Individual provider Active NPI

Ramitha Rao Nyalakonda, MD

  • Ophthalmology Physician
  • Cullman, AL
National Provider Identifier
1053949396
Registry record updated May 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
48586 Issued in AL
Practice address
1813 Kress St
Cullman, AL 35058-1565
Phone
(256) 734-6871
NPI assigned
Mar 31, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 6, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Ophthalmology Physician 207W00000X 48586 AL Primary

Addresses

Primary practice location

1813 Kress St
Cullman, AL 35058-1565

Mailing address

1813 Kress St
Cullman, AL 35058-1565

Other practice location 1

6431 Fannin St # 1.150
Houston, TX 77030-1501
Phone (713) 500-6500

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
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
I20240717001445 AL Practitioner - Ophthalmology 4284179987 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Oakland Univ, William Beaumont School of Medicine, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
William E Holcomb, MD and Associates, IncGroup PAC ID 6103843685, 6 clinicians

Practice addresses (Care Compare)

1813 Kress St
Cullman, AL 35058-1565
Phone (256) 739-3605

Hospital & facility affiliations

  • Cullman Regional Medical Center Hospital, Cullman, AL, CCN 010035

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery243

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
48586ALMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
William E Holcomb MD & Associates, Inc. Ophthalmology CurrentSince Jun 1, 2024 Accepting new patients
Alabama Vision Center, LLC Ophthalmology PastSince May 12, 2024 Accepting new patients

Locations

1813 Kress St
Cullman, AL 35058
Phone (256) 734-6871

Interoperability endpoints

  • Direct secure messaging: rn@holcomblasercenter.direct.eyemdemr.com
  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 2

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 1

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": "1585612800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714953600000",
    "number": "1053949396",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1813 KRESS ST",
            "city": "CULLMAN",
            "state": "AL",
            "postal_code": "350581565"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1813 KRESS ST",
            "city": "CULLMAN",
            "state": "AL",
            "postal_code": "350581565",
            "telephone_number": "256-734-6871"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6431 Fannin St # 1.150",
            "address_purpose": "LOCATION",
            "city": "Houston",
            "state": "TX",
            "postal_code": "770301501",
            "country_code": "US",
            "telephone_number": "713-500-6500",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NYALAKONDA",
        "first_name": "RAMITHA",
        "middle_name": "RAO",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-03-31",
        "last_updated": "2024-05-06",
        "certification_date": "2024-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "AL",
            "license": "48586",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cullman, AL

Sources for this page

Verify at the official NPI Registry.