Ayyappa Mysore Rangaraju, MD

Primary specialty

Gastroenterology PhysicianTaxonomy code 207RG0100X

License

MD2017-0029 Issued in NM

Practice address

2421 W 21St St Ste B
Clovis, NM 88101-2006

Phone

(575) 769-7577

Fax

(575) 742-7856

NPI assigned

Nov 15, 2012

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NM

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

Specialty

GastroenterologyAlso: Internal Medicine

Education

Other, 2006

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Digestive Disease Consultants of Las Cruces LLCGroup PAC ID 4880659754, 4 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Memorial Medical Center Hospital, Las Cruces, NM, CCN 320018
• Three Crosses Regional Hospital LLC Hospital, Las Cruces, NM, CCN 320091
• Mountain View Regional Medical Center Hospital, Las Cruces, NM, CCN 320085
• Mimbres Valley Medical Center Hospital, Deming, NM, CCN 321309

Merit-based Incentive Payment System (MIPS)

Final score

81.76 of 100Reported as group

Quality

54.4

Improvement activities

40

Cost

100

Merit-based Incentive Payment System (MIPS)

Final score

88.68 of 100Reported as group

Quality

82.35

Promoting interoperability

100

Improvement activities

40

Cost

76.6

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: ayyappa.mysore.rangaraju.1@19849.direct.athenahealth.com
• Direct secure messaging: amysorerangaraju110497@direct.phs.org

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.

• Digestive Disease Consultants of Las Cruces LLC

  • Specialist
  • Las Cruces, NM
  • NPI 1235184326
  Medicare reassignment Care Compare group NPD
• Las Cruces Physician Practices, LLC

  dba NM Cardiovascualr Associates

  • Vascular Surgery Physician
  • Las Cruces, NM
  • NPI 1093947491
  Medicare reassignment NPD
• Presbyterian Healthcare Services

  dba Presbyterian Medical Group

  • Internal Medicine Physician
  • Albuquerque, NM
  • NPI 1104802354
  Medicare reassignment NPD
• Las Cruces Physician Practices, LLC

  dba New Mexico Cardiac Care

  • Cardiovascular Disease Physician
  • Las Cruces, NM
  • NPI 1346586195
  NPD
• Las Cruces Physician Practices, LLC

  • Family Medicine Physician
  • Las Cruces, NM
  • NPI 1356390769

  Internal Medicine

  NPD
• Presbyterian Healthcare Services

  dba Presbyterian Hospital

  • General Acute Care Hospital
  • Albuquerque, NM
  • NPI 1215913470

  Internal Medicine

  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Deming Hospital Corporation

  dba Mimbres Memorial Hospital

  • Critical Access Hospital
  • Deming, NM
  • NPI 1891075446
  Care Compare affiliation
• Las Cruces Medical Center LLC

  dba Mountainview Regional Medical Center

  • General Acute Care Hospital
  • Las Cruces, NM
  • NPI 1205882503
  Care Compare affiliation
• PHC-Las Cruces Inc

  dba Memorial Medical Center of Las Cruces

  • General Acute Care Hospital
  • Las Cruces, NM
  • NPI 1700821808
  Care Compare affiliation
• Three Crosses Regional Hospital LLC

  • General Acute Care Hospital
  • Las Cruces, NM
  • NPI 1760020044
  Care Compare affiliation

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

{
    "created_epoch": "1352937600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1506902400000",
    "number": "1093059925",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 26666",
            "address_2": "PHS PROVIDER ENROLLMENT",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871256666",
            "telephone_number": "505-923-6770",
            "fax_number": "505-923-5354"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2421 W 21ST ST STE B",
            "city": "CLOVIS",
            "state": "NM",
            "postal_code": "881012006",
            "telephone_number": "575-769-7577",
            "fax_number": "575-742-7856"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1545 Atlantic anenue",
            "address_2": "Interfaith medical center",
            "address_purpose": "LOCATION",
            "city": "brooklyn",
            "state": "NY",
            "postal_code": "11213",
            "country_code": "US",
            "telephone_number": "718-613-4072",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MYSORE RANGARAJU",
        "first_name": "AYYAPPA",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-11-15",
        "last_updated": "2017-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NM",
            "license": "MD2017-0029",
            "primary": false
        },
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "NM",
            "license": "MD2017-0029",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "34803548",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kristy L. Muller
• Ashlee Dawn Muncy
• Hugo Munoz-Hernandez, BCBA
• Amanda Murphy
• Lorri Murray
• Jeffry A Naggs, DDS
• Steven T. Naggs, D.P.M.
• Nicole Naifeh, DO
• Katrina Lynn Najera
• Amanda Nantais

• Gastroenterology Physician in Clovis, NM
• Providers in Clovis, NM by specialty
• Gastroenterology Physician in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.