Ram V Patak, M.D.

Primary specialty

Nephrology PhysicianTaxonomy code 207RN0300X

License

C39711 Issued in CA

Practice address

18546 Roscoe Blvd Ste 110
Northridge, CA 91324-4667

Phone

(818) 993-5600

Fax

(818) 775-1509

NPI assigned

Oct 11, 2005

Reactivated

Apr 25, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in CA

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Networks

• BSC 65 PLUS INDIVIDUAL MAPD

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.

• Kidney and Hypertension Consultants

  • Nephrology Physician
  • Northridge, CA
  • NPI 1487993176

  Single Specialty

  Medicare reassignment NPD
• Ram V Patak MD a Medical Corporation

  • Medical Specialty Clinic/Center
  • Northridge, CA
  • NPI 1134134786

  Single Specialty

  NPD (past)

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

{
    "created_epoch": "1128988800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1144218488",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18546 ROSCOE BLVD STE 110",
            "city": "NORTHRIDGE",
            "state": "CA",
            "postal_code": "913244667",
            "telephone_number": "818-993-5600",
            "fax_number": "818-775-1509"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18546 ROSCOE BLVD STE 110",
            "city": "NORTHRIDGE",
            "state": "CA",
            "postal_code": "913244667",
            "telephone_number": "818-993-5600",
            "fax_number": "818-775-1509"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATAK",
        "first_name": "RAM",
        "middle_name": "V",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-10-11",
        "last_updated": "2023-03-07",
        "certification_date": "2020-04-17",
        "deactivation_date": "2006-03-25",
        "reactivation_date": "2006-04-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Nephrology",
            "state": "CA",
            "license": "C39711",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "390000081",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GR0050270",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Rommel Herrera Pasco, PT
• Alfred M Pascual, DO
• Louise Elaine Pascucci
• Griselda Pasillas
• Passage to Recovery
• Alpa Patel
• Anish Jagdish Patel, M.D.
• Jaina Bhagat Patel, DPT
• Mega Harshad Patel, DDS
• Rupa Patel, RPH

• Nephrology Physician in Northridge, CA
• Providers in Northridge, CA by specialty
• Nephrology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.