Active NPI
Rangassamy Meibalane, M.D.
- Neonatal-Perinatal Medicine Physician
- Newburgh, IN
National Provider Identifier
1154431682
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neonatal-Perinatal Medicine Physician
- License
- 01027658A
- Practice address
- 4199 Gateway Blvd
Newburgh, IN 47630-8940 - Phone
- (812) 842-4280
- Fax
- (812) 842-4580
- NPI assigned
- Aug 30, 2006
- 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 |
|---|---|---|---|---|
| Neonatal-Perinatal Medicine Physician | 2080N0001X | 01027658A | IN | Primary |
Addresses
Primary practice location
4199 Gateway Blvd
Newburgh, IN 47630-8940
Mailing address
PO Box 637273
Cincinnati, OH 45263-7273
Phone (812) 842-4260
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200027100 | Medicaid | IN | |
| 64750201 | Medicaid | KY | |
| 01027658A | Other | IN | LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 01027658A | IN | MD | Neonatal-Perinatal Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156896000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1572998400000",
"number": "1154431682",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 637273",
"city": "CINCINNATI",
"state": "OH",
"postal_code": "452637273",
"telephone_number": "812-842-4260"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4199 GATEWAY BLVD",
"city": "NEWBURGH",
"state": "IN",
"postal_code": "476308940",
"telephone_number": "812-842-4280",
"fax_number": "812-842-4580"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MEIBALANE",
"first_name": "RANGASSAMY",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-30",
"last_updated": "2019-11-06",
"status": "A"
},
"taxonomies": [
{
"code": "2080N0001X",
"taxonomy_group": "",
"desc": "Pediatrics, Neonatal-Perinatal Medicine",
"state": "IN",
"license": "01027658A",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200027100",
"state": "IN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "64750201",
"state": "KY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE",
"identifier": "01027658A",
"state": "IN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Newburgh, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.