Active NPI
Bhanu Prasad Paladugu, MD
- Internal Medicine Physician
- Roseburg, OR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- MD26626
- Practice address
- 2700 NW Stewart Pkwy
Roseburg, OR 97470-1281 - Phone
- (561) 677-1773
- Fax
- (541) 677-1794
- NPI assigned
- Jul 10, 2006
- Last updated
- May 21, 2008
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | MD26626 | OR | Primary |
Addresses
Primary practice location
2700 NW Stewart Pkwy
Roseburg, OR 97470-1281
Mailing address
PO Box 708850
Sandy, UT 84070-8850
Phone (866) 869-2395
Other identifiers 10
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 005973 | Medicaid | OR | |
| B6227 | Other | ID | BCBS-NAMPA |
| 807958100 | Medicaid | ID | |
| 838366029 | Other | OR | BCBS-MCMINNVILLE |
| 858464036 | Other | OR | BCBS-SPRINGFIELD |
| P00366050 | Other | OR | RAIL ROAD MEDICARE |
| 858463035 | Other | OR | BCBS-MEDFORD |
| 844477037 | Other | OR | BCBS-GRANTS PASS |
| 77172 | Other | ID | BCBS-CALDWELL |
| 858464036 | Other | OR | BCBS-ROSEBURG |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Other, 1995
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
705 S University Ave
MMC Beaver Dam Medical Offices
Beaver Dam, WI 53916-3053
Phone (920) 887-7181
707 S University Ave
MMC Beaver Dam Hospital
Beaver Dam, WI 53916-3027
Phone (920) 887-7181
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 78.6 of 100
- Quality
- 56.02
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 72.66
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD26626 | OR | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Beaver Dam Community Hospitals, Inc | Current | Accepting new patients | |
| MCHS Hospitals Inc | Internal Medicine | Current | Accepting new patients |
| Ascension Medical Group-Southeast Wisconsin Inc | Internal Medicine | Current | Accepting new patients |
| Beaver Dam Community Hospitals Inc | Current | Accepting new patients | |
| Apogee Medical Group Idaho PC | Internal Medicine | Past | Accepting new patients |
| Prohealth Medical Group Inc | Internal Medicine | Past | Accepting new patients |
Locations
705 S University Ave
Beaver Dam, WI 53916
Phone (920) 885-6090
13950 W Capitol Dr
Brookfield, WI 53005
Phone (414) 302-5400
2900 W Oklahoma Ave
Milwaukee, WI 53215
Phone (414) 385-2590
3803 Spring St
Mount Pleasant, WI 53405
Phone (262) 687-4201
1451 Cleveland Ave
Waukesha, WI 53186
Phone (262) 547-2123
201 N Mayfair Rd
Fl 2
Wauwatosa, WI 53226
Phone (414) 771-8228
Interoperability endpoints
- bhanu.paladugu@marshfieldclinichealthsystem.cernerdirect.com
Organizations & group practices 6
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Marshfield Medical Center - Beaver Dam Professional Services
- Clinic/Center
- Beaver Dam, WI
- NPI 1972188555
-
dba Ascension Medical Group
- Internal Medicine Physician
- Glendale, WI
- NPI 1609881077
-
dba (Inactive) MMC - Beaver Dam - Movement & Ortho, Rehab, PT/OT/ST
- Sports Medicine (Family Medicine) Physician
- Beaver Dam, WI
- NPI 1023310034
-
dba Marshfield Medical Center
- Clinic/Center
- Marshfield, WI
- NPI 1093221434
Internal Medicine
-
- Internal Medicine Physician
- Scottsdale, AZ
- NPI 1518086651
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Marshfield Medical Center - Beaver Dam
- General Acute Care Hospital
- Beaver Dam, WI
- NPI 1023187416
-
dba (Inactive) Marshfield Medical Center - Beaver Dam Specialty Clinic
- Clinic/Center
- Beaver Dam, WI
- NPI 1508184896
Hospital
-
dba SSM Health St. Mary's Hospital-Madison
- General Acute Care Hospital
- Madison, WI
- NPI 1184621211
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152489600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1211328000000",
"number": "1023042025",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 708850",
"city": "SANDY",
"state": "UT",
"postal_code": "840708850",
"telephone_number": "866-869-2395",
"fax_number": "801-352-7976"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2700 NW STEWART PKWY",
"city": "ROSEBURG",
"state": "OR",
"postal_code": "974701281",
"telephone_number": "561-677-1773",
"fax_number": "541-677-1794"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PALADUGU",
"first_name": "BHANU PRASAD",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-10",
"last_updated": "2008-05-21",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "OR",
"license": "MD26626",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "005973",
"state": "OR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS-NAMPA",
"identifier": "B6227",
"state": "ID"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "807958100",
"state": "ID"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS-MCMINNVILLE",
"identifier": "838366029",
"state": "OR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS-SPRINGFIELD",
"identifier": "858464036",
"state": "OR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAIL ROAD MEDICARE",
"identifier": "P00366050",
"state": "OR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS-MEDFORD",
"identifier": "858463035",
"state": "OR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS-GRANTS PASS",
"identifier": "844477037",
"state": "OR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS-CALDWELL",
"identifier": "77172",
"state": "ID"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS-ROSEBURG",
"identifier": "858464036",
"state": "OR"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Roseburg, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2008; 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.