Active NPI
Rammohan Marla, M.D.
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- Tucson, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- License
- 036134953
- Practice address
- 2055 W Hospital Dr Ste 205
Tucson, AZ 85704-7822 - Phone
- (520) 575-6944
- Fax
- (520) 575-1115
- NPI assigned
- Nov 10, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician | 208G00000X | 58208 | AZ | |
| Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician | 208G00000X | 036134953 | IL | Primary |
Addresses
Primary practice location
2055 W Hospital Dr Ste 205
Tucson, AZ 85704-7822
Mailing address
2055 W Hospital Dr Ste 205
Tucson, AZ 85704-7822
Phone (520) 575-6944
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063583359 | Other | TRICARE | |
| 1063583359 | Medicaid | IA | |
| 1063583359 | Other | WELLMARK BC/BS |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | rammohan.marla.1@1576.direct.athenahealth.com | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL, AZ
- 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
- Thoracic Surgery
- Education
- Other, 1988
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2175 N Alma School Rd
Suite 102
Chandler, AZ 85224-2878
Phone (602) 298-5476
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Varicose vein removal | 91 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 58208 | AZ | MD | Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| City of Hope Medical Group of Illinois PLLC | Current | Accepting new patients | |
| Carle West Physician Group Inc | Family Medicine | Current | Accepting new patients |
| Kulbhushan K. Sharma MD, PC | Current | Accepting new patients | |
| Laparoscopic Surgical Specialties,LLC | Current | Accepting new patients | |
| City of Hope Medical Group of Arizona LLC | Surgery | Current | Accepting new patients |
| Northwest Allied Physicians LLC | Current | Accepting new patients | |
| Northwest Allied Physicians, LLC | Current | Accepting new patients | |
| Gibson Community Hospital Association | Past | Accepting new patients |
Locations
2175 N Alma School Rd
Ste 102
Chandler, AZ 85224
Phone (602) 298-5476
5620 W Thunderbird Rd
Ste D2
Glendale, AZ 85306
Phone (602) 547-2690
14200 W Celebrate Life Way
Goodyear, AZ 85338
Phone (623) 207-3000
2055 W Hospital Dr
Ste 205
Tucson, AZ 85704
Phone (520) 575-6944
2200 S Houghton Rd
Tucson, AZ 85748
Phone (520) 287-5728
8333 N Silverbell Rd
Ste 161
Tucson, AZ 85743
Phone (520) 202-7770
4001 E Sunrise Dr
Ste 161
Tucson, AZ 85718
Phone (520) 232-5280
3400 Dexter Ct
Ste 118
Davenport, IA 52807
Phone (563) 344-8333
2204 Eastland Dr
Bloomington, IL 61704
Phone (309) 662-9461
6897 Paysphere Cir
Chicago, IL 60674
Phone (480) 586-7542
2361 Paysphere Cir
Chicago, IL 60674
Phone (847) 746-4358
1302 Franklin Ave
Ste 4500
Normal, IL 61761
Phone (309) 556-8300
1304 Franklin Ave
Normal, IL 61761
Phone (309) 268-3590
611 W Park St
Urbana, IL 61801
Phone (217) 383-6941
2520 Elisha Ave
Zion, IL 60099
Phone (800) 322-9183
Interoperability endpoints
- rammohan.marla.p132@direct.aac.nextgenshare.com
- rmarlamd336059@carlehiedirect.net
- rammohan.marla.p2@direct.ctca-clinic.nextgenshare.com
Organizations & group practices 8
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.
-
- Vascular Surgery Physician
- Glendale, AZ
- NPI 1164773560
-
- Medical Oncology Physician
- Goodyear, AZ
- NPI 1609026806
Surgery
-
- General Practice Physician
- Tucson, AZ
- NPI 1003833179
-
- Family Medicine Physician
- Normal, IL
- NPI 1467074138
-
- Specialist
- Zion, IL
- NPI 1548258072
-
- Durable Medical Equipment & Medical Supplies
- Oro Valley, AZ
- NPI 1821302910
-
- Specialist
- Davenport, IA
- NPI 1891199147
-
- Critical Access Hospital
- Gibson City, IL
- NPI 1114935681
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163116800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1669593600000",
"number": "1063583359",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2055 W HOSPITAL DR STE 205",
"city": "TUCSON",
"state": "AZ",
"postal_code": "857047822",
"telephone_number": "520-575-6944",
"fax_number": "520-575-1115"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2055 W HOSPITAL DR STE 205",
"city": "TUCSON",
"state": "AZ",
"postal_code": "857047822",
"telephone_number": "520-575-6944",
"fax_number": "520-575-1115"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARLA",
"first_name": "RAMMOHAN",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-11-10",
"last_updated": "2022-11-28",
"certification_date": "2022-11-28",
"status": "A"
},
"taxonomies": [
{
"code": "208G00000X",
"taxonomy_group": "",
"desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
"state": "AZ",
"license": "58208",
"primary": false
},
{
"code": "208G00000X",
"taxonomy_group": "",
"desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
"state": "IL",
"license": "036134953",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TRICARE",
"identifier": "1063583359",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1063583359",
"state": "IA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "WELLMARK BC/BS",
"identifier": "1063583359",
"state": null
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "rammohan.marla.1@1576.direct.athenahealth.com",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "2055 W Hospital Dr Ste 205",
"city": "Tucson",
"state": "AZ",
"country_code": "US",
"postal_code": "857047822",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Tucson, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 2022; 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.