NPIMap

Individual provider Active NPI

Ramakanth Goel Pata, M.D

  • Pulmonary Disease Physician
  • Cincinnati, OH
National Provider Identifier
1215481593
Registry record updated Mar 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
70512 Issued in MN
Practice address
234 Goodman St
Cincinnati, OH 45219-2364
Phone
(513) 558-0478
NPI assigned
Aug 4, 2016
Last updated
Mar 14, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 14, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Care Medicine (Internal Medicine) Physician 207RC0200X 311595-01 NY
Critical Care Medicine (Internal Medicine) Physician 207RC0200X 036.168602 IL
Pulmonary Disease Physician 207RP1001X 70512 MN Primary

Addresses

Primary practice location

234 Goodman St
Cincinnati, OH 45219-2364

Mailing address

15502 79TH St Apt 2F
Howard Beach, NY 11414-2304
Phone (646) 847-0707

Other practice location 1

15502 79th St
Howard Beach, NY 11414-2304
Phone (646) 847-0707

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN, IL2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20220322002985 MN Practitioner - Internal MedicinePractitioner - Pulmonary Disease 3072867605 Reassigns benefits to 2 organizations
I20240423001820 IL Practitioner - Critical Care (Intensivists) 3072867605 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Pulmonary Disease
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Centracare ClinicGroup PAC ID 2466363395, 800 clinicians

Practice addresses (Care Compare)

1200 6TH N Ave
Saint Cloud, MN 56303-2735
Phone (320) 252-5131

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036.168602ILMDCritical Care Medicine (Internal Medicine) Physician
311595-01NYMDCritical Care Medicine (Internal Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Centracare Clinic Current Accepting new patients
St. Cloud Hospital CurrentSince Dec 1, 2023 Accepting new patients
Cep America Illinois Intensivists Critical Care Medicine CurrentSince Mar 28, 2024 Accepting new patients
Centracare Clinic CurrentSince Feb 1, 2022 Accepting new patients
Centracare Clinic CurrentSince Feb 1, 2022 Accepting new patients
Cep America Illinois Intensivists Critical Care Medicine Current Accepting new patients
Cep America Illinois Intensivists Critical Care Medicine CurrentSince Mar 28, 2024 Accepting new patients
St. Cloud Hospital CurrentSince Dec 1, 2023 Accepting new patients

Locations

1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 851-7423

200 Health Care Dr
Greenville, IL 62246
Phone (618) 664-0808

800 E Carpenter St
Springfield, IL 62702
Phone (217) 525-5643

1200 6th Ave N
Saint Cloud, MN 56303
Phone (320) 252-3342

1406 6th Ave N
Saint Cloud, MN 56303
Phone (320) 255-5657

1900 Centracare Cir
Saint Cloud, MN 56303
Phone (320) 252-2422

110 2nd St S
Ste 104
Waite Park, MN 56387
Phone (320) 259-9375

Interoperability endpoints

  • Direct secure messaging: rpata627970@direct.centracare.com

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 14

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1470268800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710374400000",
    "number": "1215481593",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15502 79TH ST APT 2F",
            "city": "HOWARD BEACH",
            "state": "NY",
            "postal_code": "114142304",
            "telephone_number": "646-847-0707"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "234 GOODMAN ST",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452192364",
            "telephone_number": "513-558-0478"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "15502 79th St",
            "address_purpose": "LOCATION",
            "city": "Howard Beach",
            "state": "NY",
            "postal_code": "114142304",
            "country_code": "US",
            "telephone_number": "646-847-0707",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PATA",
        "first_name": "RAMAKANTH",
        "middle_name": "GOEL",
        "name_prefix": "Dr.",
        "credential": "M.D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-08-04",
        "last_updated": "2024-03-14",
        "certification_date": "2024-03-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "NY",
            "license": "311595-01",
            "primary": false
        },
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "IL",
            "license": "036.168602",
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "MN",
            "license": "70512",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cincinnati, OH

Sources for this page

Verify at the official NPI Registry.