Active NPI
Kanjani Shukla Bajgain, DO
- Psychiatry Physician
- Madison, WI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 81736-21
- Practice address
- 208 E Olin Ave Ste 205
Madison, WI 53713-1427 - Phone
- (608) 251-4156
- NPI assigned
- May 6, 2019
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 69004 | MN | |
| Psychiatry Physician | 2084P0800X | 81736-21 | WI | Primary |
Addresses
Primary practice location
208 E Olin Ave Ste 205
Madison, WI 53713-1427
Mailing address
1265 John Q Hammons Dr
Madison, WI 53717-1921
Phone (608) 251-4156
Other names 1
- Kanjani Shukla Bajgain
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MN, WI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Neuropsychiatry
- Education
- Other, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
3051 Cahill Main
Fitchburg, WI 53711-7109
Phone (608) 661-7200
675 W Washington Ave
Madison, WI 53703-2637
Phone (608) 257-9700
8202 Excelsior Dr
Madison, WI 53717-1906
Phone (608) 831-1766
Merit-based Incentive Payment System (MIPS)
- Final score
- 92.67 of 100
- Quality
- 74.5
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 72.86
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 69004 | MN | MD | Psychiatry Physician |
| 81736-21 | WI | MD | Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Group Health Cooperative of South Central Wisconsin | Current | Accepting new patients | |
| Hennepin Healthcare System Inc | Current | Accepting new patients | |
| Hennepin Healthcare System, Inc | Current | Accepting new patients |
Locations
701 Park Ave
Minneapolis, MN 55415
Phone (612) 873-6005
8202 Excelsior Dr
Madison, WI 53717
Phone (608) 831-1766
1265 John Q Hammons Dr
Madison, WI 53717
Organizations & group practices 3
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.
-
- Health Maintenance Organization
- Madison, WI
- NPI 1245260165
-
- Rehabilitation Hospital Unit
- Minneapolis, MN
- NPI 1033138136
-
- Specialty Pharmacy
- Minneapolis, MN
- NPI 1619567625
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1557100800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1744156800000",
"number": "1417512310",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1265 JOHN Q HAMMONS DR",
"city": "MADISON",
"state": "WI",
"postal_code": "537171921",
"telephone_number": "608-251-4156"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "208 E OLIN AVE STE 205",
"city": "MADISON",
"state": "WI",
"postal_code": "537131427",
"telephone_number": "608-251-4156"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BAJGAIN",
"first_name": "KANJANI",
"middle_name": "SHUKLA",
"credential": "DO",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-05-06",
"last_updated": "2025-04-09",
"certification_date": "2025-04-09",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "MN",
"license": "69004",
"primary": false
},
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "WI",
"license": "81736-21",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "KANJANI",
"last_name": "SHUKLA BAJGAIN",
"credential": "DO",
"code": "2",
"type": "Professional Name"
}
]
}
Other providers in Madison, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2025; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.