Individual provider Active NPI

Vikas Ramnath Dharnidharka, MD

  • Pediatric Nephrology Physician
  • New Brunswick, NJ
National Provider Identifier
1619915246
Registry record updated Oct 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Nephrology PhysicianTaxonomy code 2080P0210X
License
25MA12443900 Issued in NJ
Practice address
89 French St
New Brunswick, NJ 08901-1935
Phone
(732) 235-7400
Fax
(888) 463-6898
NPI assigned
Jun 4, 2006
Last updated
Oct 29, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 29, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 2012018715 MO
Pediatric Nephrology Physician 2080P0210X 2012018715 MO
Pediatric Nephrology Physician 2080P0210X 25MA12443900 NJ Primary

Addresses

Primary practice location

89 French St
New Brunswick, NJ 08901-1935

Mailing address

PO Box 60352
Saint Louis, MO 63160-0352
Phone (314) 454-6043

Other identifiers 2

IdentifierTypeStateIssuer
209856707MedicaidMO
25MA12443900OtherNJNJ LICNESE

Electronic endpoints 1

TypeEndpointUseAffiliation
FHIR URL https://epicproxy.et0965.epichosted.com/FHIRProxy/api/FHIR/DSTU2/ Washington University

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO, IL, NJ3 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 3

Enrollment IDStateProvider typePAC IDDetails
I20120808000967 MO Practitioner - NephrologyPractitioner - Pediatric Medicine 8022132166 Reassigns benefits to 1 organization
I20190108001767 IL Practitioner - NephrologyPractitioner - Pediatric Medicine 8022132166 Reassigns benefits to 1 organization
I20241113001379 NJ Practitioner - Pediatric Medicine 8022132166 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
84.2 of 100Reported as group
Quality
71.6
Promoting interoperability
100
Improvement activities
40
Cost
75.75

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Rutgers Health-RWJ Scleroderma Program CurrentSince Oct 15, 2024 Accepting new patients
Washington University CurrentSince Jul 1, 2012 Accepting new patients
Washington University Physicians in Illinois, Inc CurrentSince Dec 1, 2018 Accepting new patients
Washington University Physicians in Illinois, Inc Current Accepting new patients
Rutgers Health-RWJ Scleroderma Program CurrentSince Oct 15, 2024 Accepting new patients
Washington University Physicians in Illinois, Inc. CurrentSince Dec 1, 2018 Accepting new patients
Rutgers Health-RWJ Scleroderma Program Current Accepting new patients
Washington University CurrentSince Jul 1, 2012 Accepting new patients
Rutgers Health-RWJ Scleroderma Program Past Accepting new patients
Ozarks Medical Center Past Accepting new patients

Locations

4500 Memorial Dr
Belleville, IL 62226
Phone (618) 233-7750

1 Childrens Pl
Saint Louis, MO 63110
Phone (314) 454-2076

1 Childrens Pl
#8116
Saint Louis, MO 63110
Phone (314) 454-6095

1 Childrens Pl
#8328
Saint Louis, MO 63110

1 Childrens Pl
Ste C
Saint Louis, MO 63110
Phone (314) 454-2104

4240 Duncan Ave
Ste 301
Saint Louis, MO 63110

1 Rwj Pl
New Brunswick, NJ 08901
Phone (732) 235-7887

125 Paterson St
Ste 5100
New Brunswick, NJ 08901
Phone (732) 235-7060

125 Paterson St
Ste 6100
New Brunswick, NJ 08901
Phone (732) 235-6561

89 French St
New Brunswick, NJ 08901
Phone (732) 235-6230

Organizations & group practices 10

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.

NPI Registry JSON

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

{
    "created_epoch": "1149379200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730160000000",
    "number": "1619915246",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 60352",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631600352",
            "telephone_number": "314-454-6043",
            "fax_number": "888-463-6898"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "89 FRENCH ST",
            "city": "NEW BRUNSWICK",
            "state": "NJ",
            "postal_code": "089011935",
            "telephone_number": "732-235-7400",
            "fax_number": "888-463-6898"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DHARNIDHARKA",
        "first_name": "VIKAS",
        "middle_name": "RAMNATH",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-04",
        "last_updated": "2024-10-29",
        "certification_date": "2024-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "MO",
            "license": "2012018715",
            "primary": false
        },
        {
            "code": "2080P0210X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Nephrology",
            "state": "MO",
            "license": "2012018715",
            "primary": false
        },
        {
            "code": "2080P0210X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Nephrology",
            "state": "NJ",
            "license": "25MA12443900",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "209856707",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NJ LICNESE",
            "identifier": "25MA12443900",
            "state": "NJ"
        }
    ],
    "endpoints": [
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://epicproxy.et0965.epichosted.com/FHIRProxy/api/FHIR/DSTU2/",
            "affiliation": "Y",
            "affiliationName": "Washington University",
            "address_1": "1 Childrens Pl",
            "address_2": "Div Ped Nephrology",
            "city": "Saint Louis",
            "state": "MO",
            "country_code": "US",
            "postal_code": "631101002",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in New Brunswick, NJ

Sources for this page

Verify at the official NPI Registry.