Aditya K Rangbulla (NPI# 1659571867, PAC ID# 6002001088) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is INTERNAL MEDICINE.
| Nation Provider ID (NPI) | 1659571867 |
| PAC ID by PECOS | 6002001088 |
| Professional Enrollment ID | I20101116000964 |
| Full Name | Aditya K Rangbulla |
| Organization Legal Name | ASCENSION MEDICAL GROUP-FOX VALLEY WISCONSIN, INC |
| Address |
614 Memorial Dr Chilton WI 53014-1568 |
| Phone Number | 9208492386 |
| Gender | M |
| Graduation Year | 1996 |
| Primary Specialty | INTERNAL MEDICINE |
| Group Practice PAC ID | 0244142420 |
| Number of Group Practice Members | 251 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 520009 | ST ELIZABETH HOSPITAL |
| 520160 | THEDACARE REGIONAL MEDICAL CENTER - APPLETON INC |
| 521317 | CALUMET MEDICAL CENTER |
| 520045 | THEDA CLARK MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 1501 S Madison St, Appleton, WI 54915-1846 | 9207382000 | ASCENSION MEDICAL GROUP-FOX VALLEY WISCONSIN, INC |
| 1506 S Oneida St, Appleton, WI 54915-1305 | 9207382000 | ASCENSION MEDICAL GROUP-FOX VALLEY WISCONSIN, INC |
| 3329 N Richard St, Appleton, WI 54911-1063 | 9207171238 | ASCENSION MEDICAL GROUP-FOX VALLEY WISCONSIN, INC |
| 614 Memorial Dr, Chilton, WI 53014-1568 | 9208492386 | ASCENSION MEDICAL GROUP-FOX VALLEY WISCONSIN, INC |
| 618 Memorial Dr, Chilton, WI 53014-1568 | 9208493800 | ASCENSION MEDICAL GROUP-FOX VALLEY WISCONSIN, INC |
| W6981 Parkview Dr, Greenville, WI 54942-8034 | 9208822400 | ASCENSION MEDICAL GROUP-FOX VALLEY WISCONSIN, INC |
| 2601 Fieldcrest Dr, Kaukauna, WI 54130-4523 | 9204626100 | ASCENSION MEDICAL GROUP-FOX VALLEY WISCONSIN, INC |
| 200 Patriot Dr, Little Chute, WI 54140-1184 | 9206872800 | ASCENSION MEDICAL GROUP-FOX VALLEY WISCONSIN, INC |
| 1550 Midway Pl, Menasha, WI 54952-1165 | 9207382000 | ASCENSION MEDICAL GROUP-FOX VALLEY WISCONSIN, INC |
| 1420 Algoma St, New London, WI 54961-2104 | 9209828300 | ASCENSION MEDICAL GROUP-FOX VALLEY WISCONSIN, INC |
| 2700 W 9th Ave, Oshkosh, WI 54904-7247 | 9202232000 | ASCENSION MEDICAL GROUP-FOX VALLEY WISCONSIN, INC |
| 2700 W 9th Ave, Suite 106 Heart and Lung Cntr, Oshkosh, WI 54904-7247 | 9202361750 | ASCENSION MEDICAL GROUP-FOX VALLEY WISCONSIN, INC |
| 2725 Jackson St, Oshkosh, WI 54901-1513 | 9202232000 | ASCENSION MEDICAL GROUP-FOX VALLEY WISCONSIN, INC |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| ACI_EC_TRANS_PPHI_1 | Security Risk Analysis | % |
| Organization Legal Name | ASCENSION MEDICAL GROUP-FOX VALLEY WISCONSIN, INC |
| Physicians | 267 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Paul R Garcia | Family Medicine | Ascension Medical Group-fox Valley Wisconsin, Inc | 200 Patriot Dr, Little Chute, WI 54140-1184 |
| Cynthia F Susedik | Emergency Medicine | Ascension Medical Group-fox Valley Wisconsin, Inc | 3329 N Richard St, Appleton, WI 54911-1063 |
| Jaime L Filtzkowski | Nurse Practitioner | Ascension Medical Group-fox Valley Wisconsin, Inc | 1550 Midway Pl, Menasha, WI 54952-1165 |
| Joseph J Schumann | Family Medicine | Ascension Medical Group-fox Valley Wisconsin, Inc | W6981 Parkview Dr, Greenville, WI 54942-8034 |
| Erin M Fischer | Physician Assistant | Ascension Medical Group-fox Valley Wisconsin, Inc | 2601 Fieldcrest Dr, Kaukauna, WI 54130-4523 |
| Carl M Williams | Critical Care (intensivists) | Ascension Medical Group-fox Valley Wisconsin, Inc | 1506 S Oneida St, Appleton, WI 54915-1305 |
