Active NPI
Ajith Robert Susai, D.O
- Hospitalist Physician
- Geneva, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hospitalist Physician
- License
- 036167288
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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, IL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 3
Care Compare profile
Medicare Care Compare- Specialty
- Hospitalist
- Education
- Other, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
300 Randall Rd
Geneva, IL 60134-4200
Phone (630) 933-4700
Hospital & facility affiliations
- Northwestern Medicine Delnor Community Hospital
- Northwestern Medicine Central Dupage Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 71008 | WI | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Central Dupage Physician Group | Internal Medicine | Current | Accepting new patients |
| Baycare Aurora, LLC | Hospitalist | Current | Accepting new patients |
| Aurora Medical Group, Inc. | Internal Medicine | Current | Accepting new patients |
| Agrace Palliative Care LLC | Current | Accepting new patients | |
| Columbia St. Mary'S Hospital Milwaukee, Inc | Current | Accepting new patients | |
| Aurora Medical Group, Inc. | Current | Accepting new patients | |
| Froedtert &the Medical College of Wisconsin Community Physicians, Inc. | Current | Accepting new patients | |
| Froedtert &the Medical College of Wisconsin Community Physicians, Inc. | Internal Medicine | Current | Accepting new patients |
| Central Dupage Physician Group | Current | Accepting new patients | |
| Columbia St. Mary'S Hospital Milwaukee Inc | Current | Accepting new patients | |
| Apogee Medical Group Waukesha, SC | Hospitalist | Current | 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
- 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.
-
- Family Medicine Physician
- Carol Stream, IL
- NPI 1033149844
Internal Medicine
-
- Hospice and Palliative Medicine (Internal Medicine) Physician
- Fitchburg, WI
- NPI 1326386129
-
- Hospitalist Physician
- Waukesha, WI
- NPI 1528544608
-
- Certified Registered Nurse Anesthetist
- Milwaukee, WI
- NPI 1427271378
Internal Medicine
-
- Multi-Specialty Clinic/Center
- Milwaukee, WI
- NPI 1023064482
-
- Internal Medicine Physician
- Menomonee Falls, WI
- NPI 1568787448
-
- Orthopaedic Surgery Physician
- Geneva, IL
- NPI 1780012344
-
- Durable Medical Equipment & Medical Supplies
- Oshkosh, WI
- NPI 1326858044
-
- Psychiatric Hospital Unit
- Mequon, WI
- NPI 1417600909
-
- Durable Medical Equipment & Medical Supplies
- Wauwatosa, WI
- NPI 1154947224
-
- Internal Medicine Physician
- Milwaukee, WI
- NPI 1699720086
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Winfield, IL
- NPI 1003864810
-
- Psychiatric Hospital Unit
- Winfield, IL
- NPI 1740230895
-
- General Acute Care Hospital
- Geneva, IL
- NPI 1407859655
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.