NPIMap

Individual provider Active NPI

Ramana Gorrepati

  • Neurological Surgery Physician
  • Bellingham, WA
National Provider Identifier
1295154375
Registry record updated Jul 5, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurological Surgery PhysicianTaxonomy code 207T00000X
License
61184144 Issued in WA
Practice address
710 Birchwood Ave Ste 101
Bellingham, WA 98225-1720
Phone
(360) 676-0922
Fax
(360) 671-4726
NPI assigned
Apr 16, 2014
Last updated
Jul 5, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 5, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurological Surgery Physician 207T00000X 61184144 WA Primary

Addresses

Primary practice location

710 Birchwood Ave Ste 101
Bellingham, WA 98225-1720

Mailing address

710 Birchwood Ave
Ste 101
Bellingham, WA 98225-1720
Phone (360) 676-0922

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20211117002714 WA Practitioner - Neurosurgery 0749509354 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Neurosurgery
Education
JS Weill Medical College, Cornell University, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Fourth Corner Neurosurgical Associates Inc PSGroup PAC ID 1557250248, shared by 2 NPIs, 8 clinicians

Practice addresses (Care Compare)

710 Birchwood Ave
Suite 101
Bellingham, WA 98225-1720
Phone (360) 676-0922

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Spinal fusion456
Laminectomy or laminotomy (partial removal of spine bones)72
Melanoma (skin cancer) excision1-10
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
61184144WAMDNeurological Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Providence Health & Services- Washington CurrentSince Jan 1, 2022 Accepting new patients
Fourth Corner Neurosurgical Associates Inc PS CurrentSince Jan 5, 2022 Accepting new patients
Fourth Corner Neurosurgical Associates Inc PS Neurological Surgery CurrentSince Nov 12, 2021 Accepting new patients
Providence Health & Services - Washington CurrentSince Jan 1, 2022 Accepting new patients
Peacehealth Past Accepting new patients

Locations

710 Birchwood Ave
Ste 101
Bellingham, WA 98225
Phone (360) 626-0922

710 Birchwood Ave
Ste 103
Bellingham, WA 98225
Phone (360) 527-0404

4112 Harbour Pointe Blvd SW
Ste 100
Mukilteo, WA 98275
Phone (425) 347-6330

Interoperability endpoints

  • Direct secure messaging: rgorrepati2059573@wm.providencedirect.org

Organizations & group practices 5

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 6

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": "1397606400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1656979200000",
    "number": "1295154375",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "710 BIRCHWOOD AVE",
            "address_2": "STE 101",
            "city": "BELLINGHAM",
            "state": "WA",
            "postal_code": "982251720",
            "telephone_number": "360-676-0922"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "710 BIRCHWOOD AVE STE 101",
            "city": "BELLINGHAM",
            "state": "WA",
            "postal_code": "982251720",
            "telephone_number": "360-676-0922",
            "fax_number": "360-671-4726"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GORREPATI",
        "first_name": "RAMANA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-04-16",
        "last_updated": "2022-07-05",
        "certification_date": "2022-07-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "WA",
            "license": "61184144",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bellingham, WA

Sources for this page

Verify at the official NPI Registry.