| Joseph C Neilitz | Ophthalmology | Ascension Medical Group-fox Valley Wisconsin, Inc | 1855 S Koeller St, Oshkosh, WI 54902-6186 |
| Deidre A Flanagan | General Surgery | Ascension Medical Group-fox Valley Wisconsin, Inc | 2700 W 9th Ave, Oshkosh, WI 54904-7247 |
| Mary A Reszczynski | Nurse Practitioner | Ascension Medical Group-fox Valley Wisconsin, Inc | 1160 Service Rd, Kiel, WI 53042-1281 |
| Dale L Schlais | Family Medicine | Ascension Medical Group-fox Valley Wisconsin, Inc | 1420 Algoma St, New London, WI 54961-2104 |
| Street Address |
614 MEMORIAL DR |
| City | CHILTON |
| State | WI |
| Zip | 53014-1568 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Timothy H Seline | Diagnostic Radiology | Radiology Associates of The Fox Valley, Sc | 614 Memorial Dr, Chilton, WI 53014-1568 |
| Rudolph Y Lin | Diagnostic Radiology | Radiology Associates of The Fox Valley, Sc | 614 Memorial Dr, Chilton, WI 53014-1568 |
| Hong Xie | Diagnostic Radiology | Radiology Associates of The Fox Valley, Sc | 614 Memorial Dr, Chilton, WI 53014-1568 |
| James R Burns | Internal Medicine | Ascension Medical Group-fox Valley Wisconsin, Inc | 614 Memorial Dr, Chilton, WI 53014-1568 |
| Patrick D Obrien | Cardiovascular Disease (cardiology) | Ascension Medical Group-fox Valley Wisconsin, Inc | 614 Memorial Dr, Chilton, WI 53014-1568 |
| Robert J Johnson | Emergency Medicine | Ascension Calumet Hospital Inc | 614 Memorial Dr, Chilton, WI 53014-1568 |
| Michael F Klaeser | Certified Registered Nurse Anesthetist (crna) | New Anesthesiology Sc | 614 Memorial Dr, Chilton, WI 53014-1597 |
| Bryan A Avery | Pulmonary Disease | Ascension Medical Group-fox Valley Wisconsin, Inc | 614 Memorial Dr, Chilton, WI 53014-1568 |
| Bruce R Douglas | Diagnostic Radiology | Radiology Associates of The Fox Valley, Sc | 614 Memorial Dr, Chilton, WI 53014-1568 |
| Matthew G Erickson | Internal Medicine | Ascension Calumet Hospital Inc | 614 Memorial Dr, Chilton, WI 53014-1568 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jody R Chaussee | Chiropractic | 638 N Madison St, Chilton, WI 53014-1018 | |
| Indu J Dave | Psychiatry | Calumet County | 206 Court St, Chilton, WI 53014-1127 |
| Jagdish S Dave | Psychiatry | Calumet County | 206 Court St, Chilton, WI 53014-1127 |
| Jose J Alba | Psychiatry | Calumet County | 206 Court St, Chilton, WI 53014-1127 |
| Gary J Burkhardt | Optometry | 19 W Main St, Chilton, WI 53014-1323 | |
| Rex J Knauf | Chiropractic | 26 School St, Chilton, WI 53014-1346 | |
| Aaron R Gruber | Optometry | Eye Care Center of New Holstein LLC | 17 E Main St, Chilton, WI 53014-1427 |
| Kunal M Patel | Diagnostic Radiology | Radiology Associates of The Fox Valley, Sc | 614 Memorial Dr, Chilton, WI 53014-1568 |
| Steven J Novacheck | Family Medicine | Ascension Calumet Hospital Inc | 614 Memorial Dr, Chilton, WI 53014-1568 |
| Tamra M Knutson | Diagnostic Radiology | Radiology Associates of The Fox Valley, Sc | 614 Memorial Dr, Chilton, WI 53014-1568 |
| Find all physicians in zip 53014 | |||
| City | CHILTON |
| Zip Code | 53014 |
| Specialty | INTERNAL MEDICINE |
| City + Specialty | CHILTON + INTERNAL MEDICINE |
Please comment or provide details below to improve the information on Aditya K Rangbulla.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.