Individual provider

Sunil Penesetti, MD

Internal Medicine Physician Cardiovascular Disease Physician Medicare enrolled

Sunil Penesetti, MD is a Cardiovascular Disease Physician in Monroe, WI, registered under NPI 1255644555. This provider registers 2 separate taxonomy codes, which usually means they practise across more than one recognised specialty. NPPES records them as a sole proprietor, meaning the practice is not incorporated as a separate legal entity.

Getting there

The practice address on file is 515 22ND AVE, Monroe, WI 53566. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.

515 22ND AVE, Monroe, WI 53566 Open in Google Maps →

Credentials and Medicare

State licence
LicenceStateSpecialty
14938 NH Internal Medicine Physician
270212 NY Cardiovascular Disease Physician
69193-20 WI Cardiovascular Disease Physician primary

Licences are recorded in 3 states: NH, NY, WI. Providers licensed in several states often practise near a state border or deliver telehealth across state lines.

Medicare (PECOS)
Status
Approved
Provider type
Practitioner - Cardiovascular Disease (cardiology)
PAC ID
7214129162

Enrolled in Medicare 2 times, across 2 states:

StateEnrollment IDProvider type
Wisconsin I20180611000328 Practitioner - Cardiovascular Disease (cardiology)
Illinois I20180622001460 Practitioner - Cardiovascular Disease (cardiology)

Medicare enrolment is recorded as approved under the provider type Practitioner - Cardiovascular Disease (cardiology). There are 2 separate enrolment records across 2 states (WI, IL). Multiple enrolments usually mean the provider bills Medicare from more than one practice location, or has kept an earlier enrolment after moving. Each record carries its own enrolment ID, listed above. Being enrolled means the provider can bill Medicare; it does not tell you whether they are currently accepting new Medicare patients. Call the office to confirm.

Licensed in 3 states

This provider holds licences in 3 states: New Hampshire, New York and Wisconsin. The practice address on file is in Monroe, WI, but a licence in another state usually means they see patients there too — either at a second location or by telehealth. If the address above is far from you, it is worth calling to ask whether they practise closer to where you live.

NH New Hampshire
Licence
14938
Specialty
Internal Medicine Physician
Verify with the NH board →
NY New York
Licence
270212
Specialty
Cardiovascular Disease Physician
Verify with the NY board →
WI Wisconsin practice address
Licence
69193-20
Specialty
Cardiovascular Disease Physician
Verify with the WI board →

Licence numbers are self-reported to NPPES at registration. They do not confirm a licence is currently active, in good standing, or valid for the specialty shown — only the state board can tell you that, which is why we link to each one.

What Cardiovascular Disease covers

An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. NUCC Health Care Provider Taxonomy, code 207RC0000X
Allopathic & Osteopathic Physicians Internal Medicine Cardiovascular Disease

All registered taxonomy codes

This provider registers 3 taxonomy codes. The primary code is what appears on most claims; the others record additional recognised specialties.

CodeSpecialtyLicenceState
207R00000X Internal Medicine Physician 14938 NH
207RC0000X Cardiovascular Disease Physician Cardiovascular Disease 270212 NY
207RC0000X Cardiovascular Disease Physician Cardiovascular Disease 69193-20 WI primary

The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.

Full NPPES record

An NPI-1 identifies a single person. It stays with the clinician for life, even if they move practice or change state, which is why the address on file can lag behind where they actually work today.

NPI1255644555 valid check digit
Entity typeIndividual (NPI-1)
Enumeration dateJul 15, 2010
Last updatedDec 23, 2020
StatusActive
Sole proprietorYes
GenderMale
CredentialMD
Practice address 515 22ND AVE
Monroe, WI 53566
(608) 324-2000
The last update on file is Dec 23, 2020. Providers are only required to update NPPES when their information changes, so an older date does not necessarily mean the details are wrong — but it is worth a quick call before you travel.

Number check

1255644555 passes the NPI check digit test The final digit 5 matches the value computed from the first nine digits, so this is a well-formed NPI.
How the check works, step by step

Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.

Digit 8 0 8 4 0 1 2 5 5 6 4 4 5 5
Doubled? ×2 ×2 ×2 ×2 ×2 ×2 ×2
Value 8 0 8 8 0 2 2 1 5 3 4 8 5 1

Sum = 55 · next multiple of 10 = 60 · check digit = 5 · actual last digit = 5

A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.

Common questions

What is NPI number 1255644555?
NPI 1255644555 is the National Provider Identifier assigned to Sunil Penesetti, MD in Monroe, WI. It is a 10-digit number issued by the Centers for Medicare & Medicaid Services and used on claims, referrals, and prescriptions to identify the provider.
What does Cardiovascular Disease cover?
An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.
How do I contact Sunil Penesetti, MD?
The phone number on file with NPPES is (608) 324-2000, last updated Dec 23, 2020. Because NPPES is only updated when a provider files a change, call ahead to confirm the number and the current practice address before visiting.
Does Sunil Penesetti, MD accept Medicare?
This NPI has an approved Medicare enrolment in PECOS, which means the provider is enrolled to bill Medicare. Enrolment does not guarantee they are accepting new Medicare patients — verify directly with the office.
Is NPI 1255644555 a valid number?
Yes. 1255644555 passes the Luhn check digit validation that CMS uses for NPI numbers, and it resolves to an active record in the registry.
How to use this page. Everything here comes from public federal records. Tips Health does not verify quality of care, confirm that a licence is currently active, or check malpractice history, and accepts no fees for placement. A listing is not a recommendation. Verify independently before seeking care.