Dharmesh Babaria, MD
NPI 1053421206 · Adolescent Medicine (Internal Medicine) Physician · Eau Claire, WI
Enrolled with Medicare as Practitioner - Internal Medicine · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Dharmesh Babaria, MD is a Adolescent Medicine (Internal Medicine) Physician provider in Eau Claire, WI (NPI 1053421206).
Provider details
- NPI number
- 1053421206
- Entity type
- Individual
- Primary specialty
- Adolescent Medicine (Internal Medicine) PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- 47230 (WI)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure28% of score
19 yrs in NPPES registry
- Profile completeness28% of score
100% of core fields populated
- Practice footprint17% of score
1 documented practice location
- Medicare service volume (vs. specialty peers)28% of score
716 Medicare services, 2024 (ranked within specialty)
Medicare volume is ranked against active providers in the same specialty. Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 490 | $90 |
| Established Patient Office Or Other Outpatient Visit With Low Level OD Decision Making, If Using Time, 20 Minutes Or More99213 | 86 | $61 |
| Visit Complexity Inherent to Evaluation and Management Associated With Medical Care Services That Serve As the Continuing Focal Point for All Needed Health Care Services And/Or With Medical Care Services That Are Part of Ongoing Care Related to a Patient'SG2211 | 46 | $15 |
| Annual Wellness Visit, Includes a Personalized Prevention Plan of Service (pps), Subsequent VisitG0439 | 38 | $122 |
| Established Patient Office Or Other Outpatient Visit With Straightforward Medical Decision Making, If Using Time, 10 Minutes Or More99212 | 33 | $33 |
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 134 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Atorvastatin Calcium | 718 | 184 |
| Lisinopril | 437 | 107 |
| Amlodipine Besylate | 318 | 84 |
| Omeprazole | 246 | 58 |
| Losartan Potassium | 228 | 69 |
| Metoprolol Tartrate | 228 | 60 |
| Tamsulosin Hcl |
Practice location
Mailing address
Registry dates
- Enumerated
- 2006-08-30
- Last updated
- 2010-10-05
Frequently asked questions
- What is Dharmesh Babaria's NPI number?
- Dharmesh Babaria's National Provider Identifier (NPI) is 1053421206, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Dharmesh Babaria's specialty?
- Dharmesh Babaria is listed in the NPPES registry with a primary specialty of Adolescent Medicine (Internal Medicine) Physician (Allopathic & Osteopathic Physicians).
- Where is Dharmesh Babaria located?
- Dharmesh Babaria's practice location on file with NPPES is 2116 Craig Rd, Eau Claire, WI 54701-6149.
- What is Dharmesh Babaria's phone number?
- The practice phone number listed in the NPPES registry for Dharmesh Babaria is (715) 858-4500.
- Does Dharmesh Babaria accept Medicare?
- Dharmesh Babaria is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Dharmesh Babaria's NPI active?
- Yes — Dharmesh Babaria's NPI (1053421206) is active in the NPPES registry as of the last update on 2010-10-05.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.