Individual provider Active NPI

Sharwin Chandrashekhar Khot, MD

  • Pediatrics Physician
  • Madison, WI
National Provider Identifier
1053930230
Registry record updated Dec 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
84060-20 Issued in WI
Practice address
2402 Winnebago St
Madison, WI 53704-5341
Phone
(608) 828-7603
NPI assigned
Apr 8, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 12, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 84060-20 WI Primary
Pediatrics Physician 208000000X BP10070696 TX

Addresses

Primary practice location

2402 Winnebago St
Madison, WI 53704-5341

Mailing address

7974 Uw Health CT
Middleton, WI 53562-5531

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address skhot4589099@direct.uwhealth.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, WI2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20231019002465 TX Practitioner - Pediatric Medicine 4587010020 Reassigns benefits to 1 organization
I20240730001312 WI Practitioner - Pediatric Medicine 4587010020 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
BP10070696TXMDPediatrics Physician
84060-20WIMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University of Wisconsin Medical Foundation, Inc CurrentSince Aug 19, 2024 Accepting new patients
Dell Children'S Medical Group Pediatrics Current Accepting new patients
Dell Children'S Medical Group CurrentSince Aug 1, 2023 Accepting new patients
University of Wisconsin Medical Foundation, Inc CurrentSince Aug 19, 2024 Accepting new patients
Dell Children'S Medical Group Pediatrics CurrentSince Aug 1, 2023 Accepting new patients
University of Wisconsin Medical Foundation Inc Past Accepting new patients

Locations

4900 Mueller Blvd
Ste 3S66C
Austin, TX 78723
Phone (512) 324-0165

1301 Barbara Jordan Blvd
Ste 200
Austin, TX 78723
Phone (512) 628-1800

4900 Mueller Blvd
Austin, TX 78723
Phone (512) 324-0165

1000 Hesters Crossing Rd
Round Rock, TX 78681
Phone (512) 628-1800

2402 Winnebago St
Madison, WI 53704
Phone (608) 242-6840

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

7102 Mineral Point Rd
Madison, WI 53717
Phone (608) 828-7603

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

Interoperability endpoints

  • Direct secure messaging: skhot4589099@direct.uwhealth.org

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 and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1586304000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733961600000",
    "number": "1053930230",
    "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": "2402 WINNEBAGO ST",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537045341",
            "telephone_number": "608-828-7603"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KHOT",
        "first_name": "SHARWIN",
        "middle_name": "CHANDRASHEKHAR",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-04-08",
        "last_updated": "2024-12-12",
        "certification_date": "2024-12-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "WI",
            "license": "84060-20",
            "primary": true
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "TX",
            "license": "BP10070696",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "skhot4589099@direct.uwhealth.org",
            "affiliation": "N",
            "address_1": "2402 Winnebago St",
            "city": "Madison",
            "state": "WI",
            "country_code": "US",
            "postal_code": "537045341",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Madison, WI

Sources for this page

Verify at the official NPI Registry.