Vidushi Babber, M.D.

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

69377 Issued in WI

Practice address

212 11TH St S
La Crosse, WI 54601

Phone

(608) 791-9555

Fax

(866) 538-6982

NPI assigned

Nov 16, 2005

Last updated

Aug 7, 2018By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

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

State licenses

Practice roles

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.

• Department of Health and Hospitals

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Lake Charles, LA
  • NPI 1962457358
  NPD (past)
• KDB Wealth, Inc

  dba Comprehensive Medical Clinic of Louisiana, LLC

  • Family Medicine Physician
  • Lake Charles, LA
  • NPI 1740865567
  NPD (past)
• Louisiana Department of Health, Department of Health and Hospitals

  dba John J. Hainkel Jr. Home and and Rehabilitation Center

  • Skilled Nursing Facility
  • New Orleans, LA
  • NPI 1730674557
  NPD (past)

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

{
    "created_epoch": "1132099200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1533600000000",
    "number": "1164404174",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1510",
            "city": "EAU CLAIRE",
            "state": "WI",
            "postal_code": "547021510",
            "telephone_number": "715-838-3635",
            "fax_number": "866-538-6982"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "212 11TH ST S",
            "city": "LA CROSSE",
            "state": "WI",
            "postal_code": "54601",
            "telephone_number": "608-791-9555",
            "fax_number": "866-538-6982"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BABBER",
        "first_name": "VIDUSHI",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-11-16",
        "last_updated": "2018-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "LA",
            "license": "MD200095",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "WI",
            "license": "69377",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1621340",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jenna K Averbeck
• Matthew Timothy Axler
• Ezana M Azene, MD, PHD
• Muhammad Azhar
• Lorraine Babameto, RDN
• Kai Babcock
• Casey John Bablitch, B.S., CSAC
• Robert R Bablitch, MSW
• Vanessa Bablitch, LCSW, SAC-IT, MSW,
• Samuel C Bach

• Psychiatry Physician in La Crosse, WI
• Providers in La Crosse, WI by specialty
• Psychiatry Physician in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2018; 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.