Badri N Ganju, MD

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

20994 Issued in WI

Practice address

2414 Kohler Memorial Dr
Sheboygan, WI 53081

Phone

(920) 457-4461

Fax

(920) 459-1155

NPI assigned

Aug 20, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Interoperability endpoints

• Direct secure messaging: bganju45109@aurora.direct-ci.com

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

{
    "created_epoch": "1156032000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1154436244",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3301 W FOREST HOME AVE",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532152843",
            "telephone_number": "414-647-6326",
            "fax_number": "414-671-8860"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2414 KOHLER MEMORIAL DR",
            "city": "SHEBOYGAN",
            "state": "WI",
            "postal_code": "53081",
            "telephone_number": "920-457-4461",
            "fax_number": "920-459-1155"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GANJU",
        "first_name": "BADRI",
        "middle_name": "N",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-20",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "WI",
            "license": "20994",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "30130500",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lisa L Gajewski, MS, OTR
• Margaret Galaska, COTA
• Henry H Gale, MD
• Catherine Ann Gallagher, LPC
• Jody A Gallaway, PSY.D.
• Gary R Scherr, MD
• Michelle Rose Gasper
• Kevin J Gassner, MD
• Kyle R Gassner, M.D.
• GBR Sheboygan LLC

• Surgery Physician in Sheboygan, WI
• Providers in Sheboygan, WI by specialty
• Surgery Physician in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.