NPIMap

Individual provider Active NPI

Anupama Verma, MD

  • Nephrology Physician
  • Green Bay, WI
National Provider Identifier
1447253299
Registry record updated Aug 6, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
44677 Issued in WI
Practice address
2020 Riverside Dr
Suite 200
Green Bay, WI 54301-2300
Phone
(920) 433-9920
Fax
(920) 433-9927
NPI assigned
May 24, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 6, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X 44677 WI Primary

Addresses

Primary practice location

2020 Riverside Dr
Suite 200
Green Bay, WI 54301-2300

Mailing address

744 S Webster Ave
Green Bay, WI 54301-3505
Phone (920) 445-7222

Other practice location 1

835 S VanBuren St
Green Bay, WI 54307-3508
Phone (920) 433-9920

Other identifiers 1

IdentifierTypeStateIssuer
34273000MedicaidWI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI
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
I20040827000261 WI Practitioner - NephrologyPractitioner - Internal Medicine 7911972682 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
NephrologyAlso: Internal Medicine
Education
Other, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Bellin Memorial Hospital IncGroup PAC ID 8820900749, 685 clinicians

Practice addresses (Care Compare)

744 S Webster Ave
Green Bay, WI 54301-3505
Phone (920) 433-6025

Hospital & facility affiliations

  • DaVita Manitowoc Dialysis Dialysis facility, Manitowoc, WI, CCN 522562
  • DaVita Dialysis Allouez Dialysis facility, Allouez, WI, CCN 522621
  • DaVita Green Bay Dialysis Dialysis facility, Green Bay, WI, CCN 522552
  • DaVita Titletown Dialysis Dialysis facility, Green Bay, WI, CCN 522558
  • DaVita Fox River Dialysis Dialysis facility, Green Bay, WI, CCN 522501
  • Bellin Memorial Hospital Hospital, Green Bay, WI, CCN 520049
  • St Vincent Hospital Hospital, Green Bay, WI, CCN 520075
  • Holy Family Memorial Hospital, Manitowoc, WI, CCN 520107
  • Door County Medical Center Hospital, Sturgeon Bay, WI, CCN 521358
  • St Marys Hospital Medical Ctr Hospital, Green Bay, WI, CCN 520097

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
44677WIMDNephrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Oconto Hospital & Medical Center Inc CurrentSince Jul 1, 2024 Accepting new patients
Bellin Memorial Hospital Inc CurrentSince Feb 17, 2020 Accepting new patients
Oconto Hospital & Medical Center Inc Current Accepting new patients
Bellin Memorial Hospital Inc Current Accepting new patients
Bellin Memorial Hospital Inc CurrentSince Feb 17, 2020 Accepting new patients
Bellin Memorial Hospital Inc Past Accepting new patients

Locations

2020 Riverside Dr
Ste 200
Green Bay, WI 54301
Phone (920) 433-9920

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

3415 Custer St
Ste D
Manitowoc, WI 54220
Phone (920) 652-9310

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

Interoperability endpoints

  • Direct secure messaging: averma926212@direct.emplifyhealth.org

Organizations & group practices 6

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.

Hospital & facility affiliations 15

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1116892800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1596672000000",
    "number": "1447253299",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "744 S WEBSTER AVE",
            "city": "GREEN BAY",
            "state": "WI",
            "postal_code": "543013505",
            "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": "2020 RIVERSIDE DR",
            "address_2": "SUITE 200",
            "city": "GREEN BAY",
            "state": "WI",
            "postal_code": "543012300",
            "telephone_number": "920-433-9920",
            "fax_number": "920-433-9927"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "835 S VanBuren St",
            "address_purpose": "LOCATION",
            "city": "Green Bay",
            "state": "WI",
            "postal_code": "543073508",
            "country_code": "US",
            "telephone_number": "920-433-9920",
            "fax_number": "920-433-9927",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VERMA",
        "first_name": "ANUPAMA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-05-24",
        "last_updated": "2020-08-06",
        "certification_date": "2020-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "WI",
            "license": "44677",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "34273000",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Green Bay, WI

Sources for this page

Verify at the official NPI Registry.