Ramakrishna Devasthali, MD

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

License

86-212 Issued in NM

Practice address

160 S Roadrunner Pkwy
Las Cruces, NM 88011-7044

Phone

(575) 556-1800

Fax

(575) 449-7006

NPI assigned

Mar 14, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 5

Medicare fee-for-service enrollment

Enrolled in NM

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Imaging Associates of New Mexico LLC

  • Diagnostic Radiology Physician
  • Albuquerque, NM
  • NPI 1629592464
  Medicare reassignment NPD
• Las Cruces Imaging LLC

  • Mammography Clinic/Center
  • Las Cruces, NM
  • NPI 1780848135
  NPD (past) Authorized official
• Huerta Medical LLC

  • Family Medicine Physician
  • Las Cruces, NM
  • NPI 1093822520
  NPD (past)
• Sierra Vista Hospital

  • Critical Access Hospital
  • Truth Or Consequences, NM
  • NPI 1760446009
  NPD (past)
• Global Imaging LLP

  • Mammography Clinic/Center
  • Sugarland, TX
  • NPI 1861693301
  NPD (past)
• Global Radiology Associates PA

  • Diagnostic Radiology Physician
  • Sugarland, TX
  • NPI 1558563577
  NPD (past)

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

{
    "created_epoch": "1142294400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1484265600000",
    "number": "1285603340",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 13638",
            "city": "LAS CRUCES",
            "state": "NM",
            "postal_code": "880133638",
            "telephone_number": "575-449-7005",
            "fax_number": "575-449-7006"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "160 S ROADRUNNER PKWY",
            "city": "LAS CRUCES",
            "state": "NM",
            "postal_code": "880117044",
            "telephone_number": "575-556-1800",
            "fax_number": "575-449-7006"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEVASTHALI",
        "first_name": "RAMAKRISHNA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-14",
        "last_updated": "2017-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NM",
            "license": "86-212",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS & HMO OF NM",
            "identifier": "NM010679",
            "state": "NM"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "P00224034",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "05595",
            "state": "NM"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "248520105",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PRESBYTERIAN HEALTH",
            "identifier": "201002438",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Desire.Sante, LLC
• Destino Bella, LLC.
• Adrienne Deupree
• Heather Deupree
• Marshall Deupree
• Dezi Golden Therapies, LLC
• Diabetes Solutions
• Gail Diampoc, DPT
• Diana Lizette Jeremias
• Raphael Diaz-Malpica

• Diagnostic Radiology Physician in Las Cruces, NM
• Providers in Las Cruces, NM by specialty
• Diagnostic Radiology Physician in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.