Active NPI
Ratna Charishma Boppana, MBBS
- Internal Medicine Physician
- Des Moines, IA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- R9530
- Practice address
- 1415 Woodland Ave
Suite 140
Des Moines, IA 50309-3203 - Phone
- (515) 241-5995
- Fax
- (515) 241-6576
- NPI assigned
- Jun 26, 2012
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | R9530 | IA | Primary |
Addresses
Primary practice location
1415 Woodland Ave
Suite 140
Des Moines, IA 50309-3203
Mailing address
1415 Woodland Ave
Suite 140
Des Moines, IA 50309-3203
Phone (515) 241-5995
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX, MO
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Other, 2009
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1500 S Main St
John Peter Smith Hospital
Fort Worth, TX 76104-4917
Phone (817) 702-3431
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R9530 | IA | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hospitalist Medicine Physicians of Texas, PLLC | Internal Medicine | Current | Accepting new patients |
| Texas Tech University Health Sciences Center El Paso | Internal Medicine | Current | Accepting new patients |
| Texas Tech University Health Sciences Center El Paso | Current | Accepting new patients | |
| Cole Physician Services LLC | Current | Accepting new patients | |
| SSM Regional Health Services | Past | Accepting new patients | |
| Iowa Physicians Clinic Medical Foundation | Internal Medicine | Past | Accepting new patients |
Locations
10 S Hospital Dr
Fulton, MO 65251
Phone (573) 592-6550
620 E Monroe St
Mexico, MO 65265
Phone (573) 582-5000
120 Brentwood Commons Way
Ste 510
Brentwood, TN 37027
Phone (253) 682-6040
4801 Alberta Ave
El Paso, TX 79905
Phone (915) 215-5200
1500 S Main St
Ft Worth, TX 76104
Phone (817) 921-3431
18951 N Memorial Dr
Humble, TX 77338
Phone (281) 319-8409
Interoperability endpoints
- ratna.boppana@direct.myhealthep.org
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Internal Medicine Physician
- Humble, TX
- NPI 1629307095
-
- Hospitalist Physician
- Jefferson City, MO
- NPI 1144578659
-
- Internal Medicine Physician
- El Paso, TX
- NPI 1598705055
-
- Neurological Surgery Physician
- El Paso, TX
- NPI 1457913444
-
dba UnityPoint Clinic
- General Practice Physician
- West Des Moines, IA
- NPI 1366425274
Internal Medicine
-
dba SSM Health St. Mary's Hospital Jefferson City
- General Acute Care Hospital
- Jefferson City, MO
- NPI 1518065523
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba JPS Health Network
- General Acute Care Hospital
- Fort Worth, TX
- NPI 1992753222
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1340668800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1340668800000",
"number": "1043574981",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1415 WOODLAND AVE",
"address_2": "SUITE 140",
"city": "DES MOINES",
"state": "IA",
"postal_code": "503093203",
"telephone_number": "515-241-5995",
"fax_number": "515-241-6576"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1415 WOODLAND AVE",
"address_2": "SUITE 140",
"city": "DES MOINES",
"state": "IA",
"postal_code": "503093203",
"telephone_number": "515-241-5995",
"fax_number": "515-241-6576"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOPPANA",
"first_name": "RATNA",
"middle_name": "CHARISHMA",
"credential": "MBBS",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-06-26",
"last_updated": "2012-06-26",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "IA",
"license": "R9530",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Des Moines, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2012; 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.