Sanjay Suthar, MD
NPI 1437266533 · Family Medicine Physician · Sheboygan, WI
Enrolled with Medicare as Practitioner - Family Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Sanjay Suthar, MD is a Family Medicine Physician provider in Sheboygan, WI (NPI 1437266533).
Provider details
- NPI number
- 1437266533
- Entity type
- Individual
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- 35802 (WI)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure28% of score
19 yrs in NPPES registry
- Profile completeness28% of score
100% of core fields populated
- Practice footprint17% of score
1 documented practice location
- Medicare service volume (vs. specialty peers)28% of score
1,066 Medicare services, 2024 (ranked within specialty)
Medicare volume is ranked against active providers in the same specialty. Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 445 | $120 |
| Visit Complexity Inherent to Evaluation and Management Associated With Medical Care Services That Serve As the Continuing Focal Point for All Needed Health Care Services And/Or With Medical Care Services That Are Part of Ongoing Care Related to a Patient'SG2211 | 224 | $15 |
| Annual Wellness Visit, Includes a Personalized Prevention Plan of Service (pps), Subsequent VisitG0439 | 124 | $120 |
| Administration of Influenza Virus VaccineG0008 | 82 | $30 |
| Hemoglobin A1c Level83036 | 42 | $10 |
| Transitional Care Management Services for Problem of at Least Moderate Complexity |
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 83 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Atorvastatin Calcium | 515 | 173 |
| Metformin Hcl | 326 | 93 |
| Losartan Potassium | 221 | 68 |
| Amlodipine Besylate | 217 | 72 |
| Simvastatin | 214 | 70 |
| Lisinopril | 200 | 56 |
| Omeprazole | 173 |
Practice location
Mailing address
Registry dates
- Enumerated
- 2006-08-24
- Last updated
- 2023-12-04
- Certified
- 2023-12-04
Frequently asked questions
- What is Sanjay Suthar's NPI number?
- Sanjay Suthar's National Provider Identifier (NPI) is 1437266533, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Sanjay Suthar's specialty?
- Sanjay Suthar is listed in the NPPES registry with a primary specialty of Family Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Sanjay Suthar located?
- Sanjay Suthar's practice location on file with NPPES is 2414 Kohler Memorial Dr, Sheboygan, WI 53081.
- What is Sanjay Suthar's phone number?
- The practice phone number listed in the NPPES registry for Sanjay Suthar is (920) 457-4461.
- Does Sanjay Suthar accept Medicare?
- Sanjay Suthar is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Sanjay Suthar's NPI active?
- Yes — Sanjay Suthar's NPI (1437266533) is active in the NPPES registry as of the last update on 2023-12-04.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.