Individual provider Active NPI

Ratna M. Kunasani, MD

  • Vascular Surgery Physician
  • Greenbelt, MD
National Provider Identifier
1104073808
Registry record updated Nov 14, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular Surgery PhysicianTaxonomy code 2086S0129X
License
D0071690 Issued in MD
Practice address
7300 Hanover Dr Ste 104
Greenbelt, MD 20770-2250
Phone
(301) 486-4690
Fax
(301) 441-8809
NPI assigned
Aug 25, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 14, 2019

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

Specialties & licenses 9

Specialty (taxonomy)CodeLicenseStatePrimary
Vascular Surgery Physician 2086S0129X 240138 NY
Vascular Surgery Physician 2086S0129X 66641 WI
Vascular Surgery Physician 2086S0129X MD425161 PA
Vascular Surgery Physician 2086S0129X 241003 MA
Vascular Surgery Physician 2086S0129X 072852 GA
Vascular Surgery Physician 2086S0129X ME121025 FL
Student in an Organized Health Care Education/Training Program 390200000X 240138-1 NY
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician 208G00000X 240138 NY
Vascular Surgery Physician 2086S0129X D0071690 MD Primary

Addresses

Primary practice location

7300 Hanover Dr Ste 104
Greenbelt, MD 20770-2250

Mailing address

7300 Hanover Dr Ste 104
Greenbelt, MD 20770-2250
Phone (301) 486-4690

Other identifiers 5

IdentifierTypeStateIssuer
100061773MedicaidWI
1025775030004MedicaidPA
PO1806060OtherPARAILROAD MEDICARE
1025775060001MedicaidPA
117766400MedicaidMD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, VA, MI3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20081114000349 NY Practitioner - Vascular Surgery 6709946197 Reassigns benefits to 4 organizations
I20190619002995 VA Practitioner - Vascular Surgery 6709946197 Reassigns benefits to 2 organizations
I20190924002859 MI Practitioner - General SurgeryPractitioner - Vascular Surgery 6709946197 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Vascular Surgery
Education
Other, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
St Josephs Medical PCGroup PAC ID 4688855844, 388 clinicians

Practice addresses (Care Compare)

104 Union Ave
Syracuse, NY 13203-1843

301 Prospect Ave
Syracuse, NY 13203-1807
Phone (315) 448-5111

5100 W Taft Rd
Liverpool, NY 13088-4841

Hospital & facility affiliations

  • St Joseph'S Hospital Health Center Hospital, Syracuse, NY, CCN 330140

Procedures performed for Medicare patients

ProcedureNumber of procedures
Leg revascularization (restoring blood flow)15
Removal of tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME121025FLMDVascular Surgery Physician
D0071690MDMDVascular Surgery Physician
240138-1NYMDStudent in an Organized Health Care Education/Training Program

Practice roles

OrganizationSpecialtyStatusNew patients
St. Joseph'S Pathology, PC Current Accepting new patients
St Josephs Hospital Health Center CurrentSince Apr 1, 2025 Accepting new patients
North Medical PC Current Accepting new patients
Mary Imogene Bassett Hospital CurrentSince Apr 15, 2024 Accepting new patients
Centurion Vascular Care LLC CurrentSince Feb 1, 2020 Accepting new patients
St Josephs Medical PC CurrentSince Apr 1, 2025 Accepting new patients
Bon Secours Medical Group Hampton Roads Specialty Care LLC Thoracic Surgery (Cardiothoracic Vascular Surgery) CurrentSince Sep 24, 2021 Accepting new patients
Edward W. Sparrow Hospital Association Thoracic Surgery (Cardiothoracic Vascular Surgery) CurrentSince Sep 3, 2019 Accepting new patients
St Joseph'S Hospital Health Center CurrentSince Apr 1, 2025 Accepting new patients
Edward W. Sparrow Hospital Association Current Accepting new patients
Edward W Sparrow Hospital Association CurrentSince Sep 3, 2019 Accepting new patients
Mary Imogene Bassett Hospital CurrentSince Apr 15, 2024 Accepting new patients
James E. Willis MD PC CurrentSince Sep 6, 2021 Accepting new patients
Bon Secours Medical Group Hampton Roads Specialty Care LLC CurrentSince Sep 24, 2021 Accepting new patients
Samaritan Medical Practice, PC CurrentSince Sep 6, 2021 Accepting new patients
Albany Medical College Past Accepting new patients
Albany Medical College Past Accepting new patients
Center for Vascular Medicine NJ, LLC Vascular Surgery Past Accepting new patients
North Shore Vascular, P.C. Vascular Surgery Past Accepting new patients

Locations

8175 Reliable Pkwy
Chicago, IL 60686

4230 Forbes Blvd
Ste E
Lanham, MD 20706
Phone (301) 577-5535

1200 E Michigan Ave
Ste 775
Lansing, MI 48912
Phone (517) 364-5160

178 Grandview Dr
Cobleskill, NY 12043
Phone (518) 254-3456

1 Atwell Rd
Cooperstown, NY 13326
Phone (607) 547-3480

5100 W Taft Rd
Ste 2T
Liverpool, NY 13088
Phone (315) 744-1592

104 Union Ave
Ste 1005
Syracuse, NY 13203
Phone (315) 424-0790

301 Prospect Ave
Syracuse, NY 13203
Phone (315) 448-5111

301 Prospect Ave
Ste 706
Syracuse, NY 13203
Phone (315) 703-5200

301 Prospect Ave
Ofc
Syracuse, NY 13203
Phone (315) 448-2876

826 Washington St
Ste 106
Watertown, NY 13601
Phone (315) 782-1505

629 Washington St
Watertown, NY 13601
Phone (315) 755-3650

150 Kingsley Ln
Norfolk, VA 23505
Phone (757) 464-6944

Interoperability endpoints

  • Direct secure messaging: rkunasani4175923@direct.trinity-health.org

Organizations & group practices 20

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.

View all 20

Hospital & facility affiliations 1

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": "1219622400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1573689600000",
    "number": "1104073808",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7300 HANOVER DR STE 104",
            "city": "GREENBELT",
            "state": "MD",
            "postal_code": "207702250",
            "telephone_number": "301-486-4690",
            "fax_number": "301-441-8809"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7300 HANOVER DR STE 104",
            "city": "GREENBELT",
            "state": "MD",
            "postal_code": "207702250",
            "telephone_number": "301-486-4690",
            "fax_number": "301-441-8809"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KUNASANI",
        "first_name": "RATNA",
        "middle_name": "M.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-08-25",
        "last_updated": "2019-11-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "NY",
            "license": "240138",
            "primary": false
        },
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "WI",
            "license": "66641",
            "primary": false
        },
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "PA",
            "license": "MD425161",
            "primary": false
        },
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "MA",
            "license": "241003",
            "primary": false
        },
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "GA",
            "license": "072852",
            "primary": false
        },
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "FL",
            "license": "ME121025",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NY",
            "license": "240138-1",
            "primary": false
        },
        {
            "code": "208G00000X",
            "taxonomy_group": "",
            "desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
            "state": "NY",
            "license": "240138",
            "primary": false
        },
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "MD",
            "license": "D0071690",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100061773",
            "state": "WI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1025775030004",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "PO1806060",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1025775060001",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "117766400",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenbelt, MD

Sources for this page

Verify at the official NPI Registry.