Active NPI
Laura Beth Dhanansayan, PA-C
- Physician Assistant
- Madison, WI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 2432-023
- Practice address
- 4602 Eastpark Blvd
Madison, WI 53718 - Phone
- (608) 263-7540
- Fax
- (608) 662-4545
- NPI assigned
- Jul 28, 2009
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 2432-023 | WI | Primary |
Addresses
Primary practice location
4602 Eastpark Blvd
Madison, WI 53718
Mailing address
7974 Uw Health CT
Middleton, WI 53562-5531
Other names 1
- Laura Beth Mann
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | ldhanansayan731859@direct.uwhealth.org |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- University of Wisconsin School of Medicine, 2009
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1001 Nygaard St
Stoughton, WI 53589-5495
Phone (608) 877-2660
1050 E Broadway
Monona, WI 53716-4023
Phone (608) 222-8779
4602 Eastpark Blvd
Madison, WI 53718-2002
Phone (608) 440-6400
5618 Odana Rd
Madison, WI 53719-1208
Phone (608) 274-1100
600 Highland Ave
Madison, WI 53792-0001
Phone (608) 263-6400
621 Science Dr
Madison, WI 53711-1074
Phone (608) 263-8400
Hospital & facility affiliations
- University of Wi Hospitals & Clinics Authority
Merit-based Incentive Payment System (MIPS)
- Final score
- 83.32 of 100
- Quality
- 87.78
- Promoting interoperability
- 77
- Improvement activities
- 40
- Cost
- 75.8
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2432 | WI | MD | Dentist |
| 2432-023 | WI | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University of Wisconsin Medical Foundation, Inc | Current | Accepting new patients | |
| University of Wisconsin Medical Foundation, Inc | Current | Accepting new patients | |
| St Luke'S Methodist Hospital | Current | Accepting new patients |
Locations
705 S University Ave
Ste 150
Beaver Dam, WI 53916
Phone (920) 219-4009
1511 Park Ave
Columbus, WI 53925
Phone (920) 623-3012
600 Highland Ave
Madison, WI 53792
Phone (608) 263-0325
202 S Park St
Madison, WI 53715
Phone (608) 267-6000
3102 Meriter Way
Madison, WI 53719
Phone (608) 417-8800
4602 Eastpark Blvd
Madison, WI 53718
Phone (608) 263-7540
7974 Uw Health Ct
Middleton, WI 53562
Phone (608) 829-5270
Interoperability endpoints
- lnguyen1037696@direct.uwhealth.org
- ldhanansayan263404@direct.unitypoint.org
Organizations & group practices 3
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.
-
- Multi-Specialty Clinic/Center
- Middleton, WI
- NPI 1598784555
-
- Health Educator
- Madison, WI
- NPI 1487414082
-
- General Acute Care Hospital
- Cedar Rapids, IA
- NPI 1083708226
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Madison, WI
- NPI 1922043744
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1248739200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1611100800000",
"number": "1760613582",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7974 UW HEALTH CT",
"city": "MIDDLETON",
"state": "WI",
"postal_code": "535625531"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4602 EASTPARK BLVD",
"city": "MADISON",
"state": "WI",
"postal_code": "53718",
"telephone_number": "608-263-7540",
"fax_number": "608-662-4545"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DHANANSAYAN",
"first_name": "LAURA",
"middle_name": "BETH",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-07-28",
"last_updated": "2021-01-20",
"certification_date": "2021-01-20",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "WI",
"license": "2432-023",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "ldhanansayan731859@direct.uwhealth.org",
"affiliation": "N",
"address_1": "4602 Eastpark Blvd",
"city": "Madison",
"state": "WI",
"country_code": "US",
"postal_code": "53718",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"first_name": "LAURA",
"last_name": "MANN",
"middle_name": "BETH",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Madison, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2021; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.