Dharmesh Babaria, MD - Medicare Internal Medicine in Eau Claire, WI

Dharmesh Babaria, MD is a medicare enrolled "Internal Medicine - Adolescent Medicine" physician in Eau Claire, Wisconsin. He graduated from medical school in 1994 and has 30 years of diverse experience with area of expertise as Internal Medicine. He is a member of the group practice Mchs Hospitals Inc and his current practice location is 2116 Craig Rd, Eau Claire, Wisconsin. You can reach out to his office (for appointments etc.) via phone at (715) 858-4500.

Dharmesh Babaria is licensed to practice in Wisconsin (license number 47230) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1053421206.

Contact Information

Dharmesh Babaria, MD
2116 Craig Rd,
Eau Claire, WI 54701-6149
(715) 858-4500
Not Available

Map and Direction




Physician's Profile

Full NameDharmesh Babaria
GenderMale
SpecialityInternal Medicine
Experience30 Years
Location2116 Craig Rd, Eau Claire, Wisconsin
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Dharmesh Babaria graduated from medical school in 1994
  NPI Data:
  • NPI Number: 1053421206
  • Provider Enumeration Date: 08/30/2006
  • Last Update Date: 10/05/2010
  Medicare PECOS Information:
  • PECOS PAC ID: 8224099718
  • Enrollment ID: I20041019000566

Medical Identifiers

Medical identifiers for Dharmesh Babaria such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1053421206NPI-NPPES
34574800MedicaidWI

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207RA0000XInternal Medicine - Adolescent Medicine 47230 (Wisconsin)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
St Croix HospiceEau claire, WIHospice
Marshfield Medical Center - Eau ClaireEau claire, WIHospital
Marshfield Medical CenterMarshfield, WIHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Mchs Hospitals Inc56980711731030

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Dharmesh Babaria allows following entities to bill medicare on his behalf.
Entity NameMarshfield Clinic Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1952347981
PECOS PAC ID: 2264345206
Enrollment ID: O20031106000590
Entity NameMchs Hospitals Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1093221434
PECOS PAC ID: 5698071173
Enrollment ID: O20180208000096

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dharmesh Babaria is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Dharmesh Babaria, MD
1000 N Oak Ave,
Marshfield, WI 54449-5703

Ph: (715) 387-5511
Dharmesh Babaria, MD
2116 Craig Rd,
Eau Claire, WI 54701-6149

Ph: (715) 858-4500

Reviews and Comments


Internal Medicine Doctors in Eau Claire, WI

Patrick D Macken, MD
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Ali Zaied, MD
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Allan J Sill, MD
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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.