Individual provider Active NPI

Bhanu Prasad Paladugu, MD

  • Internal Medicine Physician
  • Roseburg, OR
National Provider Identifier
1023042025
Registry record updated May 21, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
MD26626 Issued in OR
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, 2008By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 21, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
005973MedicaidOR
B6227OtherIDBCBS-NAMPA
807958100MedicaidID
838366029OtherORBCBS-MCMINNVILLE
858464036OtherORBCBS-SPRINGFIELD
P00366050OtherORRAIL ROAD MEDICARE
858463035OtherORBCBS-MEDFORD
844477037OtherORBCBS-GRANTS PASS
77172OtherIDBCBS-CALDWELL
858464036OtherORBCBS-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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100329000483 WI Practitioner - Internal Medicine 2163422239 Reassigns benefits to 2 organizations

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 100Reported as group
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

LicenseStateTypeSpecialty
MD26626ORMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Beaver Dam Community Hospitals, Inc CurrentSince Aug 6, 2017 Accepting new patients
MCHS Hospitals Inc Internal Medicine Current Accepting new patients
Ascension Medical Group-Southeast Wisconsin Inc Internal Medicine CurrentSince Jul 31, 2012 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

  • Direct secure messaging: 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.

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": "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

Verify at the official NPI Registry.