NPIMap

Individual provider Active NPI

Ramesh Daggubati, M.D.

  • Interventional Cardiology Physician
  • Mineola, NY
National Provider Identifier
1083600522
Registry record updated Apr 8, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Cardiology PhysicianTaxonomy code 207RI0011X
License
222210 Issued in NY
Practice address
259 1St St
Winthrop University Hospital, Department of Medicine
Mineola, NY 11501-3957
Phone
(516) 663-4480
NPI assigned
Sep 20, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 8, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Interventional Cardiology Physician 207RI0011X 2009-00068 NC
Interventional Cardiology Physician 207RI0011X 222210 NY Primary

Addresses

Primary practice location

259 1St St
Winthrop University Hospital, Department of Medicine
Mineola, NY 11501-3957

Mailing address

259 1St St
Winthrop University Hospital, Department of Medicine
Mineola, NY 11501-3957
Phone (516) 663-4480

Other identifiers 3

IdentifierTypeStateIssuer
151RTOtherNCBCBSNC
P00781447OtherNCMEDICARE RAILROAD
5911022MedicaidNC

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address rdaggubati142465@direct.wvuhsdirect.com Health Information Exchange (HIE)

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WV, PA2 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
I20200114001080 WV Practitioner - Interventional Cardiology 1759300759 Reassigns benefits to 2 organizations
I20211005001280 PA Practitioner - Interventional Cardiology 1759300759 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Interventional Cardiology
Education
Other, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

1 Medical Ctr Dr
Morgantown, WV 26506-1200
Phone (304) 293-4500

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
95.34 of 100Reported as apm
Quality
79.86
Promoting interoperability
100
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
95.34 of 100Reported as apm
Quality
79.86
Promoting interoperability
100
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
95.34 of 100Reported as apm
Quality
79.86
Promoting interoperability
100
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
95.34 of 100Reported as apm
Quality
79.86
Promoting interoperability
100
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
95.34 of 100Reported as apm
Quality
79.86
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary angioplasty and stenting25
Pacemaker insertion or repair1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2009-00068NCMDInterventional Cardiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
West Virginia University Medical Corporation CurrentSince Nov 23, 2019 Accepting new patients
Fayette Physician Network Inc CurrentSince Sep 1, 2021 Accepting new patients
West Virginia University Medical Corporation CurrentSince Nov 23, 2019 Accepting new patients
Wheeling Hospital Inc Interventional Cardiology CurrentSince Sep 1, 2020 Accepting new patients
Fayette Physician Network Inc Interventional Cardiology CurrentSince Sep 1, 2021 Accepting new patients
Winthrop Community Medical Affiliates PC Interventional Cardiology Past Accepting new patients
West Virginia University Hospitals, Inc Past Accepting new patients

Locations

201 Mary Higginson Ln
Uniontown, PA 15401
Phone (724) 430-5940

100 Woodlawn Ave
Ste 2
Uniontown, PA 15401
Phone (724) 430-5600

4315 Maccorkle Ave SE
Charleston, WV 25304
Phone (304) 926-8080

1 Medical Center Dr
Morgantown, WV 26506
Phone (304) 293-4500

401 Division St
Ste 204
South Charleston, WV 25309
Phone (304) 414-4841

1 Medical Park
Wheeling, WV 26003
Phone (304) 243-3124

20 Medical Park
Ste 105
Wheeling, WV 26003
Phone (304) 242-4800

10 Medical Park
Ste 104
Wheeling, WV 26003
Phone (304) 242-4800

Interoperability endpoints

  • Direct secure messaging: rdaggubati142465@direct.wvuhsdirect.com

Organizations & group practices 7

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 9

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": "1127174400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1649376000000",
    "number": "1083600522",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "259 1ST ST",
            "address_2": "WINTHROP UNIVERSITY HOSPITAL, DEPARTMENT OF MEDICINE",
            "city": "MINEOLA",
            "state": "NY",
            "postal_code": "115013957",
            "telephone_number": "516-663-4480"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "259 1ST ST",
            "address_2": "WINTHROP UNIVERSITY HOSPITAL, DEPARTMENT OF MEDICINE",
            "city": "MINEOLA",
            "state": "NY",
            "postal_code": "115013957",
            "telephone_number": "516-663-4480"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAGGUBATI",
        "first_name": "RAMESH",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-20",
        "last_updated": "2022-04-08",
        "certification_date": "2022-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "NC",
            "license": "2009-00068",
            "primary": false
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "NY",
            "license": "222210",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSNC",
            "identifier": "151RT",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "P00781447",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5911022",
            "state": "NC"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "rdaggubati142465@direct.wvuhsdirect.com",
            "affiliation": "N",
            "endpointDescription": "Direct Address",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1 Medical Center Dr",
            "city": "Morgantown",
            "state": "WV",
            "country_code": "US",
            "postal_code": "265061200",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Mineola, NY

Sources for this page

Verify at the official NPI Registry.