NPIMap

Individual provider Active NPI

Ravi Ramsamooj, MD

  • Nephrology Physician
  • Elizabeth City, NC
National Provider Identifier
1124012406
Registry record updated Oct 25, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
Practice address
206 Hastings LN
Elizabeth City, NC 27909-3324
Phone
(252) 335-1083
Fax
(252) 335-4030
NPI assigned
Sep 1, 2005
Last updated
Oct 25, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 25, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040902000369 NC Practitioner - NephrologyPractitioner - Internal Medicine 6002882990 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
NephrologyAlso: Internal Medicine
Education
Medical College of Wisconsin, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Albemarle Nephrology PLLCGroup PAC ID 2466559760, 4 clinicians

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

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
200400951NCMDNephrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Sentara Albemarle Regional Medical Center CurrentSince Mar 4, 2024 Accepting new patients
Sentara Albemarle Regional Medical Center CurrentSince Mar 4, 2024 Accepting new patients
Albemarle Nephrology PLLC Nephrology CurrentSince Jan 1, 2007 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

  • Direct secure messaging: 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 10

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": "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": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elizabeth City, NC

Sources for this page

Verify at the official NPI Registry.