Sanjeevi Vridhachalam, MD - Medicare Diagnostic Radiology in Mequon, WI

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Sanjeevi Vridhachalam, MD is a medicare enrolled "Radiology - Diagnostic Radiology" physician in Mequon, Wisconsin. He went to New York Medical College and graduated in 1999 and has 26 years of diverse experience with area of expertise as Diagnostic Radiology. He is a member of the group practice Midstate Radiology Associates Llc, Premier Radiology Wisconsin Llc, Premier Radiology Wisconsin Llc, Meriden Imaging Center Inc, Midstate Radiology Associates Llc and his current practice location is 10945 N Port Washington Rd Ste 201, Mequon, Wisconsin. You can reach out to his office (for appointments etc.) via phone at (262) 292-3151.

Sanjeevi Vridhachalam is licensed to practice in Arizona (license number 33612) 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 1598754459.

Contact Information

Sanjeevi Vridhachalam, MD
10945 N Port Washington Rd Ste 201,
Mequon, WI 53092-5078
(262) 292-3151
Not Available

Map and Direction




Physician's Profile

Full NameSanjeevi Vridhachalam
GenderMale
SpecialityDiagnostic Radiology
Experience26 Years
Location10945 N Port Washington Rd Ste 201, Mequon, 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:
  • Sanjeevi Vridhachalam attended and graduated from New York Medical College in 1999
  NPI Data:
  • NPI Number: 1598754459
  • Provider Enumeration Date: 10/13/2005
  • Last Update Date: 11/17/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 3274573480
  • Enrollment ID: I20080723000504

Medical Identifiers

Medical identifiers for Sanjeevi Vridhachalam such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1598754459NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2085R0202XRadiology - Diagnostic Radiology 33612 (Arizona)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Ascension Columbia St Mary's Hospital MilwaukeeMilwaukee, WIHospital
Ascension All Saints HospitalRacine, WIHospital
Ascension Se Wisconsin Hospital - St Joseph CampusMilwaukee, WIHospital
William W Backus HospitalNorwich, CTHospital
The Hospital Of Central ConnecticutNew britain, CTHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Midstate Radiology Associates Llc488059356581
Premier Radiology Wisconsin Llc953759553372
Premier Radiology Wisconsin Llc953759553372
Meriden Imaging Center Inc438568355653
Midstate Radiology Associates Llc488059356581

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. Sanjeevi Vridhachalam allows following entities to bill medicare on his behalf.
Entity NameCounty Of Los Angeles
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1851363188
PECOS PAC ID: 1850296534
Enrollment ID: O20031204001218
Entity NameCounty Of Santa Clara
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1699885079
PECOS PAC ID: 1254244973
Enrollment ID: O20040113000784
Entity NameCounty Of San Joaquin
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1801830583
PECOS PAC ID: 6002703436
Enrollment ID: O20040301001287
Entity NameWest Valley Radiology Medical Group Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1265486427
PECOS PAC ID: 1658266622
Enrollment ID: O20040308001429
Entity NameSalinas Valley Radiologists Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1053375006
PECOS PAC ID: 3375536949
Enrollment ID: O20040407001513
Entity NameI V Radiology Medical Group
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1235296880
PECOS PAC ID: 7517952310
Enrollment ID: O20040420000493
Entity NameModesto Radiological Medical Group Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1992747547
PECOS PAC ID: 2062300239
Enrollment ID: O20040513000453
Entity NameRadadvantage A Professional Corporation
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1376719666
PECOS PAC ID: 2163597899
Enrollment ID: O20090917000455
Entity NameIntellirad Imaging Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1073859484
PECOS PAC ID: 9739333790
Enrollment ID: O20140131000561
Entity NameRedwood Radiology Group Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1326461708
PECOS PAC ID: 7214168095
Enrollment ID: O20140319001514
Entity NameButler Imaging And Interventional Associates Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1659518389
PECOS PAC ID: 8426115478
Enrollment ID: O20141125002214
Entity NameProfessional Radiology Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1043348014
PECOS PAC ID: 0941298764
Enrollment ID: O20170606002544
Entity NameRadiology Consultants Ltd
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1285735571
PECOS PAC ID: 9032195128
Enrollment ID: O20180925003552
Entity NameGarden State Healthcare Associates Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1700014545
PECOS PAC ID: 8426190687
Enrollment ID: O20181210002175
Entity NameKennewick Radiology Group Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1114491479
PECOS PAC ID: 9335230549
Enrollment ID: O20190314000693
Entity NameWisconsin Radiology Specialists S C
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1568446003
PECOS PAC ID: 2961314091
Enrollment ID: O20200522001681
Entity NameIntegrated Imaging Consultants Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1700285335
PECOS PAC ID: 2567784408
Enrollment ID: O20200715003086
Entity NameSanta Cruz Radiology L L C
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1346291044
PECOS PAC ID: 7012996952
Enrollment ID: O20210618000118
Entity NamePremier Radiology Wisconsin Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1952951154
PECOS PAC ID: 9537595533
Enrollment ID: O20221004001789
Entity NamePrecision Radiology - Illinois Ltd
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1265156640
PECOS PAC ID: 6305218298
Enrollment ID: O20230327000566
Entity NameMidstate Radiology Associates Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1578518999
PECOS PAC ID: 4880593565
Enrollment ID: O20240821002081

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. Sanjeevi Vridhachalam 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
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

Reviews and Comments


Radiology Doctors in Mequon, WI

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    
Cynthia Rice, M.D.
Radiology
Medicare: Not Enrolled in Medicare
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    
Benjamin Broghammer, M.D.
Radiology
Medicare: Medicare Enrolled
Practice Location: 10945 N Port Washington Rd Ste 201, Mequon, WI 53092
Phone: 414-434-0461    
Michael Braun, M.D.
Radiology
Medicare: Medicare Enrolled
Practice Location: 10945 N Port Washington Rd Ste 201, Mequon, WI 53092
Phone: 414-434-0461    

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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.

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