Active NPI
Srinivas N Naidu, MD
- Anesthesiology Physician
- Middleton, WI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- A119009
- Practice address
- 1112 Red Rock LN
Middleton, WI 53562-8800 - Phone
- (925) 381-4930
- NPI assigned
- May 24, 2007
- Last updated
- Jan 5, 2023
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | A119009 | CA | Primary |
| Anesthesiology Physician | 207L00000X | 72747 | WI | |
| Pain Medicine Physician | 208VP0000X | 72747 | WI |
Addresses
Primary practice location
1112 Red Rock LN
Middleton, WI 53562-8800
Mailing address
1112 Red Rock LN
Middleton, WI 53562-8800
Medicare participation
Medicare enrollment files- 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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A119009 | CA | MD | Anesthesiology Physician |
| 72747 | WI | MD | Pain Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Regents of the Univ of Ca | Current | Accepting new patients | |
| Regents of the Univ of Ca | Current | Accepting new patients | |
| Regents of the Univ of Ca | Current | Accepting new patients | |
| University of Wisconsin Medical Foundation, Inc | Current | Accepting new patients | |
| University of Wisconsin Medical Foundation, Inc | Current | Accepting new patients | |
| Shriners Hospitals for Children | Past | Accepting new patients |
Locations
2315 Stockton Blvd
Sacramento, CA 95817
Phone (916) 703-3030
2425 Stockton Blvd
Sacramento, CA 95817
Phone (916) 453-2000
4900 Broadway
Ste 2800
Sacramento, CA 95820
Phone (916) 734-9313
600 Highland Ave
Madison, WI 53792
Phone (608) 263-0325
7974 Uw Health Ct
Middleton, WI 53562
Phone (608) 829-5270
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Maternal & Fetal Medicine Physician
- Sacramento, CA
- NPI 1013906973
-
- Health Educator
- Madison, WI
- NPI 1487414082
-
- Multi-Specialty Clinic/Center
- Middleton, WI
- NPI 1598784555
-
- Pain Medicine (Anesthesiology) Physician
- Sacramento, CA
- NPI 1366435380
-
- Diagnostic Radiology Physician
- Sacramento, CA
- NPI 1477546406
-
- Children's Hospital
- Shreveport, LA
- NPI 1679617849
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179964800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1672876800000",
"number": "1750592739",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1112 RED ROCK LN",
"city": "MIDDLETON",
"state": "WI",
"postal_code": "535628800"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1112 RED ROCK LN",
"city": "MIDDLETON",
"state": "WI",
"postal_code": "535628800",
"telephone_number": "925-381-4930"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NAIDU",
"first_name": "SRINIVAS",
"middle_name": "N",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-05-24",
"last_updated": "2023-01-05",
"certification_date": "2023-01-04",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "CA",
"license": "A119009",
"primary": true
},
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "WI",
"license": "72747",
"primary": false
},
{
"code": "208VP0000X",
"taxonomy_group": "",
"desc": "Pain Medicine, Pain Medicine",
"state": "WI",
"license": "72747",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Middleton, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2023; 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.