Madhusudan N Dharawat, M.D.

Primary specialty

Cardiovascular Disease PhysicianTaxonomy code 207RC0000X

License

21010 Issued in WV

Practice address

3523 Bluelake Cir
Stockton, CA 95219-1745

Phone

(304) 215-2490

NPI assigned

Feb 12, 2007

Last updated

Jun 21, 2021By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Enrolled in CA

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 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Interoperability endpoints

• Direct secure messaging: mdharawat@b5673aad.micromddirect.com

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.

• Medcore HP

  • Specialist
  • Stockton, CA
  • NPI 1063943223
  NPD (past)
• Madhu N Dharawat MD

  • Cardiovascular Disease Physician
  • Glen Dale, WV
  • NPI 1912049552
  NPD (past)
• The Frederick Ferris Thompson Hospital

  • General Acute Care Hospital
  • Canandaigua, NY
  • NPI 1194776351
  NPD (past)
• The Frederick Ferris Thompson Hospital

  dba UR Medicine Thompson Health Victor Medical Group Pharmacy

  • Community/Retail Pharmacy
  • Victor, NY
  • NPI 1831914274
  NPD (past)

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

{
    "created_epoch": "1171238400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1624233600000",
    "number": "1376685065",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3523 BLUELAKE CIR",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "952191745",
            "telephone_number": "304-215-2490"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3523 BLUELAKE CIR",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "952191745",
            "telephone_number": "304-215-2490"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DHARAWAT",
        "first_name": "MADHUSUDAN",
        "middle_name": "N",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-12",
        "last_updated": "2021-06-21",
        "certification_date": "2021-06-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "WV",
            "license": "21010",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2003824000",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Binita Dhaliwal
• Harpreet Kaur Dhaliwal
• Harvir Dhaliwal, FNP
• Sandeep Dhaliwal, MSW
• Simran Dhaliwal, BMBS
• Shani Dharmasena, LCSW
• Jagjiwan Kaur Dhatt, FNP
• Kulbir Dhatt
• Baljit Singh Dhesi, MD
• Tajinder Singh Dhesi

• Cardiovascular Disease Physician in Stockton, CA
• Providers in Stockton, CA by specialty
• Cardiovascular Disease Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.