Individual provider Active NPI

Rupa Radha Nataraj

  • Clinical Social Worker
  • Madison, WI
National Provider Identifier
1114622495
Registry record updated Apr 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
12282-123 Issued in WI
Practice address
4302 Honeypie Dr
Madison, WI 53718-4426
Phone
(608) 852-2734
NPI assigned
Apr 4, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 15, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 12282-123 WI Primary
Social Worker 104100000X WI
Mental Health Counselor 101YM0800X

Addresses

Primary practice location

4302 Honeypie Dr
Madison, WI 53718-4426

Mailing address

4302 Honeypie Dr
Madison, WI 53718-4426
Phone (608) 852-2734

Other practice location 1

2985 Triverton Pike Dr
Fitchburg, WI 53711-5803
Phone (608) 852-2734

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: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20251008000056 WI Practitioner - Clinical Social Worker 3577069582 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2023
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

4302 Honeypie Dr
Madison, WI 53718-4426

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Luma Via LLC Clinical CurrentSince Jul 6, 2025 Accepting new patients

Locations

5900 Monona Dr
Ste 310
Monona, WI 53716
Phone (608) 852-2734

Organizations & group practices 1

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": "1680566400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744675200000",
    "number": "1114622495",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4302 HONEYPIE DR",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537184426",
            "telephone_number": "608-852-2734"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4302 HONEYPIE DR",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537184426",
            "telephone_number": "608-852-2734"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2985 Triverton Pike Dr",
            "address_purpose": "LOCATION",
            "city": "Fitchburg",
            "state": "WI",
            "postal_code": "537115803",
            "country_code": "US",
            "telephone_number": "608-852-2734",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NATARAJ",
        "first_name": "RUPA",
        "middle_name": "RADHA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-04-04",
        "last_updated": "2025-04-15",
        "certification_date": "2025-04-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WI",
            "license": "12282-123",
            "primary": true
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "WI",
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Madison, WI

Sources for this page

Verify at the official NPI Registry.