Sanjay Bhikhalal Suthar, MD
NPI 1437266533ActiveIndividual· Family Medicine· Sheboygan, WI
Family Medicine (MD) with Aurora Medical Group, Inc., practicing in Sheboygan, Wisconsin. Their prescriptions cost Medicare Part D more than their services did: $275,335 for 5,632 claims, against $79,612 paid for services in 2024. Lists Aurora Medical Center Sheboygan County as a hospital affiliation.
Overview
| NPI | 1437266533 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | MD |
| Sole proprietor | No |
| NPI issued | Aug 24, 2006 |
| Last updated in NPPES | Dec 4, 2023 |
| Certified by provider | Dec 4, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Family Medicine Primary | 207Q00000X | 35802 | WI |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Family Practice (WI) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 286 |
|---|---|
| Services billed | 1,269 across 43 procedure codes |
| Paid by Medicare | $79,612 |
Part D prescriptions in 2024
| Prescriptions (claims) | 5,632 · 12,716 30-day fills |
|---|---|
| Patients | 869 |
| Total drug cost | $275,335 |
| Generic share | 91% of claims |
Education and affiliations
| Graduation year | 1991 |
|---|---|
| Medicare specialty | Family Practice |
Medical group
- Aurora Medical Group, Inc.Milwaukee, WI · 3,813 clinicians
Hospital affiliation
- Aurora Medical Center Sheboygan CountySheboygan, WI
Other facilities
- Aurora at HomeHome health agency · Green Bay, WI
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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All 47 family medicine physicians in Sheboygan · All family medicine physicians in Wisconsin