Active NPI
Rajapuram Ravindra Kumar, MD
- Pulmonary Disease Physician
- Merced, CA
National Provider Identifier
1043393986
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pulmonary Disease Physician
- License
- A36528
- Practice address
- 780 W Olive Ave
Ste 103
Merced, CA 95348 - Phone
- (209) 723-0783
- Fax
- (209) 723-9452
- NPI assigned
- Oct 23, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pulmonary Disease Physician | 207RP1001X | A36528 | CA | Primary |
Addresses
Primary practice location
780 W Olive Ave
Ste 103
Merced, CA 95348
Mailing address
780 W Olive Ave
Ste 103
Merced, CA 95348
Phone (209) 723-0783
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00A365282 | Medicaid | CA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A36528 | CA | MD | Pulmonary Disease Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Fresno Sleep-Wake Disorder Center of California, Inc. | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Electroneurodiagnostic Specialist/Technologist
- Fresno, CA
- NPI 1932137007
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161561600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1185926400000",
"number": "1043393986",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "780 W OLIVE AVE",
"address_2": "STE 103",
"city": "MERCED",
"state": "CA",
"postal_code": "95348",
"telephone_number": "209-723-0783",
"fax_number": "209-723-9452"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "780 W OLIVE AVE",
"address_2": "STE 103",
"city": "MERCED",
"state": "CA",
"postal_code": "95348",
"telephone_number": "209-723-0783",
"fax_number": "209-723-9452"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KUMAR",
"first_name": "RAJAPURAM",
"middle_name": "RAVINDRA",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-10-23",
"last_updated": "2007-08-01",
"status": "A"
},
"taxonomies": [
{
"code": "207RP1001X",
"taxonomy_group": "",
"desc": "Internal Medicine, Pulmonary Disease",
"state": "CA",
"license": "A36528",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00A365282",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Merced, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2007; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.