NPIMap

Individual provider Active NPI

Ravinder S Soodan, MD

  • Internal Medicine Physician
  • Hingham, MA
National Provider Identifier
1053488098
Registry record updated Aug 14, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
59327 Issued in MA
Practice address
72 Sharp St
Suite A10
Hingham, MA 02043
Phone
(781) 331-2010
Fax
(781) 340-9915
NPI assigned
Nov 28, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 14, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 59327 MA Primary

Addresses

Primary practice location

72 Sharp St
Suite A10
Hingham, MA 02043

Mailing address

PO Box 295
S Weymouth, MA 02190
Phone (781) 331-2010

Other identifiers 4

IdentifierTypeStateIssuer
3038131MedicaidMA
64627OtherHARVARD PILGRIM
J07570OtherBCBS
059327OtherTUFTS

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040728001054 MA Practitioner - Internal Medicine 4284604182 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1981
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

169 N Franklin St
Holbrook, MA 02343-1111
Phone (781) 767-7491

Hospital & facility affiliations

  • South Shore Visiting Nurse Association Home health agency, Rockland, MA, CCN 227082
  • Croi Health Home health agency, Norwell, MA, CCN 227241
  • Pathways Healthcare Home health agency, Westwood, MA, CCN 227569
  • Caretenders Home health agency, Needham Heights, MA, CCN 227269
  • Croi Health Hospice, Norwell, MA, CCN 221583
  • Beacon Hospice, an Amedisys Company Hospice, Charlestown, MA, CCN 221544
  • South Shore Hospital Hospital, South Weymouth, MA, CCN 220100
  • Webster Park Rehabilitation and Healthcare Center Nursing home, Rockland, MA, CCN 225184
  • Cardigan Nursing & Rehabilitation Center Nursing home, Scituate, MA, CCN 225722

Merit-based Incentive Payment System (MIPS)

Final score
24.23 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
80.77

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
South Shore Primary Care PC Internal Medicine CurrentSince Jun 1, 2007 Accepting new patients
Cardigan Nursing Home, Inc. Past Accepting new patients
Webster Park Operator LLC Past Accepting new patients
Brockton Rehabilitation and Nursing Center LLC Past Accepting new patients

Locations

72 Sharp St
Ste A10
Hingham, MA 02043
Phone (781) 331-2010

169 N Franklin St
Holbrook, MA 02343
Phone (781) 767-5200

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/IGAFBA
  • FHIR API: https://fhir4.healow.com/fhir/r4/IGAFBA/Endpoint/IGAFBA

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.

Hospital & facility affiliations 8

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": "1164672000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1344902400000",
    "number": "1053488098",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 295",
            "city": "S WEYMOUTH",
            "state": "MA",
            "postal_code": "02190",
            "telephone_number": "781-331-2010",
            "fax_number": "781-340-9915"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "72 SHARP ST",
            "address_2": "SUITE A10",
            "city": "HINGHAM",
            "state": "MA",
            "postal_code": "02043",
            "telephone_number": "781-331-2010",
            "fax_number": "781-340-9915"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOODAN",
        "first_name": "RAVINDER",
        "middle_name": "S",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-28",
        "last_updated": "2012-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MA",
            "license": "59327",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3038131",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HARVARD PILGRIM",
            "identifier": "64627",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "J07570",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TUFTS",
            "identifier": "059327",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hingham, MA

Sources for this page

Verify at the official NPI Registry.