Individual provider Active NPI

Rama Chandrashekaran, MD

  • Pediatrics Physician
  • Florence, KY
National Provider Identifier
1225233430
Registry record updated Mar 10, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
46809 Issued in KY
Practice address
7607 Dixie Hwy
Florence, KY 41042-2689
Phone
(859) 655-6100
Fax
(859) 282-8611
NPI assigned
Jun 18, 2007
Last updated
Mar 10, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 10, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 35-096164 OH
Pediatrics Physician 208000000X 46809 KY Primary

Addresses

Primary practice location

7607 Dixie Hwy
Florence, KY 41042-2689

Mailing address

215 E 11TH St
Newport, KY 41071-2203
Phone (859) 655-6100

Other identifiers 3

IdentifierTypeStateIssuer
201140440MedicaidIN
7100291840MedicaidKY
3096224MedicaidOH

Other names 1

  • Miss Rama Raghunathan Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
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
I20140707001782 KY Practitioner - Pediatric Medicine 3779708748 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35-096164OHMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Healthpoint Family Care Inc CurrentSince May 12, 2014 Accepting new patients
Healthpoint Family Care, Inc. CurrentSince May 12, 2014 Accepting new patients

Locations

1401 Madison Ave
Covington, KY 41011
Phone (606) 655-8034

7607 Dixie Hwy
Florence, KY 41042

215 E 11th St
Newport, KY 41071

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1182124800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1615334400000",
    "number": "1225233430",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "215 E 11TH ST",
            "city": "NEWPORT",
            "state": "KY",
            "postal_code": "410712203",
            "telephone_number": "859-655-6100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7607 DIXIE HWY",
            "city": "FLORENCE",
            "state": "KY",
            "postal_code": "410422689",
            "telephone_number": "859-655-6100",
            "fax_number": "859-282-8611"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHANDRASHEKARAN",
        "first_name": "RAMA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-06-18",
        "last_updated": "2021-03-10",
        "certification_date": "2021-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "OH",
            "license": "35-096164",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "KY",
            "license": "46809",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "201140440",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100291840",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3096224",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "RAMA",
            "last_name": "RAGHUNATHAN",
            "prefix": "MISS",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Florence, KY

Sources for this page

Verify at the official NPI Registry.