NPPES file of Aug 9, 2026

Dharmesh Babaria, MD

Adolescent Medicine (Internal Medicine) Physician · Eau Claire, WI

Dharmesh Babaria, MD is an adolescent medicine (internal medicine) physician with a practice address in Eau Claire, Wisconsin, and NPI 1053421206, issued on Aug 30, 2006. Check the license (Wisconsin 47230, as entered in NPPES) on the Wisconsin Medical Examining Board; the Medicare figures below come from public CMS files.

Record from CMS NPPES, file of Aug 9, 2026 · Medicare files 2023 and 2024 · method · Verify with CMS →

NPPES recordNPPES file of Aug 9, 2026
1053421206
Name
Dharmesh Babaria
Credential
MD
Primary taxonomy
Adolescent Medicine (Internal Medicine) Physician 207RA0000X
License number
47230 WI
Self-reported in NPPES; status is on the state search
Practice location
2116 Craig RD, Eau Claire, WI 54701
Phone
(715) 858-4500
Enumerated
Aug 30, 2006
Record last updated
Oct 5, 2010 (not updated in 16 years: call before relying on the address or phone)
Medicaid ID
34574800 WI
Medicare enrollment
Enrolled (PECOS I20041019000566); accepts Medicare assignment
Telehealth
Offers telehealth (CMS)
Entity
Type 1 · individual
Public record from CMS NPPES (open it on the CMS NPI Registry). Enrollment, assignment, school and telehealth: CMS Doctors and Clinicians file, Aug 2026. A record is not a license: verify it with the state board.
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Also registered at 2116 Craig RD

A shared address usually means a shared clinic or building; it does not show who employs whom.

  1. Abigail Aguirre, PAPhysician Assistant1982307054
  2. Aruna Ahluwalia, MDAnesthesiology Physician1205852506
  3. Sharat Ahluwalia, MDNeurology Physician1629179221
  4. Omprakash Ahuja, MDPulmonary Disease Physician1861563058
  5. Brad Allar, PAPhysician Assistant1598795650
  6. Brent Amble, A.T.C., L.A.T.Athletic Trainer1235122771

Verify Dharmesh Babaria in five checks

  1. 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
  2. 2LicenseActive license and public ordersWisconsin Medical Examining Board
    Search for license 47230
    Check the board
  3. 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
  4. 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
  5. 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Open the Wisconsin license search

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2.4 times the Medicare Part D claims of the average adolescent medicine (internal medicine) physician in 2024

8,654 Medicare Part D claims for 498 beneficiaries, against an average of 3,639 among the 177 providers of this specialty who prescribed in Part D. Brand-name drugs were 11% of claims. 43 claims were for opioids.

  1. Dharmesh Babaria8,654
  2. Specialty average3,639

Most prescribed

  1. Atorvastatin Calcium718 claims
  2. Lisinopril437 claims
  3. Amlodipine Besylate318 claims
  4. Omeprazole246 claims
  5. Losartan Potassium228 claims
  6. Metoprolol Tartrate228 claims

Source: CMS Medicare Part D Prescribers by Provider and Drug, 2024 (data.cms.gov). Part D covers prescriptions for Medicare patients only; drugs with fewer than 11 claims are not published.

The practice group's MIPS final score for 2023 (Medicare payment program): 78.9 of 100

The Merit-based Incentive Payment System score is reported for the practice group, not for one clinician alone. Four categories are weighted into the final score; the average among 454,083 clinicians with a measured score was 83.5.

  1. Qualityout of 100 · 30% of the final score66.7
  2. Costout of 100 · 30%54.9
  3. Promoting interoperabilityout of 100 · 25%99.0
  4. Improvement activities40 of 40 points · 15%100.0

Source: CMS Quality Payment Program, MIPS performance year 2023, group reporting; category weights for 2023 (qpp.cms.gov).

Bills Medicare through one group practice

  1. Mchs Hospitals IncMarshfield, WI

Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).

Adolescent Medicine (Internal Medicine) Physician providers in Wisconsin

There are 4 adolescent medicine (internal medicine) physician records in Wisconsin.

The 3 adolescent medicine (internal medicine) physician records with the nearest ZIP codes

  1. Brenda Grass, MDFond Du Lac, WI 549351356332753
  2. Mariano Rosales, M.D.Waupun, WI 539631982658118
  3. Miroslaw Rogalski, MDUnion Grove, WI 531821598868630

Common questions

What is Dharmesh Babaria, MD's NPI number?

Dharmesh Babaria, MD's National Provider Identifier (NPI) is 1053421206, issued on Aug 30, 2006. An NPI identifies a provider in billing; it is not a license.

Where is Dharmesh Babaria, MD located?

The NPPES record lists a practice address at 2116 Craig RD, Eau Claire, WI, 54701. Phone: (715) 858-4500. Providers update this record themselves, so call before visiting.

How can I verify Dharmesh Babaria, MD's license?

NPPES lists Wisconsin license number 47230, as entered by the provider. Search the Wisconsin Medical Examining Board at https://dsps.wi.gov/Pages/BoardsCouncils/MEB/Default.aspx. The NPPES record confirms identity only; the state search shows license status, expiration and public orders.

How much does Dharmesh Babaria, MD prescribe under Medicare Part D?

In 2024, Dharmesh Babaria, MD had 8,654 Medicare Part D claims for 498 beneficiaries; the average among adolescent medicine (internal medicine) physician prescribers was 3,639. Part D covers Medicare prescriptions only.

What is Dharmesh Babaria, MD's MIPS final score?

The 2023 MIPS final score is 78.9 of 100, reported for the practice group. The average among 454,083 clinicians with a measured score was 83.5.

Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.

Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.