Active NPI
Indravadan Kansari, MD
- Rheumatology Physician
- Rhinelander, WI
National Provider Identifier
1740227669
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Rheumatology Physician
- License
- 34762
- Practice address
- 1020 Kabel Ave
Rhinelander, WI 54501-3918 - Phone
- (715) 361-4700
- NPI assigned
- May 31, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Rheumatology Physician | 207RR0500X | 34762 | WI | Primary |
Addresses
Primary practice location
1020 Kabel Ave
Rhinelander, WI 54501-3918
Mailing address
2251 N Shore Dr
Suite 100
Rhinelander, WI 54501-8360
Phone (715) 361-4700
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 34762 | WI | MD | Rheumatology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149033600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1340236800000",
"number": "1740227669",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2251 N SHORE DR",
"address_2": "SUITE 100",
"city": "RHINELANDER",
"state": "WI",
"postal_code": "545018360",
"telephone_number": "715-361-4700"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1020 KABEL AVE",
"city": "RHINELANDER",
"state": "WI",
"postal_code": "545013918",
"telephone_number": "715-361-4700"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KANSARI",
"first_name": "INDRAVADAN",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-31",
"last_updated": "2012-06-21",
"status": "A"
},
"taxonomies": [
{
"code": "207RR0500X",
"taxonomy_group": "",
"desc": "Internal Medicine, Rheumatology",
"state": "WI",
"license": "34762",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Rhinelander, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.