Individual provider Active NPI

Srinivas N Naidu, MD

  • Anesthesiology Physician
  • Middleton, WI
National Provider Identifier
1750592739
Registry record updated Jan 5, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
A119009 Issued in CA
Practice address
1112 Red Rock LN
Middleton, WI 53562-8800
Phone
(925) 381-4930
NPI assigned
May 24, 2007
Last updated
Jan 5, 2023By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 5, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120530000313 CA Practitioner - AnesthesiologyPractitioner - Pain Management 9830352913 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A119009CAMDAnesthesiology Physician
72747WIMDPain Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Regents of the Univ of Ca Current Accepting new patients
Regents of the Univ of Ca CurrentSince Jan 17, 2023 Accepting new patients
Regents of the Univ of Ca CurrentSince Jan 17, 2023 Accepting new patients
University of Wisconsin Medical Foundation, Inc CurrentSince Sep 1, 2020 Accepting new patients
University of Wisconsin Medical Foundation, Inc CurrentSince Sep 1, 2020 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.

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

Verify at the official NPI Registry.