's - Rhinelander, 2251, North Shore Drive, Rhinelander, Oneida County, Wisconsin, 54501, United States
RHINELANDER, WI 545018360
Phone: (715) 361-2000
Type: Mailing
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: 2023-01-28
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 |
|---|---|---|---|---|
| I20090709000030 | I | Internal Medicine | WI | TBD |
| I20230128000092 | I | Hospitalist | MI | 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 |
|---|---|---|---|---|
| G0427 | Telehealth consultation, emergency department or initial inpatient, typically 70 minutes or more communicating with the patient via telehealth | 168 | 152 | $0 |
| G0408 | Follow-up inpatient consultation, complex, physicians typically spend 35 minutes communicating with the patient via telehealth | 81 | 67 | $0 |
| 99232 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | 41 | 23 | $0 |
| 99223 | Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes | 21 | 20 | $0 |
| 99308 | Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes | 19 | 11 | $0 |
Insurance plans in this area (ZIP 53215)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Family Practice | WI | |
| Nurse Practitioner | WI | |
| - | WI | |
| Internal Medicine, Infectious Disease | NY | |
| - | WI | |
| Family Practice | WI | |
| Nurse Practitioner | WV | |
| Internal Medicine | WI | |
| Nurse Practitioner | IL | |
| - | WI |
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