Individual provider Active NPI

Rammohan Marla, M.D.

  • Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
  • Tucson, AZ
National Provider Identifier
1063583359
Registry record updated Nov 28, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Thoracic Surgery (Cardiothoracic Vascular Surgery) PhysicianTaxonomy code 208G00000X
License
036134953 Issued in IL
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

Updated by the provider on Nov 28, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
1063583359OtherTRICARE
1063583359MedicaidIA
1063583359OtherWELLMARK BC/BS

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address rammohan.marla.1@1576.direct.athenahealth.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL, AZ2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20150526001881 IL Practitioner - Cardiac SurgeryPractitioner - General SurgeryPractitioner - Thoracic SurgeryPractitioner - Vascular Surgery 6507930997 Reassigns benefits to 2 organizations
I20191120002558 AZ Practitioner - Thoracic Surgery 6507930997 Reassigns benefits to 3 organizations

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
Kulbhushan K Sharma MD PCGroup PAC ID 2365691680, 5 clinicians

Practice addresses (Care Compare)

2175 N Alma School Rd
Suite 102
Chandler, AZ 85224-2878
Phone (602) 298-5476

Procedures performed for Medicare patients

ProcedureNumber of procedures
Varicose vein removal91

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
58208AZMDThoracic Surgery (Cardiothoracic Vascular Surgery) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
City of Hope Medical Group of Illinois PLLC CurrentSince Jan 30, 2021 Accepting new patients
Carle West Physician Group Inc Family Medicine CurrentSince May 25, 2022 Accepting new patients
Kulbhushan K. Sharma MD, PC CurrentSince Jun 16, 2025 Accepting new patients
Laparoscopic Surgical Specialties,LLC CurrentSince Jul 1, 2015 Accepting new patients
City of Hope Medical Group of Arizona LLC Surgery CurrentSince Aug 10, 2019 Accepting new patients
Northwest Allied Physicians LLC CurrentSince Sep 1, 2022 Accepting new patients
Northwest Allied Physicians, LLC CurrentSince Sep 1, 2022 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

  • Direct secure messaging: rammohan.marla.p132@direct.aac.nextgenshare.com
  • Direct secure messaging: rmarlamd336059@carlehiedirect.net
  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.