Individual provider Active NPI

Prabhu Sudantiraraj Ram, M.D

  • Internal Medicine Physician
  • Attleboro, MA
National Provider Identifier
1013228980
Registry record updated Oct 5, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
254585 Issued in MA
Practice address
19 Sturdy St
Attleboro, MA 02703-3152
Phone
(508) 236-8360
Fax
(508) 236-8377
NPI assigned
Jun 25, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 5, 2018

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 125.057815 IL
Psychiatry Physician 2084P0800X 125.057815 IL
Internal Medicine Physician 207R00000X 254585 MA Primary

Addresses

Primary practice location

19 Sturdy St
Attleboro, MA 02703-3152

Mailing address

1200 Boston Providence Tpke
Ste 210
Norwood, MA 02062-5086
Phone (508) 236-8360

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130820000600 MA Practitioner - Internal MedicinePractitioner - Emergency Medicine 6608016407 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

1200 Boston Providence Tpke
Suite 210
Norwood, MA 02062-5086
Phone (781) 333-3444

Hospital & facility affiliations

  • Sturdy Memorial Hospital Hospital, Attleboro, MA, CCN 220008
  • Beth Israel Deaconess Hospital - Needham Hospital, Needham, MA, CCN 220083
  • Brown University Health Morton Hospital Hospital, Taunton, MA, CCN 220073
  • Beth Israel Deaconess Medical Center Hospital, Boston, MA, CCN 220086

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
254585MAMDRegistered Nurse
125.057815ILMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Sound Physicians of Massachusetts Inc Internal Medicine CurrentSince Sep 1, 2016 Accepting new patients
Anna Jaques Inpatient Specialists PLLC Internal Medicine CurrentSince Jun 1, 2020 Accepting new patients
Winchester Lahey Inpatient Specialists PLLC Internal Medicine CurrentSince Jul 1, 2020 Accepting new patients
Sound Physicians of Massachusetts, Inc Internal Medicine CurrentSince Sep 1, 2016 Accepting new patients
Ram Clinic, PC Internal Medicine CurrentSince Oct 1, 2015 Accepting new patients
Sound Physicians of Massachusetts II PC Internal Medicine CurrentSince Dec 8, 2017 Accepting new patients

Locations

235 N Pearl St
Brockton, MA 02301
Phone (508) 427-2525

290 Littleton Rd
Unit 3
Chelmsford, MA 01824
Phone (978) 258-4734

115 Lincoln St
Framingham, MA 01702
Phone (508) 383-1000

575 Beech St
Holyoke, MA 01040
Phone (413) 534-2570

25 Highland Ave
Newburyport, MA 01950
Phone (978) 258-4734

1200 Providence Hwy
Ste 210
Norwood, MA 02062
Phone (781) 333-3444

800 Washington St
Norwood, MA 02062
Phone (781) 278-6264

41 Highland Ave
Winchester, MA 01890
Phone (781) 756-2000

1 Harbison Way
Ste 222
Columbia, SC 29212

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/12342/brand/1/csg/1/fhir/r4

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1277424000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1538697600000",
    "number": "1013228980",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 BOSTON PROVIDENCE TPKE",
            "address_2": "STE 210",
            "city": "NORWOOD",
            "state": "MA",
            "postal_code": "020625086",
            "telephone_number": "508-236-8360",
            "fax_number": "508-236-8377"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19 STURDY ST",
            "city": "ATTLEBORO",
            "state": "MA",
            "postal_code": "027033152",
            "telephone_number": "508-236-8360",
            "fax_number": "508-236-8377"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAM",
        "first_name": "PRABHU",
        "middle_name": "SUDANTIRARAJ",
        "name_prefix": "Dr.",
        "credential": "M.D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-06-25",
        "last_updated": "2018-10-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "125.057815",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "IL",
            "license": "125.057815",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MA",
            "license": "254585",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Attleboro, MA

Sources for this page

Verify at the official NPI Registry.