Individual provider Active NPI

Ramya Prabhakar, M.D.

  • Internal Medicine Physician
  • Lowell, MA
National Provider Identifier
1194751396
Registry record updated Mar 30, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
216763 Issued in MA
Practice address
275 Varnum Ave
Suite 102
Lowell, MA 01854-2141
Phone
(978) 942-2064
Fax
(978) 942-2068
NPI assigned
Jun 23, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 30, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 216763 MA Primary
Hospitalist Physician 208M00000X 216763 MA

Addresses

Primary practice location

275 Varnum Ave
Suite 102
Lowell, MA 01854-2141

Mailing address

275 Varnum Ave
Suite 102
Lowell, MA 01854-2141
Phone (978) 942-2064

Other identifiers 5

IdentifierTypeStateIssuer
0030060OtherMANEIGHBORHOOD HEALTH
2009960MedicaidMA
696778OtherMAHARVARD PILGRIM
216763OtherMATUFTS
J26190OtherMABLUE CROSS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
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

Enrollment IDStateProvider typePAC IDDetails
I20070207000512 MA Practitioner - Hospice/Palliative CarePractitioner - Internal Medicine 0941202741 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Hospice/Palliative Care
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Atrius Health IncGroup PAC ID 4789588641, 1,214 clinicians

Practice addresses (Care Compare)

133 Brookline Ave
Boston, MA 02215-3904
Phone (617) 421-1000

Hospital & facility affiliations

  • Mount Auburn Hospital Hospital, Cambridge, MA, CCN 220002

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
216763MAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Atrius Health, Inc. Internal Medicine CurrentSince Apr 1, 2021 Accepting new patients
Atrius Health, Inc. Internal Medicine CurrentSince Apr 1, 2021 Accepting new patients
The Lowell General Hospital Past Accepting new patients
LGH Professional Services LLC Internal Medicine Past Accepting new patients
Atrius Health, Inc. Internal Medicine Past Accepting new patients
DO Not Use - the Lowell General Hospital Past Accepting new patients

Locations

133 Brookline Ave
Boston, MA 02215
Phone (617) 421-1000

228 Billerica Rd
Chelmsford, MA 01824
Phone (978) 250-6000

Interoperability endpoints

  • Direct secure messaging: rprabhakar567249@direct.bilh.masshiway.net
  • Direct secure messaging: pramyamd13869@direct.atrius.masshiway.net
  • FHIR API: https://fhir-myrecord.cerner.com/r4/d04f75c7-2a62-4686-b520-7bf0635f38f0/

Organizations & group practices 6

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.

Hospital & facility affiliations 1

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": "1151020800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1490832000000",
    "number": "1194751396",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "275 VARNUM AVE",
            "address_2": "SUITE 102",
            "city": "LOWELL",
            "state": "MA",
            "postal_code": "018542141",
            "telephone_number": "978-942-2064",
            "fax_number": "978-942-2068"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "275 VARNUM AVE",
            "address_2": "SUITE 102",
            "city": "LOWELL",
            "state": "MA",
            "postal_code": "018542141",
            "telephone_number": "978-942-2064",
            "fax_number": "978-942-2068"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRABHAKAR",
        "first_name": "RAMYA",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-23",
        "last_updated": "2017-03-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MA",
            "license": "216763",
            "primary": true
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "MA",
            "license": "216763",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NEIGHBORHOOD HEALTH",
            "identifier": "0030060",
            "state": "MA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2009960",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HARVARD PILGRIM",
            "identifier": "696778",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TUFTS",
            "identifier": "216763",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "J26190",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lowell, MA

Sources for this page

Verify at the official NPI Registry.