NPIMap

Individual provider Active NPI

Naga Dharmavaram, MD

  • Internal Medicine Physician
  • Madison, WI
National Provider Identifier
1366977266
Registry record updated Aug 24, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
70967 Issued in WI
Practice address
Uw Hospitals and Clinics
600 Highland Avenue
Madison, WI 53792-0001
Phone
(608) 263-6400
NPI assigned
Apr 28, 2017
Last updated
Aug 24, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 24, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Internal Medicine Physician 207R00000X 70967 WI Primary

Addresses

Primary practice location

Uw Hospitals and Clinics
600 Highland Avenue
Madison, WI 53792-0001

Mailing address

Uw Hospitals and Clinics
600 Highland Avenue
Madison, WI 53792-0001
Phone (608) 263-6400

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250625001202 CA Practitioner - Internal Medicine 2769752971 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
University of South Carolina School of Medicine, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Epic CardiologyGroup PAC ID 5799811394, 9 clinicians

Practice addresses (Care Compare)

2740 N Garey Ave
Suite 100
Pomona, CA 91767-1800
Phone (909) 623-2300

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
70967WIMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Hni Medical Services of Wisconsin, S.C. Internal Medicine CurrentSince Sep 15, 2020 Accepting new patients
Reedsburg Area Medical Center Inc CurrentSince Mar 15, 2022 Accepting new patients
Reedsburg Area Medical Center, Inc. CurrentSince Mar 15, 2022 Accepting new patients
Epic Cardiology CurrentSince Apr 13, 2025 Accepting new patients

Locations

5450 Jefferson Ave
Ste 3
Chino, CA 91710
Phone (909) 464-8600

5451 Walnut Ave
Chino, CA 91710
Phone (909) 464-8600

2740 N Garey Ave
Ste 100
Pomona, CA 91767
Phone (909) 392-3230

15107 Vanowen St
Van Nuys, CA 91405
Phone (818) 782-6600

4955 Van Nuys Blvd
Ste 308
Van Nuys, CA 91403
Phone (818) 387-6114

801 Braxton Pl
Madison, WI 53715
Phone (608) 251-1010

2000 N Dewey Ave
Reedsburg, WI 53959
Phone (608) 524-6487

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/2754/brand/1/csg/1/fhir/r4

Organizations & group practices 4

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.

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": "1493337600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1598227200000",
    "number": "1366977266",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "UW HOSPITALS AND CLINICS",
            "address_2": "600 HIGHLAND AVENUE",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537920001",
            "telephone_number": "608-263-6400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "UW HOSPITALS AND CLINICS",
            "address_2": "600 HIGHLAND AVENUE",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537920001",
            "telephone_number": "608-263-6400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DHARMAVARAM",
        "first_name": "NAGA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-04-28",
        "last_updated": "2020-08-24",
        "certification_date": "2020-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "WI",
            "license": "70967",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Madison, WI

Sources for this page

Verify at the official NPI Registry.