Individual provider Active NPI

Radhakrishna Janardhan, M.D

  • Surgery Physician
  • Madison, WI
National Provider Identifier
1871758029
Registry record updated Apr 2, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
56746-20 Issued in WI
Practice address
1421 S Park St
Madison, WI 53715-2178
Phone
(608) 441-6888
NPI assigned
Jul 26, 2008
Last updated
Apr 2, 2018By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 2, 2018

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X 2008021980 MO
Surgery Physician 208600000X 56746-20 WI Primary
General Practice Physician 208D00000X 56746-20 WI

Addresses

Primary practice location

1421 S Park St
Madison, WI 53715-2178

Mailing address

301 S Bedford St Ste 1
Madison, WI 53703-3691
Phone (314) 560-7057

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120706000513 WI Practitioner - General SurgeryPractitioner - General Practice 5890950356 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

10101 W Wisconsin Ave
Milwaukee, WI 53226-4861
Phone (414) 301-1132

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
56746-20WIMDSurgery Physician
2008021980MOMDStudent in an Organized Health Care Education/Training Program

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Wound Care Solutions LLC Surgery CurrentSince Mar 15, 2018 Accepting new patients
Advanced Home Care Solutions Inc Current Accepting new patients
Saak, SC CurrentSince Aug 1, 2024 Accepting new patients
American Community Medical Center Inc. General Practice Past Accepting new patients

Locations

18200 W Capitol Dr
Ste 200
Brookfield, WI 53045
Phone (262) 444-2158

301 S Bedford St
Ste 1
Madison, WI 53703
Phone (773) 766-9444

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/17740/brand/1/csg/1/fhir/r4

Organizations & group practices 4

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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1217030400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1522627200000",
    "number": "1871758029",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 S BEDFORD ST STE 1",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537033691",
            "telephone_number": "314-560-7057"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1421 S PARK ST",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537152178",
            "telephone_number": "608-441-6888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JANARDHAN",
        "first_name": "RADHAKRISHNA",
        "credential": "M.D",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-07-26",
        "last_updated": "2018-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "MO",
            "license": "2008021980",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "WI",
            "license": "56746-20",
            "primary": true
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "WI",
            "license": "56746-20",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Madison, WI

Sources for this page

Verify at the official NPI Registry.