Individual provider Active NPI

Ramesh Pavuluri, D.PM

  • Podiatrist
  • Dickson, TN
National Provider Identifier
1083660518
Registry record updated Jul 13, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
DPM406 Issued in TN
Practice address
214 Skyline Cir
Dickson, TN 37055-2561
Phone
(615) 441-0002
Fax
(615) 446-2827
NPI assigned
May 26, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X DPM406 TN Primary

Addresses

Primary practice location

214 Skyline Cir
Dickson, TN 37055-2561

Mailing address

214 Skyline Cir
Dickson, TN 37055-2561
Phone (615) 441-0002

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110126000273 TN Practitioner - Podiatry 1052428570

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
New York College of Podiatric Medicine, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

214 Skyline Cir
Dickson, TN 37055-2561

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue30
Removal of nail tissue184

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DPM406TNMDPodiatrist

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1148601600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1278979200000",
    "number": "1083660518",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "214 SKYLINE CIR",
            "city": "DICKSON",
            "state": "TN",
            "postal_code": "370552561",
            "telephone_number": "615-441-0002",
            "fax_number": "615-446-2827"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "214 SKYLINE CIR",
            "city": "DICKSON",
            "state": "TN",
            "postal_code": "370552561",
            "telephone_number": "615-441-0002",
            "fax_number": "615-446-2827"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAVULURI",
        "first_name": "RAMESH",
        "credential": "D.PM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-26",
        "last_updated": "2010-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "TN",
            "license": "DPM406",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dickson, TN

Sources for this page

Verify at the official NPI Registry.