Ramegowda V Madhusudhan, MD

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

License

46534-20 Issued in WI

Practice address

333 N. Commercial Street
Suite 100
Neenah, WI 54956-2665

Phone

(920) 886-7525

Fax

(920) 722-7454

NPI assigned

Dec 21, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Radiology Associates of the Fox Valley, SC

  • Diagnostic Radiology Physician
  • Neenah, WI
  • NPI 1477539443

  Diagnostic Radiology, WI

  Medicare reassignment NPD
• Jackson Radiology Consultants, P C

  • Diagnostic Radiology Physician
  • Jackson, MI
  • NPI 1295736015

  Diagnostic Radiology

  NPD (past)

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

{
    "created_epoch": "1135123200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1346025600000",
    "number": "1922084953",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "333 N. COMMERCIAL STREET",
            "address_2": "SUITE 100",
            "city": "NEENAH",
            "state": "WI",
            "postal_code": "549562665",
            "telephone_number": "920-886-7525",
            "fax_number": "920-722-7454"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "333 N. COMMERCIAL STREET",
            "address_2": "SUITE 100",
            "city": "NEENAH",
            "state": "WI",
            "postal_code": "549562665",
            "telephone_number": "920-886-7525",
            "fax_number": "920-722-7454"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MADHUSUDHAN",
        "first_name": "RAMEGOWDA",
        "middle_name": "V",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-21",
        "last_updated": "2012-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "WI",
            "license": "46534",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "WI",
            "license": "46534-20",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "34540200",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Thomas Alston Lyons, MD
• Amy M Maass, APNP
• Daniel J Macksood, MD
• Angela Macumber
• Pamela Macwilliams, NP
• Mahler Park Dental S.C.
• Agya Mainali, MD
• Majestic Living Home LLC
• Sydney Makela
• David E Maltry, MD

• Diagnostic Radiology Physician in Neenah, WI
• Providers in Neenah, WI by specialty
• Diagnostic Radiology Physician in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2012; 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.

Verify at the official NPI Registry.