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VIRAJ V DUDHWALA M.D.
NPI 1346413861
Hospitalist in Waukesha, WI

Active since April 04, 2008PECOS Enrolled
725 AMERICAN AVE, ROOM 2036 PROHEALTH CARE MEDICAL ASSOCIATES INC, WAUKESHA, WI 53188(262) 928-5400(262) 928-6140 Get Directions Write a Review

NPPES record last updated: December 8, 2021. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Viraj V Dudhwala M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

VIRAJ V DUDHWALA M.D. (NPI 1346413861) is an individual hospitalist provider in Waukesha, Wisconsin, licensed in Wisconsin (56024-20) and active in the NPI registry since April 2008. He is enrolled in Medicare PECOS, is affiliated with Waukesha Memorial Hospital, and is a graduate of Other (2004).

NPPES Registry Identity

NPI1346413861
Entity TypeIndividualMale
Primary Taxonomy208M00000X
Provider Legal NameVIRAJ V DUDHWALACredential: M.D.
Location Address725 AMERICAN AVE, ROOM 2036 PROHEALTH CARE MEDICAL ASSOCIATES INCWaukesha, WI 53188-5031
Mailing Address725 American Ave, Room 2036Waukesha, WI 53188-5031 · (262) 928-5400 · Fax (262) 928-6140
Phone(262) 928-5400
Fax(262) 928-6140
Sole ProprietorNo
Medical School CMSOtherGraduated 2004
Enumeration DateApril 4, 2008
Last NPPES UpdateDecember 8, 2021
NPPES CertifiedDecember 8, 2021
✔ NPI 1346413861 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyHospitalistAllopathic & Osteopathic Physicians
Taxonomy Code208M00000X
License✔ Licensed in WI · 56024-20
Definition
Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients.
Also ListedInternal MedicineTaxonomy 207R00000X · License 56024 (WI)
725 AMERICAN AVE, Waukesha, WI 53188
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Other Identifiers 1

Medicaid1346413861WI

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Viraj V Dudhwala M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID7618147760
PECOS Enrollment IDI20110826000442
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Viraj Dudhwala reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Apogee Medical Group, Waukesha, S.C.
Same address
Hospitalist
725 AMERICAN AVE
Waukesha, WI 53188
  • Reassigned Medicare billing, Wisconsin enrollment
  • Medicare enrollment name: Apogee Medical Group Waukesha Sc
  • 81 clinicians in this Medicare group
NPI 1528544608 (262) 928-5400

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 6

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
351 services155 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
126 services123 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
76 services44 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
68 services68 patients
Hospital discharge day management, 30 minutes or less 99238
Hospital discharge day management of 30 minutes or less includes finalizing your treatment, discussing your progress, and planning after-care at home. It ensures you're ready to leave the hospital and continue recovery safely.
48 services48 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
29 services29 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Waukesha Memorial Hospital

Acute Care Hospitals · Waukesha, WI
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number520008
Location725 American AveWaukesha, WI 53188 · Waukesha County
Emergency services Birthing friendly

Oconomowoc Memorial Hospital

Acute Care Hospitals · Oconomowoc, WI
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number520062
Location791 E Summit AveOconomowoc, WI 53066 · Waukesha County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 53188 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$123.69 typical visit price
range $53.90 – $163.24
Typical copayment $30.92 (range $13.47 – $40.81)
Most-billed visit code 99204
Established Patient
$95.41 typical visit price
range $17.40 – $133.76
Typical copayment $23.85 (range $4.35 – $33.44)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Referred Medical Equipment & Supplies CMS DME claims 3

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
2 suppliers14 claims14 services$13.18 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
2 suppliers40 claims40 services$62.44 avg. paid by Medicare
Portable oxygen concentrator, rental E1392
DME-Oxygen and Supplies · category DC002N
1 supplier15 claims15 services$28.57 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MS. NATASHA JEAN PINKERTON LCSW
Social Worker (Clinical)
725 AMERICAN AVE
WAUKESHA, WI 53188
Waukesha County (262) 928-1000
DR. FRANCISCO PEREZ M.D.
Anesthesiology
725 AMERICAN AVE
WAUKESHA, WI 53188
Waukesha County (262) 544-2011
ANNETTE QUINN NP
Nurse Practitioner (Obstetrics & Gynecology)
725 AMERICAN AVE, PROHEALTH CARE WOMEN'S CENTER
WAUKESHA, WI 53188
Waukesha County (262) 928-3500
ELIZABETH ROSE LEMM PA-C
Physician Assistant
725 AMERICAN AVE
WAUKESHA, WI 53188
Waukesha County (262) 928-1000
DR. JASON GEORGE ULRICHS M.D.
Anesthesiology
725 AMERICAN AVE
WAUKESHA, WI 53188
Waukesha County (262) 787-6700
DAWN MICHELLE GOODREAU NNP-BC, APNP
Nurse Practitioner (Neonatal)
725 AMERICAN AVE
WAUKESHA, WI 53188
Waukesha County (210) 685-0887
DR. ALYSSA JELINEK
Nurse Practitioner (Neonatal)
725 AMERICAN AVE
WAUKESHA, WI 53188
Waukesha County (262) 928-1000
TIFFANY BOWDEN PA
Physician Assistant
725 AMERICAN AVE
WAUKESHA, WI 53188
Waukesha County (262) 928-1000

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Viraj Dudhwala's NPI number?

The NPI number for Viraj Dudhwala is 1346413861. It was assigned to this individual provider in the NPPES registry on April 4, 2008.

Where is Viraj Dudhwala located?

Viraj Dudhwala practices at 725 American Ave Room 2036 Prohealth Care Medical Associates Inc, Waukesha, WI 53188. The listed phone number is (262) 928-5400.

What is Viraj Dudhwala's specialty?

The primary specialty registered for this NPI is Hospitalist with taxonomy code 208M00000X.

Is Viraj Dudhwala enrolled in Medicare?

Yes. Viraj Dudhwala is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Viraj Dudhwala's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Viraj Dudhwala reassigns Medicare benefits to Apogee Medical Group, Waukesha, S.C. (Waukesha, WI). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Viraj Dudhwala's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Viraj Dudhwala affiliated with any hospitals?

According to CMS data, Viraj Dudhwala is affiliated with Waukesha Memorial Hospital and Oconomowoc Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Viraj Dudhwala was last updated on December 8, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.