Sanjeevi Vridhachalam, MD | |
10945 N Port Washington Rd Ste 201, Mequon, WI 53092-5078 | |
(262) 292-3151 | |
Not Available |
Full Name | Sanjeevi Vridhachalam |
---|---|
Gender | Male |
Speciality | Diagnostic Radiology |
Experience | 25 Years |
Location | 10945 N Port Washington Rd Ste 201, Mequon, Wisconsin |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1598754459 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2085R0202X | Radiology - Diagnostic Radiology | 33612 (Arizona) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Presence Saint Joseph Medical Center | Joliet, IL | Hospital |
Ascension Columbia St Mary's Hospital Milwaukee | Milwaukee, WI | Hospital |
Ascension Se Wisconsin Hospital - St Joseph Campus | Milwaukee, WI | Hospital |
Amita Health Resurrection Medical Center | Chicago, IL | Hospital |
Ascension All Saints Hospital | Racine, WI | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Wisconsin Radiology Specialists Sc | 2961314091 | 56 |
Precision Radiology - Illinois Ltd | 6305218298 | 59 |
Entity Name | County Of Los Angeles |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1851363188 PECOS PAC ID: 1850296534 Enrollment ID: O20031204001218 |
Entity Name | County Of Santa Clara |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1699885079 PECOS PAC ID: 1254244973 Enrollment ID: O20040113000784 |
Entity Name | St Jude Radiology Medical Group Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1649349705 PECOS PAC ID: 7214838002 Enrollment ID: O20040115000501 |
Entity Name | County Of San Joaquin |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1801830583 PECOS PAC ID: 6002703436 Enrollment ID: O20040301001287 |
Entity Name | West Valley Radiology Medical Group Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1265486427 PECOS PAC ID: 1658266622 Enrollment ID: O20040308001429 |
Entity Name | Salinas Valley Radiologists Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1053375006 PECOS PAC ID: 3375536949 Enrollment ID: O20040407001513 |
Entity Name | I V Radiology Medical Group |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1235296880 PECOS PAC ID: 7517952310 Enrollment ID: O20040420000493 |
Entity Name | Central Valley Imaging Medical Associates Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1275523169 PECOS PAC ID: 8628064953 Enrollment ID: O20040422000783 |
Entity Name | Modesto Radiological Medical Group Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1992747547 PECOS PAC ID: 2062300239 Enrollment ID: O20040513000453 |
Entity Name | Radadvantage A Professional Corporation |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1376719666 PECOS PAC ID: 2163597899 Enrollment ID: O20090917000455 |
Entity Name | Redwood Radiology Group Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1326461708 PECOS PAC ID: 7214168095 Enrollment ID: O20140319001514 |
Entity Name | Butler Imaging And Interventional Associates Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1659518389 PECOS PAC ID: 8426115478 Enrollment ID: O20141125002214 |
Entity Name | Professional Radiology Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1043348014 PECOS PAC ID: 0941298764 Enrollment ID: O20170606002544 |
Entity Name | Radiology Consultants Ltd |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1285735571 PECOS PAC ID: 9032195128 Enrollment ID: O20180925003552 |
Entity Name | Garden State Healthcare Associates Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1700014545 PECOS PAC ID: 8426190687 Enrollment ID: O20181210002175 |
Entity Name | Kennewick Radiology Group Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1114491479 PECOS PAC ID: 9335230549 Enrollment ID: O20190314000693 |
Entity Name | Wisconsin Radiology Specialists Sc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1568446003 PECOS PAC ID: 2961314091 Enrollment ID: O20200522001681 |
Entity Name | Integrated Imaging Consultants Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1700285335 PECOS PAC ID: 2567784408 Enrollment ID: O20200715003086 |
Entity Name | Santa Cruz Radiology L L C |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1346291044 PECOS PAC ID: 7012996952 Enrollment ID: O20210618000118 |
Entity Name | Premier Radiology Wisconsin Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1952951154 PECOS PAC ID: 9537595533 Enrollment ID: O20221004001789 |
Entity Name | Precision Radiology - Illinois Ltd |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1265156640 PECOS PAC ID: 6305218298 Enrollment ID: O20230327000566 |
Mailing Address | Practice Location Address |
---|---|
Sanjeevi Vridhachalam, MD 10945 N Port Washington Rd Ste 201, Mequon, WI 53092-5078 Ph: (262) 292-3151 | Sanjeevi Vridhachalam, MD 10945 N Port Washington Rd Ste 201, Mequon, WI 53092-5078 Ph: (262) 292-3151 |
Timothy L Workman, M.D. Radiology Medicare: Medicare Enrolled Practice Location: 10945 N Port Washington Rd Ste 201, Mequon, WI 53092 Phone: 262-292-3151 | |
John Tomashek, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 10945 N Port Washington Rd Ste 201, Mequon, WI 53092 Phone: 262-292-3151 | |
Eric M Dorn, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 10945 N Port Washington Rd Ste 201, Mequon, WI 53092 Phone: 414-434-0461 | |
Dr. Marc A Burrell, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 10945 N Port Washington Rd Ste 201, Mequon, WI 53092 Phone: 262-292-3151 | |
Cynthia Rice, M.D. Radiology Medicare: Medicare Enrolled Practice Location: 10945 N Port Washington Rd Ste 201, Mequon, WI 53092 Phone: 414-434-0461 | |
Djerrick Cu Tan, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 10945 N Port Washington Rd Ste 201, Mequon, WI 53092 Phone: 262-292-3151 | |
Erica Young Berg, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 10945 N Port Washington Rd Ste 201, Mequon, WI 53092 Phone: 414-434-0461 |