Active NPI
Raman Puri, M.D.
- Internal Medicine Physician
- Columbia, MO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 2000171135
- Practice address
- 2475 Broadway Bluffs Drive
Ste. 301
Columbia, MO 65201-8128 - Phone
- (573) 874-3235
- Fax
- (573) 817-5917
- NPI assigned
- Jul 21, 2006
- Last updated
- Nov 16, 2012
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 2000171135 | MO | Primary |
Addresses
Primary practice location
2475 Broadway Bluffs Drive
Ste. 301
Columbia, MO 65201-8128
Mailing address
2475 Broadway Bluffs Drive
Ste. 301
Columbia, MO 65201-8128
Phone (573) 874-3235
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 205204506 | Medicaid | MO |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MO
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- University of Missouri, Columbia School of Medicine, 1996
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
2475 Broadway Bluffs Dr
Suite 301
Columbia, MO 65201-8147
Phone (573) 874-3235
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Magnolia Hospitality Inc. | Internal Medicine | Current | Accepting new patients |
Locations
1601 E Broadway
Ste 240
Columbia, MO 65201
Phone (573) 815-8145
2475 Broadway Bluffs Dr
Ste 301
Columbia, MO 65201
Phone (573) 874-3235
Organizations & group practices 1
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.
-
dba Magnolia Critical Care and Internal Medicine
- Internal Medicine Physician
- Columbia, MO
- NPI 1306937974
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Boone Hospital Center
- Cardiac Rehabilitation Clinic/Center
- Columbia, MO
- NPI 1548734734
Hospital
-
dba Boone Hospital Center
- General Acute Care Hospital
- Columbia, MO
- NPI 1902817844
-
dba Capital Region Medical Center
- General Acute Care Hospital
- Jefferson City, MO
- NPI 1174597892
-
dba University of Missouri Health Care
- General Acute Care Hospital
- Columbia, MO
- NPI 1699769901
-
dba Elara Caring
- Home Health Agency
- Jefferson City, MO
- NPI 1255379145
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153440000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1353024000000",
"number": "1295756906",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2475 BROADWAY BLUFFS DRIVE",
"address_2": "STE. 301",
"city": "COLUMBIA",
"state": "MO",
"postal_code": "652018128",
"telephone_number": "573-874-3235",
"fax_number": "573-817-5917"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2475 BROADWAY BLUFFS DRIVE",
"address_2": "STE. 301",
"city": "COLUMBIA",
"state": "MO",
"postal_code": "652018128",
"telephone_number": "573-874-3235",
"fax_number": "573-817-5917"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PURI",
"first_name": "RAMAN",
"name_prefix": "Mr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-21",
"last_updated": "2012-11-16",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "MO",
"license": "2000171135",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "205204506",
"state": "MO"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Columbia, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2012; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.