Individual provider Active NPI

Rohini Ramamoorthy

  • Internal Medicine Physician
  • Huntsville, AL
National Provider Identifier
1265889448
Registry record updated Jan 29, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
MD.38637 Issued in AL
Practice address
4245 Balmoral Dr SW Ste 102
Huntsville, AL 35801-6456
Phone
(256) 203-6676
NPI assigned
May 18, 2016
Reactivated
Jan 26, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 29, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Internal Medicine Physician 207R00000X MD.38637 AL Primary

Addresses

Primary practice location

4245 Balmoral Dr SW Ste 102
Huntsville, AL 35801-6456

Mailing address

625 19TH Street South
Birmingham, AL 35249

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
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
I20191119001949 AL Practitioner - Internal Medicine 4981986478 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

4101 Balmoral Dr SW
Unit B
Huntsville, AL 35801-6535
Phone (256) 203-3949

4101 Balmoral Dr SW B
Huntsville, AL 35801-6535

Hospital & facility affiliations

  • Enhabit Home Health Home health agency, Muscle Shoals, AL, CCN 017326
  • Huntsville Hospital Hospital, Huntsville, AL, CCN 010039
  • Crestwood Medical Center Hospital, Huntsville, AL, CCN 010131

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD.38637ALMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
G.S,Rao,M.D,P.C CurrentSince Sep 3, 2019 Accepting new patients
Magnolia Primary Care LLC Internal Medicine CurrentSince Jan 1, 2021 Accepting new patients

Locations

1425 Weatherly Rd SE
Huntsville, AL 35803
Phone (256) 881-1111

4101 Balmoral Dr SW
Ste B
Huntsville, AL 35801
Phone (256) 203-3949

4245 Balmoral Dr SW
Ste 102
Huntsville, AL 35801
Phone (256) 203-6676

Interoperability endpoints

  • Direct secure messaging: rohini.ramamoorthy.1@22811.direct.athenahealth.com
  • FHIR API: https://fhir4.healow.com/fhir/r4/IJECDD

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 and National Provider Directory roles.

Hospital & facility affiliations 3

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": "1463529600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1611878400000",
    "number": "1265889448",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "625 19TH STREET SOUTH",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "35249"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4245 BALMORAL DR SW STE 102",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358016456",
            "telephone_number": "256-203-6676"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAMAMOORTHY",
        "first_name": "ROHINI",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-05-18",
        "last_updated": "2021-01-29",
        "certification_date": "2021-01-29",
        "deactivation_date": "2021-01-13",
        "reactivation_date": "2021-01-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "AL",
            "license": "MD.38637",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Huntsville, AL

Sources for this page

Verify at the official NPI Registry.