Active NPI
Ranganathan Guru Madhavan, M.D.
- Hospitalist Physician
- Sacramento, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hospitalist Physician
- License
- A118613
- Practice address
- 4150 V St
Suite 3400
Sacramento, CA 95817-1460 - Phone
- (916) 734-7506
- Fax
- (916) 734-4810
- NPI assigned
- Feb 20, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | MD27726 | OR | |
| Hospitalist Physician | 208M00000X | MD27726 | OR | |
| Internal Medicine Physician | 207R00000X | P0757 | TX | |
| Hospitalist Physician | 208M00000X | A118613 | CA | Primary |
Addresses
Primary practice location
4150 V St
Suite 3400
Sacramento, CA 95817-1460
Mailing address
7805 Park River Oak Cir
Sacramento, CA 95831-5816
Phone (541) 291-9080
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Other, 2000
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2800 L St
Sacramento, CA 95816-5616
2825 Capitol Ave
Sacramento, CA 95816-6039
Phone (916) 454-6600
Hospital & facility affiliations
- Sutter Davis Hospital
- Sutter Medical Center, Sacramento
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD27726 | OR | MD | Internal Medicine Physician |
| P0757 | TX | MD | Internal Medicine Physician |
| A118613 | CA | MD | Hospitalist Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lodi Memorial Hospital Association Inc | Current | Accepting new patients | |
| Sutter Valley Medical Foundation | Internal Medicine | Current | Accepting new patients |
| Hospitalist Medicine Physicians of California, Inc | Internal Medicine | Current | Accepting new patients |
| Lodi Memorial Hospital Association, Inc | Current | Accepting new patients |
Locations
1255 Travis Blvd
Fairfield, CA 94533
Phone (707) 425-0623
1200 B Gale Wilson Blvd
Fairfield, CA 94533
Phone (707) 429-3600
975 S Fairmont Ave
Lodi, CA 95240
Phone (209) 339-7575
2800 L St
Ste 500
Sacramento, CA 95816
Phone (916) 454-6850
1000 Nut Tree Rd
Vacaville, CA 95687
Phone (707) 446-4000
Interoperability endpoints
- rmadhavan196259@hisp.ehr.sutterhealth.org
Organizations & group practices 4
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.
-
- Multi-Specialty Clinic/Center
- Modesto, CA
- NPI 1669846986
Internal Medicine
-
- Internal Medicine Physician
- Apple Valley, CA
- NPI 1184663965
-
- Primary Care Clinic/Center
- Lodi, CA
- NPI 1861649352
-
- General Acute Care Hospital
- Lodi, CA
- NPI 1316938301
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Davis, CA
- NPI 1770532608
-
- General Acute Care Hospital
- Sacramento, CA
- NPI 1811946734
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1171929600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1382054400000",
"number": "1043355019",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7805 PARK RIVER OAK CIR",
"city": "SACRAMENTO",
"state": "CA",
"postal_code": "958315816",
"telephone_number": "541-291-9080"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4150 V ST",
"address_2": "SUITE 3400",
"city": "SACRAMENTO",
"state": "CA",
"postal_code": "958171460",
"telephone_number": "916-734-7506",
"fax_number": "916-734-4810"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MADHAVAN",
"first_name": "RANGANATHAN",
"middle_name": "GURU",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-02-20",
"last_updated": "2013-10-18",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "OR",
"license": "MD27726",
"primary": false
},
{
"code": "208M00000X",
"taxonomy_group": "",
"desc": "Hospitalist",
"state": "OR",
"license": "MD27726",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "TX",
"license": "P0757",
"primary": false
},
{
"code": "208M00000X",
"taxonomy_group": "",
"desc": "Hospitalist",
"state": "CA",
"license": "A118613",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Sacramento, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.