Individual provider Active NPI

Ajith Robert Susai, D.O

  • Hospitalist Physician
  • Geneva, IL
National Provider Identifier
1992250419
Registry record updated Mar 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospitalist PhysicianTaxonomy code 208M00000X
License
036167288 Issued in IL
Practice address
300 Randall Rd
Geneva, IL 60134-4200
Phone
(630) 933-4700
Fax
(630) 933-4427
NPI assigned
Aug 25, 2016
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 27, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 71008 WI
Hospitalist Physician 208M00000X 036167288 IL Primary

Addresses

Primary practice location

300 Randall Rd
Geneva, IL 60134-4200

Mailing address

300 Randall Rd
Geneva, IL 60134-4200
Phone (630) 933-4700

Other practice location 1

725 American Ave
Waukesha, WI 53188-5031
Phone (262) 928-5400

Other practice location 2

791 Summit Ave
Oconomowoc, WI 53066-3896
Phone (262) 569-0259

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI, IL3 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20190725000574 WI Practitioner - Hospitalist 9830425081 Reassigns benefits to 2 organizations
I20220831001883 WI Practitioner - Internal Medicine 9830425081 Reassigns benefits to 4 organizations
I20240409002268 IL Practitioner - Hospitalist 9830425081 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Hospitalist
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Central Dupage Physician GroupGroup PAC ID 5890696231, 1,087 clinicians

Practice addresses (Care Compare)

300 Randall Rd
Geneva, IL 60134-4200
Phone (630) 933-4700

Hospital & facility affiliations

  • Northwestern Medicine Delnor Community Hospital Hospital, Geneva, IL, CCN 140211
  • Northwestern Medicine Central Dupage Hospital Hospital, Winfield, IL, CCN 140242

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
71008WIMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Central Dupage Physician Group Internal Medicine CurrentSince May 1, 2024 Accepting new patients
Baycare Aurora, LLC Hospitalist CurrentSince Aug 21, 2022 Accepting new patients
Aurora Medical Group, Inc. Internal Medicine CurrentSince Apr 12, 2023 Accepting new patients
Agrace Palliative Care LLC CurrentSince Apr 19, 2023 Accepting new patients
Columbia St. Mary'S Hospital Milwaukee, Inc CurrentSince Jan 1, 2023 Accepting new patients
Aurora Medical Group, Inc. CurrentSince Apr 12, 2023 Accepting new patients
Froedtert &the Medical College of Wisconsin Community Physicians, Inc. CurrentSince Aug 1, 2022 Accepting new patients
Froedtert &the Medical College of Wisconsin Community Physicians, Inc. Internal Medicine CurrentSince Aug 1, 2022 Accepting new patients
Central Dupage Physician Group CurrentSince May 1, 2024 Accepting new patients
Columbia St. Mary'S Hospital Milwaukee Inc CurrentSince Jan 1, 2023 Accepting new patients
Apogee Medical Group Waukesha, SC Hospitalist CurrentSince Sep 1, 2019 Accepting new patients
The Medical College of Wisconsin, Inc. Internal Medicine Current Accepting new patients

Locations

Carol Stream, IL 60122
Phone (630) 933-3300

Dept 5777
Carol Stream, IL 60122

300 Randall Rd
Geneva, IL 60134
Phone (630) 208-4009

1800 N Main St
Wheaton, IL 60187
Phone (630) 469-0045

5395 E Cheryl Pkwy
Fitchburg, WI 53711
Phone (608) 276-4660

W168N11237 Western Ave
Germantown, WI 53022
Phone (262) 253-5060

2253 W Mason St
Green Bay, WI 54303
Phone (920) 327-7000

2845 Greenbrier Rd
Green Bay, WI 54311
Phone (920) 288-3388

W180N8085 Town Hall Rd
Menomonee Fls, WI 53051
Phone (262) 257-5000

1020 N 12th St
Milwaukee, WI 53233
Phone (414) 219-3056

240 Maple Ave
Mukwonago, WI 53149
Phone (262) 928-1900

36500 Aurora Dr
Summit, WI 53066
Phone (262) 434-1000

791 Summit Ave
Summit, WI 53066
Phone (262) 569-0251

13111 N Port Washington Rd
Thiensville, WI 53097
Phone (262) 243-7300

725 American Ave
Waukesha, WI 53188
Phone (262) 544-2011

1155 N Mayfair Rd
Wauwatosa, WI 53226
Phone (414) 955-5990

801 S 70th St
West Allis, WI 53214
Phone (414) 773-6600

Interoperability endpoints

  • Direct secure messaging: asusai569936@direct.froedtert.com

Organizations & group practices 12

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1472083200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1711497600000",
    "number": "1992250419",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 RANDALL RD",
            "city": "GENEVA",
            "state": "IL",
            "postal_code": "601344200",
            "telephone_number": "630-933-4700",
            "fax_number": "630-933-4427"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 RANDALL RD",
            "city": "GENEVA",
            "state": "IL",
            "postal_code": "601344200",
            "telephone_number": "630-933-4700",
            "fax_number": "630-933-4427"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "725 American Ave",
            "address_purpose": "LOCATION",
            "city": "Waukesha",
            "state": "WI",
            "postal_code": "531885031",
            "country_code": "US",
            "telephone_number": "262-928-5400",
            "fax_number": "262-928-6140",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "791 Summit Ave",
            "address_purpose": "LOCATION",
            "city": "Oconomowoc",
            "state": "WI",
            "postal_code": "530663896",
            "country_code": "US",
            "telephone_number": "262-569-0259",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SUSAI",
        "first_name": "AJITH",
        "middle_name": "ROBERT",
        "name_prefix": "Dr.",
        "credential": "D.O",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-08-25",
        "last_updated": "2024-03-27",
        "certification_date": "2024-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "WI",
            "license": "71008",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "IL",
            "license": "036167288",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Geneva, IL

Sources for this page

Verify at the official NPI Registry.