NPIMap

Individual provider Active NPI

Engelbert Tito Ranada, D.O.

  • Internal Medicine Physician
  • Bluefield, WV
National Provider Identifier
1063770063
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Practice address
500 Cherry St
Bluefield, WV 24701-3306
Phone
(304) 327-1666
Fax
(304) 327-1806
NPI assigned
Apr 26, 2012
Last updated
Jul 21, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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 WV Primary

Addresses

Primary practice location

500 Cherry St
Bluefield, WV 24701-3306

Mailing address

500 Cherry St
Bluefield, WV 24701-3306
Phone (304) 327-1666

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, ND2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20151204002088 CA Practitioner - Internal MedicinePractitioner - Hospitalist 2365742814 Reassigns benefits to 4 organizations
I20160104002337 ND Practitioner - Internal Medicine 2365742814 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mercy Hospital of Devils LakeGroup PAC ID 9537128681, shared by 3 NPIs, 11 clinicians
KND Development 59 LLCGroup PAC ID 3678602802, 176 clinicians

Practice addresses (Care Compare)

1031 7TH St NE
Devils Lake, ND 58301-2719
Phone (701) 662-2131

2800 Benedict Dr
San Leandro, CA 94577-6840
Phone (510) 357-8300

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
14081CAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
St. Joseph's Hospital and Health Center CurrentSince Nov 19, 2015 Accepting new patients
Engelbert T.a. Ranada D.O.,PC Internal Medicine Current Accepting new patients
Mercy Hospital of Devils Lake CurrentSince May 12, 2022 Accepting new patients
Hospitalist Medicine Physicians of California, Inc Internal Medicine CurrentSince Dec 1, 2015 Accepting new patients
Quantum Healthcare Medical Associates Inc. Internal Medicine CurrentSince Feb 23, 2020 Accepting new patients
Mercy Hospital of Devils Lake Current Accepting new patients
St. Joseph's Hospital and Health Center CurrentSince Nov 19, 2015 Accepting new patients
St Joseph's Hospital and Health Center Current Accepting new patients
KND Development 59 LLC Current Accepting new patients
Mercy Hospital of Devils Lake Current Accepting new patients
Southern Monterey County Memorial Hospital CurrentSince Oct 21, 2015 Accepting new patients

Locations

18300 US Highway 18
Apple Valley, CA 92307
Phone (760) 424-2311

400 N Pepper Ave
Colton, CA 92324
Phone (909) 580-1400

2700 Dolbeer St
Eureka, CA 95501
Phone (707) 269-4229

210 Canal St
King City, CA 93930
Phone (931) 385-7100

1441 Constitution Blvd
Salinas, CA 93906
Phone (831) 261-8090

2800 Benedict Dr
San Leandro, CA 94577
Phone (510) 357-8300

3290 Solutions Ctr
Chicago, IL 60677

7360 Solutions Ctr
Chicago, IL 60677
Phone (701) 237-8033

1031 7th St NE
Devils Lake, ND 58301
Phone (701) 662-2131

425 College Dr S
Ste 14
Devils Lake, ND 58301
Phone (701) 662-8662

Organizations & group practices 12

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.

Hospital & facility affiliations 6

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": "1335398400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1063770063",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 CHERRY ST",
            "city": "BLUEFIELD",
            "state": "WV",
            "postal_code": "247013306",
            "telephone_number": "304-327-1666",
            "fax_number": "304-327-1806"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 CHERRY ST",
            "city": "BLUEFIELD",
            "state": "WV",
            "postal_code": "247013306",
            "telephone_number": "304-327-1666",
            "fax_number": "304-327-1806"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RANADA",
        "first_name": "ENGELBERT",
        "middle_name": "TITO",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-04-26",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "WV",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bluefield, WV

Sources for this page

Verify at the official NPI Registry.