Individual provider Active NPI

Grace C Devadas, MD

  • Internal Medicine Physician
  • Madison, WI
National Provider Identifier
1023128279
Registry record updated May 26, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
38548 Issued in WI
Practice address
20 S Park St Ste 405
Madison, WI 53715-1378
Phone
(608) 287-2250
Fax
(608) 287-2438
NPI assigned
Aug 30, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 26, 2023

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 38548 WI Primary

Addresses

Primary practice location

20 S Park St Ste 405
Madison, WI 53715-1378

Mailing address

7974 Uw Health CT
Middleton, WI 53562-5531

Other identifiers 1

IdentifierTypeStateIssuer
34008300MedicaidWI

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address gdevadas1300947@direct.uwhealth.org

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
I20100612000094 WI Practitioner - Internal Medicine 6204966575 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

20 S Park St
Madison, WI 53715-1348
Phone (608) 287-2076

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
83.32 of 100Reported as group
Quality
87.78
Promoting interoperability
77
Improvement activities
40
Cost
75.8

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
38548WIMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Lakeview Medical Center Inc of Rice Lake CurrentSince Oct 30, 2018 Accepting new patients
Marshfield Clinic Inc CurrentSince Sep 18, 2000 Accepting new patients
MCHS Hospitals Inc CurrentSince Mar 1, 2018 Accepting new patients
University of Wisconsin Medical Foundation, Inc CurrentSince Mar 1, 2023 Accepting new patients
Lakeview Medical Center Inc of Rice Lake CurrentSince Oct 30, 2018 Accepting new patients
MCHS Hospitals Inc Internal Medicine CurrentSince Mar 1, 2018 Accepting new patients
University of Wisconsin Medical Foundation, Inc CurrentSince Mar 1, 2023 Accepting new patients
University of Wisconsin Medical Foundation Inc Past Accepting new patients

Locations

3501 Golf Rd
Eau Claire, WI 54701
Phone (715) 858-4200

1000 Starr Ave
Eau Claire, WI 54703
Phone (715) 858-4850

20 S Park St
Ste 405
Madison, WI 53715
Phone (608) 287-2250

20 S Park St
Madison, WI 53715
Phone (608) 287-2090

600 Highland Ave
Madison, WI 53792
Phone (608) 263-0325

1000 N Oak Ave
Marshfield, WI 54449
Phone (715) 387-5111

7974 Uw Health Ct
Middleton, WI 53562
Phone (608) 829-5270

1700 W Stout St
Rice Lake, WI 54868
Phone (715) 236-6133

Interoperability endpoints

  • Direct secure messaging: grace.devadas@marshfieldclinichealthsystem.cernerdirect.com

Organizations & group practices 8

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 7

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": "1156896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1685059200000",
    "number": "1023128279",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7974 UW HEALTH CT",
            "city": "MIDDLETON",
            "state": "WI",
            "postal_code": "535625531"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 S PARK ST STE 405",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537151378",
            "telephone_number": "608-287-2250",
            "fax_number": "608-287-2438"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEVADAS",
        "first_name": "GRACE",
        "middle_name": "C",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-30",
        "last_updated": "2023-05-26",
        "certification_date": "2023-05-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "WI",
            "license": "38548",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "34008300",
            "state": "WI"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "gdevadas1300947@direct.uwhealth.org",
            "affiliation": "N",
            "address_1": "20 S Park St Ste 405",
            "city": "Madison",
            "state": "WI",
            "country_code": "US",
            "postal_code": "537151378",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Madison, WI

Sources for this page

Verify at the official NPI Registry.