Individual provider Active NPI

Rahul Verma, M.D.

  • Cardiovascular Disease Physician
  • Green Bay, WI
National Provider Identifier
1225085582
Registry record updated Dec 11, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
44438-20 Issued in WI
Practice address
744 S Webster Ave
2ND Floor
Green Bay, WI 54301-3505
Phone
(920) 433-3640
Fax
(922) 433-3716
NPI assigned
May 30, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 11, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 44438-20 WI Primary

Addresses

Primary practice location

744 S Webster Ave
2ND Floor
Green Bay, WI 54301-3505

Mailing address

PO Box 22487
Green Bay, WI 54305-2487
Phone (920) 445-7222

Other identifiers 3

IdentifierTypeStateIssuer
34269800MedicaidWI
4301091396OtherMIMICHIGAN LICENSE
44438-20OtherWIWISCONSIN LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI, MI2 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
I20040316000741 WI Practitioner - Cardiovascular Disease (Cardiology) 2567352461 Reassigns benefits to 5 organizations
I20080314000093 MI Practitioner - Cardiovascular Disease (Cardiology) 2567352461 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)
Education
Other, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Oconto Hospital and Medical Center IncGroup PAC ID 2163461781, shared by 12 NPIs, 217 clinicians
St Francis HospitalGroup PAC ID 5991604753, 85 clinicians
Bellin Memorial Hospital IncGroup PAC ID 8820900749, 685 clinicians
Osf Multi-Specialty GroupGroup PAC ID 3678889789, 2,123 clinicians

Practice addresses (Care Compare)

107 E Highland Dr
Oconto Falls, WI 54154-1002
Phone (920) 846-3092

2820 Roosevelt Rd
Marinette, WI 54143-3834
Phone (715) 735-5225

3401 Ludington St
Escanaba, MI 49829-1300
Phone (906) 786-5707

3409 Ludington St
Escanaba, MI 49829-4213

440 Woodward Ave
Iron Mountain, MI 49801-4631
Phone (906) 776-9040

441 French St
Peshtigo, WI 54157-1203
Phone (715) 582-9949

744 S Webster Ave
Green Bay, WI 54301-3505

820 Arbutus Ave
Oconto, WI 54153-2004
Phone (920) 835-1100

Hospital & facility affiliations

  • Bellin Memorial Hospital Hospital, Green Bay, WI, CCN 520049
  • Door County Medical Center Hospital, Sturgeon Bay, WI, CCN 521358
  • Osf St Francis Hospital and Medical Group Hospital, Escanaba, MI, CCN 231337
  • Bellin Health Oconto Hospital Hospital, Oconto, WI, CCN 521356

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
44438-20WIMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
St. Francis Hospital CurrentSince Sep 25, 2024 Accepting new patients
Gundersen Lutheran Medical Center, Inc CurrentSince Apr 12, 2024 Accepting new patients
Bellin Memorial Hospital Inc Cardiovascular Disease Current Accepting new patients
Bellin Memorial Hospital Inc Cardiovascular Disease CurrentSince Sep 1, 2002 Accepting new patients
Bellin Memorial Hospital Inc Cardiovascular Disease CurrentSince Jun 1, 2011 Accepting new patients
Osf Multi-Specialty Group CurrentSince Jun 28, 2023 Accepting new patients
Froedtert Manitowoc Medical Group, LLC CurrentSince Apr 2, 2022 Accepting new patients
St Francis Hospital CurrentSince Sep 25, 2024 Accepting new patients
Gundersen Lutheran Medical Center Inc CurrentSince Apr 12, 2024 Accepting new patients
Oconto Hospital & Medical Center, Inc. CurrentSince Jun 22, 2017 Accepting new patients
Oconto Hospital & Medical Center Inc CurrentSince Jun 22, 2017 Accepting new patients
Bellin Memorial Hospital Inc Current Accepting new patients
Gundersen Lutheran Medical Center Inc Current Accepting new patients
St. Francis Hospital Current Accepting new patients
Oconto Hospital & Medical Center Inc Current Accepting new patients
Bellin Memorial Hospital Inc Cardiovascular Disease CurrentSince Sep 1, 2002 Accepting new patients
Bellin Memorial Hospital Inc PastSince Jun 28, 2023 Accepting new patients
Cardiology Associates of Green Bay, LTD Cardiovascular Disease Past Accepting new patients

Locations

610 S Lincoln Rd
Escanaba, MI 49829
Phone (906) 786-6488

3409 Ludington St
Ste 206
Escanaba, MI 49829
Phone (906) 786-7471

2525 5th Ave S
Escanaba, MI 49829
Phone (906) 233-4276

3409 Ludington St
Ste 104
Escanaba, MI 49829
Phone (906) 786-8343

1721 S Stephenson Ave
Iron Mountain, MI 49801
Phone (906) 776-5415

440 Woodward Ave
Iron Mountain, MI 49801
Phone (906) 776-9040

835 S Van Buren St
Green Bay, WI 54301
Phone (888) 901-7246

744 S Webster Ave
Fl 2
Green Bay, WI 54301

3263 Eaton Rd
Green Bay, WI 54311
Phone (920) 433-6000

1726 Shawano Ave
Green Bay, WI 54303
Phone (920) 432-6016

744 S Webster Ave
#2
Green Bay, WI 54301

744 S Webster Ave
Green Bay, WI 54301
Phone (920) 433-6025

704 S Webster Ave
Green Bay, WI 54301
Phone (920) 433-3784

1910 South Ave
La Crosse, WI 54601
Phone (608) 775-2287

2300 Western Ave
Manitowoc, WI 54220
Phone (920) 320-2011

2820 Roosevelt Rd
Marinette, WI 54143
Phone (715) 330-6171

820 Arbutus Ave
Oconto, WI 54153
Phone (920) 835-1100

855 S Main St
Oconto Falls, WI 54154
Phone (920) 846-3444

1414 N Taylor Dr
Sheboygan, WI 53081
Phone (920) 320-2011

323 S 18th Ave
Sturgeon Bay, WI 54235
Phone (920) 743-5566

Interoperability endpoints

  • Direct secure messaging: rverma33110@direct.thedacare.org
  • Direct secure messaging: rverma917017@direct.emplifyhealth.org
  • Direct secure messaging: rverma876119@direct.gundersenhealth.org

Organizations & group practices 18

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.

View all 18

Hospital & facility affiliations 5

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": "1148947200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1607644800000",
    "number": "1225085582",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 22487",
            "city": "GREEN BAY",
            "state": "WI",
            "postal_code": "543052487",
            "telephone_number": "920-445-7222",
            "fax_number": "920-445-7289"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "744 S WEBSTER AVE",
            "address_2": "2ND FLOOR",
            "city": "GREEN BAY",
            "state": "WI",
            "postal_code": "543013505",
            "telephone_number": "920-433-3640",
            "fax_number": "922-433-3716"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VERMA",
        "first_name": "RAHUL",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-30",
        "last_updated": "2020-12-11",
        "certification_date": "2020-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "WI",
            "license": "44438-20",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "34269800",
            "state": "WI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MICHIGAN LICENSE",
            "identifier": "4301091396",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WISCONSIN LICENSE",
            "identifier": "44438-20",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Green Bay, WI

Sources for this page

Verify at the official NPI Registry.