Individual provider Active NPI

Ramesh Gowda, MD

  • Interventional Cardiology Physician
  • New York, NY
National Provider Identifier
1073589636
Registry record updated Aug 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Cardiology PhysicianTaxonomy code 207RI0011X
License
222153 Issued in NY
Practice address
16TH St at 1St Ave
Beth Israel Medical Center Heart Institute
New York, NY 10003
Phone
(212) 420-4162
NPI assigned
Feb 24, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 15, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 222153 NY
Cardiovascular Disease Physician 207RC0000X 222153 NY
Interventional Cardiology Physician 207RI0011X 222153 NY Primary

Addresses

Primary practice location

16TH St at 1St Ave
Beth Israel Medical Center Heart Institute
New York, NY 10003

Mailing address

PO Box 95000-3765
Philadelphi, PA 19195-3765
Phone (212) 420-4162

Other identifiers 1

IdentifierTypeStateIssuer
02711177MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20060111000069 NY Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 4789607250 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)Also: Internal Medicine
Education
Other, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Icahn School of Medicine at Mount SinaiGroup PAC ID 2264691070, 2,809 clinicians

Practice addresses (Care Compare)

1 Gustave L Levy PL
New York, NY 10029-6504
Phone (212) 731-7822

10 Union SQ E
New York, NY 10003-3314
Phone (212) 844-8823

1111 Amsterdam Ave
New York, NY 10025-1716
Phone (212) 420-3581

132 Greenpoint Ave
Brooklyn, NY 11222-2274
Phone (718) 752-7280

300 Cadman Plaza W
Brooklyn, NY 11201-3229
Phone (929) 210-6000

373 Park Ave S
New York, NY 10016-8805
Phone (212) 870-9497

Hospital & facility affiliations

  • Mount Sinai Beth Israel Hospital, New York, NY, CCN 330169
  • Mount Sinai West Hospital, New York, NY, CCN 330046

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary angioplasty and stenting19
Varicose vein removal47
Leg revascularization (restoring blood flow)12

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
222153NYMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Icahn School of Medicine at Mount Sinai CurrentSince Jan 22, 2018 Accepting new patients
Icahn School of Medicine at Mount Sinai Current Accepting new patients
Icahn School of Medicine at Mount Sinai Cardiovascular Disease CurrentSince Jan 22, 2018 Accepting new patients
Wyckoff Professional Medical Services, PC Internal Medicine CurrentSince Apr 28, 2024 Accepting new patients
Icahn School of Medicine at Mount Sinai Internal Medicine CurrentSince Jan 1, 2016 Accepting new patients
Icahn School of Medicine at Mount Sinai Cardiovascular Disease CurrentSince Jan 1, 2016 Accepting new patients
Bimc Faculty Practice Past Accepting new patients
A.P. Diagnostic Imaging, Inc. Past Accepting new patients
St Lukes Roosevelt Hospital Center Past Accepting new patients
Icahn School of Medicine at Mount Sinai Past Accepting new patients

Locations

374 Stockholm St
Brooklyn, NY 11237
Phone (718) 963-6485

132 Greenpoint Ave
Brooklyn, NY 11222
Phone (718) 752-7280

10 Nathan D Perlman Pl
New York, NY 10003
Phone (212) 420-2124

1111 Amsterdam Ave
New York, NY 10025
Phone (212) 523-2309

5 E 98th St
Fl 5
New York, NY 10029
Phone (212) 241-8234

10 Union Sq E
New York, NY 10003
Phone (212) 253-6800

10 Union Sq E
#2A
New York, NY 10003
Phone (212) 420-4162

Networks

  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722

Organizations & group practices 10

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 5

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": "1140739200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723680000000",
    "number": "1073589636",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 95000-3765",
            "city": "PHILADELPHI",
            "state": "PA",
            "postal_code": "191953765",
            "telephone_number": "212-420-4162"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16TH ST AT 1ST AVE",
            "address_2": "BETH ISRAEL MEDICAL CENTER HEART INSTITUTE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "10003",
            "telephone_number": "212-420-4162"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOWDA",
        "first_name": "RAMESH",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-24",
        "last_updated": "2024-08-15",
        "certification_date": "2024-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "222153",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "NY",
            "license": "222153",
            "primary": false
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "NY",
            "license": "222153",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02711177",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.