Active NPI
Ravi Ramsamooj, MD
- Nephrology Physician
- Elizabeth City, NC
National Provider Identifier
1124012406
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nephrology Physician
- Practice address
- 206 Hastings LN
Elizabeth City, NC 27909-3324 - Phone
- (252) 335-1083
- Fax
- (252) 335-4030
- NPI assigned
- Sep 1, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nephrology Physician | 207RN0300X | NC | Primary |
Addresses
Primary practice location
206 Hastings LN
Elizabeth City, NC 27909-3324
Mailing address
206 Hastings LN
Elizabeth City, NC 27909-3324
Phone (252) 335-1083
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 279689 | Other | VA | ANTHEM BLUE CROSS BLUE SH |
| 89137K0 | Medicaid | NC | |
| 197180 | Other | MEDCOST | |
| P00391179 | Other | NC | RAILROAD MEDICARE |
| 137K0 | Other | NC | BLUE CROSS BLUE SHIELD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20040902000369 | NC | Practitioner - Nephrology | 6002882990 | Reassigns benefits to 2 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Nephrology
- Education
- Medical College of Wisconsin, 1999
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1144 N Rd St
Elizabeth City, NC 27909-3473
Phone (252) 364-4600
206 Hastings LN
Elizabeth City, NC 27909-3324
Phone (252) 335-1083
Hospital & facility affiliations
- DaVita Albermarle Dialysis
- DaVita Elizabeth City Dialysis
- DaVita Edenton Dialysis
- DaVita Perquimans Dialysis NC
- Sentara Albemarle Medical Center
- Vidant Chowan Hospital
- Vidant Roanoke Chowan Hospital
- The Outer Banks Hospital, Inc
- Sentara Leigh Hospital
- Laurel Park Rehabilitation and Healthcare Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 200400951 | NC | MD | Nephrology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sentara Albemarle Regional Medical Center | Current | Accepting new patients | |
| Sentara Albemarle Regional Medical Center | Current | Accepting new patients | |
| Albemarle Nephrology PLLC | Nephrology | Current | Accepting new patients |
| Laurel Park Opco LLC | Past | Accepting new patients |
Locations
211 Virginia Rd
Edenton, NC 27932
Phone (252) 384-2590
1144 N Road St
Elizabeth Cty, NC 27909
Phone (252) 384-4610
206 Hastings Ln
Elizabeth Cty, NC 27909
Phone (252) 335-1083
Interoperability endpoints
- ravi.ramsamooj@direct.davitaphysiciansolutions.com
Organizations & group practices 4
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.
-
- General Acute Care Hospital
- Elizabeth City, NC
- NPI 1154708436
NC
-
- General Acute Care Hospital
- Elizabeth City, NC
- NPI 1245211168
-
- Skilled Nursing Facility
- Elizabeth City, NC
- NPI 1578286621
Hospital & facility affiliations 10
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Elizabeth City, NC
- NPI 1578522314
Dialysis facility
-
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Elizabeth City, NC
- NPI 1710351531
Dialysis facility
-
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Edenton, NC
- NPI 1780643536
Dialysis facility
-
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Hertford, NC
- NPI 1184191819
Dialysis facility
-
- General Acute Care Hospital
- Elizabeth City, NC
- NPI 1245211168
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1125532800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1193270400000",
"number": "1124012406",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "206 HASTINGS LN",
"city": "ELIZABETH CITY",
"state": "NC",
"postal_code": "279093324",
"telephone_number": "252-335-1083",
"fax_number": "252-335-4030"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "206 HASTINGS LN",
"city": "ELIZABETH CITY",
"state": "NC",
"postal_code": "279093324",
"telephone_number": "252-335-1083",
"fax_number": "252-335-4030"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RAMSAMOOJ",
"first_name": "RAVI",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-09-01",
"last_updated": "2007-10-25",
"status": "A"
},
"taxonomies": [
{
"code": "207RN0300X",
"taxonomy_group": "",
"desc": "Internal Medicine, Nephrology",
"state": "NC",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM BLUE CROSS BLUE SH",
"identifier": "279689",
"state": "VA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "89137K0",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDCOST",
"identifier": "197180",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "P00391179",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "137K0",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}Other providers in Elizabeth City, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2007; 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.