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DR. MADHUSUDAN N DHARAWAT M.D.
NPI 1376685065
Internal Medicine - Cardiovascular Disease in Stockton, CA

Active since February 12, 2007PECOS Enrolled
3523 BLUELAKE CIR, STOCKTON, CA 95219(304) 215-2490 Get Directions Write a Review

NPPES record last updated: June 21, 2021. Verified against the NPPES registry weekly; last sync: September 06, 2026.

Record update history: Jun 21, 2021, Dec 14, 2020 (2 updates tracked since 2020).

About Dr. Madhusudan N Dharawat M.d. NPPES

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

DR. MADHUSUDAN N DHARAWAT M.D. (NPI 1376685065) is an individual cardiovascular disease provider in Stockton, California, licensed in West Virginia (21010) and active in the NPI registry since February 2007. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1376685065
Entity TypeIndividualMale
Primary Taxonomy207RC0000X
Provider Legal NameDR. MADHUSUDAN N DHARAWATCredential: M.D.
Location Address3523 BLUELAKE CIRStockton, CA 95219-1745
Mailing Address3523 Bluelake CirStockton, CA 95219-1745 · (304) 215-2490
Phone(304) 215-2490
Sole ProprietorYes
Enumeration DateFebruary 12, 2007
Last NPPES UpdateJune 21, 20212 updates tracked since enumeration
NPPES CertifiedJune 21, 2021
✔ NPI 1376685065 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RC0000X
License✔ Licensed in WV · 21010
Definition
An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.
3523 BLUELAKE CIR, Stockton, CA 95219
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Other Identifiers 1

Medicaid2003824000WV

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Madhusudan N Dharawat M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 95219 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
$133.94 typical visit price
range $58.87 – $176.60
Typical copayment $33.48 (range $14.71 – $44.15)
Most-billed visit code 99204
Established Patient
$73.16 typical visit price
range $19.28 – $144.60
Typical copayment $18.29 (range $4.82 – $36.15)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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 Madhusudan Dharawat's NPI number?

The NPI number for Madhusudan Dharawat is 1376685065. It was assigned to this individual provider in the NPPES registry on February 12, 2007.

Where is Madhusudan Dharawat located?

Madhusudan Dharawat practices at 3523 Bluelake Cir, Stockton, CA 95219. The listed phone number is (304) 215-2490.

What is Madhusudan Dharawat's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

Is Madhusudan Dharawat enrolled in Medicare?

Yes. Madhusudan Dharawat is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Madhusudan Dharawat was last updated on June 21, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.