Individual provider Active NPI

Radhakrishnan Ramaraj, MD

  • Cardiovascular Disease Physician
  • Dunn, NC
National Provider Identifier
1205009891
Registry record updated Aug 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
2014-01190 Issued in NC
Practice address
710 Erwin Rd
Dunn, NC 28334-4522
Phone
(910) 304-1212
Fax
(910) 292-2627
NPI assigned
Apr 4, 2008
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 20, 2025

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X 2014-01190 NC
Interventional Cardiology Physician 207RI0011X 2014-01190 NC
Nuclear Cardiology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207UN0901X 2014-01190 NC
Cardiovascular Disease Physician 207RC0000X 2014-01190 NC Primary

Addresses

Primary practice location

710 Erwin Rd
Dunn, NC 28334-4522

Mailing address

710 Erwin Rd
Dunn, NC 28334-4522
Phone (910) 304-1212

Other practice location 1

1614 Williamsboro Street
Oxford, NC 27565
Phone (919) 339-4077

Other practice location 2

511 Ruin Creek Rd
Henderson, NC 27536-5919
Phone (252) 572-4223

Other practice location 3

7901 Acc Blvd Ste 102
Raleigh, NC 27617-4730
Phone (919) 339-4077

Other identifiers 19

IdentifierTypeStateIssuer
1205009891OtherNCWELLCARE( MEDICAID)
1205009891OtherNCMULTIPLAN
1205009891OtherNCWELLCARE( MEDICARE ADVANTAGE)
1205009891OtherNCAMBETTER
1205009891OtherNCAETNA
1205009891OtherNCVETERANS AFFAIRS
1205009891OtherNCUNITED MEDICARE ADVANTAGE- AARP
1205009891OtherNCMEDCOST
1205009891OtherNCUNITED HEALTH CARE MEDICARE ADVANTAGE- COMMUNITY
1205009891OtherNCHUMANA MILITARY
1205009891OtherNCCIGNA
1205009891OtherNCAMERIHEALTH CARITAS
1205009891OtherNCHEALTHY BLUE
1205009891MedicaidNC
1205009891OtherNCBLUECROSS BLUESHIELD OF NORTH CAROLINA
1205009891OtherNCHUMANA
1205009891OtherNCBLUE MEDICARE
1205009891OtherNCUNITED HEALTHCARE
1205009891OtherNCCAROLINA COMPLETE HEALTH( CENTENE)

Electronic endpoints 3

TypeEndpointUseAffiliation
Direct Messaging Address anna.baylock@championheartandvascular.com Direct
Direct Messaging Address md@championheartandvascular.com Direct
Direct Messaging Address anna.baylock@championheartandvascular.com Champion Heart and Vascular Center, Oxford PLLC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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
I20140908001033 NC Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal MedicinePractitioner - Interventional CardiologyPractitioner - Hospitalist 5294903241 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)Also: Internal Medicine, Interventional Cardiology
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Champion Health System, PAGroup PAC ID 2769774694, 5 clinicians

Practice addresses (Care Compare)

1614 Williamsboro St
Oxford, NC 27565-5016
Phone (252) 572-4223

511 Ruin Creek Rd
Henderson, NC 27536-5919

710 Erwin Rd
Dunn, NC 28334-4522
Phone (910) 304-1212

7901 Acc Blvd
Suite 102
Raleigh, NC 27617-4730
Phone (910) 304-1212

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Varicose vein removal117
Leg revascularization (restoring blood flow)1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2014-01190NCMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Champion Health System, PA Multi-Specialty CurrentSince Jun 1, 2016 Accepting new patients
Champion Heart and Vascular Center, Oxford PLLC Multi-Specialty CurrentSince Aug 10, 2020 Accepting new patients
DLP Maria Parham Physician Practices LLC CurrentSince Jan 13, 2018 Accepting new patients
DLP Maria Parham Physician Practices, LLC Cardiovascular Disease CurrentSince Jan 13, 2018 Accepting new patients
DLP Maria Parham Physician Practices, LLC Multi-Specialty Current Accepting new patients
Vidant Medical Group Affiliates LLC Multi-Specialty CurrentSince Dec 12, 2016 Accepting new patients
Healthsouth Men'S Clinic Multi-Specialty PastSince Aug 1, 2014 Accepting new patients
William Patrick Stanford, MD, PHD, a Professional Medical Corporation Multi-Specialty Past Accepting new patients

Locations

721 Tilghman Dr
Ste 400
Dunn, NC 28334
Phone (910) 292-2070

710 Erwin Rd
Dunn, NC 28334
Phone (910) 304-1212

1004 Procure St
Fuquay Varina, NC 27526
Phone (910) 624-7067

2310 Stantonsburg Rd
Greenville, NC 27834
Phone (252) 847-6611

120 Charles Rollins Rd
Ste 105
Henderson, NC 27536
Phone (252) 438-2773

511 Ruin Creek Rd
Ste 203
Henderson, NC 27536
Phone (252) 432-6127

511 Ruin Creek Rd
Ste 106
Henderson, NC 27536
Phone (252) 436-6571

1614 Williamsboro St
Oxford, NC 27565
Phone (252) 572-4223

7901 Acc Blvd
Ste 102
Raleigh, NC 27617
Phone (910) 304-1212

101 Clinic Dr
Tarboro, NC 27886
Phone (252) 823-2105

Organizations & group practices 8

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 8

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.

{
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    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755648000000",
    "number": "1205009891",
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            "city": "DUNN",
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        }
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            "fax_number": "855-618-2311",
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        {
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            "fax_number": "252-572-4150",
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        },
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            "fax_number": "855-618-2311",
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        }
    ],
    "basic": {
        "last_name": "RAMARAJ",
        "first_name": "RADHAKRISHNAN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-04-04",
        "last_updated": "2025-08-20",
        "certification_date": "2025-08-20",
        "status": "A"
    },
    "taxonomies": [
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            "license": "2014-01190",
            "primary": false
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "NC",
            "license": "2014-01190",
            "primary": false
        },
        {
            "code": "207UN0901X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nuclear Medicine, Nuclear Cardiology",
            "state": "NC",
            "license": "2014-01190",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
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        },
        {
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        {
            "code": "01",
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            "issuer": "AETNA",
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            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VETERANS AFFAIRS",
            "identifier": "1205009891",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED MEDICARE ADVANTAGE- AARP",
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            "state": "NC"
        },
        {
            "code": "01",
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            "issuer": "MEDCOST",
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        {
            "code": "01",
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            "issuer": "CIGNA",
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            "state": "NC"
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        {
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            "issuer": "HEALTHY BLUE",
            "identifier": "1205009891",
            "state": "NC"
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        {
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            "issuer": null,
            "identifier": "1205009891",
            "state": "NC"
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        {
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    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "anna.baylock@championheartandvascular.com",
            "affiliation": "N",
            "endpointDescription": "Manager",
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            "useDescription": "Direct",
            "address_1": "511 Ruin Creek Rd",
            "city": "Henderson",
            "state": "NC",
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            "postal_code": "275365919",
            "country_name": "United States",
            "address_type": "DOM"
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        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "md@championheartandvascular.com",
            "affiliation": "N",
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            "postal_code": "283344522",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "anna.baylock@championheartandvascular.com",
            "affiliation": "Y",
            "affiliationName": "Champion Heart and Vascular Center, Oxford PLLC",
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            "city": "Oxford",
            "state": "NC",
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            "postal_code": "27565",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Dunn, NC

Sources for this page

Verify at the official NPI Registry.