Active NPI
Kannan Ramamurthy, M.D.
- Internal Medicine Physician
- Edcouch, TX
National Provider Identifier
1174507461
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- J4976
- Practice address
- 1200 E. Santa Rosa
Edcouch, TX 78538 - Phone
- (956) 262-1363
- NPI assigned
- Dec 1, 2005
- Last updated
- Jan 22, 2009
- 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 |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | J4976 | TX | Primary |
Addresses
Primary practice location
1200 E. Santa Rosa
Edcouch, TX 78538
Mailing address
PO Box 1689
Pharr, TX 78577-1630
Phone (956) 787-8915
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 115385004 | Medicaid | TX |
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Nuestra Clinica del Valle, Inc. | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Federally Qualified Health Center (FQHC)
- San Juan, TX
- NPI 1053728360
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1133395200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1232582400000",
"number": "1174507461",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1689",
"city": "PHARR",
"state": "TX",
"postal_code": "785771630",
"telephone_number": "956-787-8915",
"fax_number": "956-787-2021"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1200 E. SANTA ROSA",
"city": "EDCOUCH",
"state": "TX",
"postal_code": "78538",
"telephone_number": "956-262-1363"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RAMAMURTHY",
"first_name": "KANNAN",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-12-01",
"last_updated": "2009-01-22",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "TX",
"license": "J4976",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "115385004",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}Other providers in Edcouch, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.