Individual provider Active NPI

Natesan Subramanian Rama, MD

  • Pediatric Adolescent Medicine Physician
  • Tracy, CA
National Provider Identifier
1306825237
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Adolescent Medicine PhysicianTaxonomy code 2080A0000X
License
A31206 Issued in CA
Practice address
530 W Eaton Ave
#B
Tracy, CA 95376
Phone
(209) 835-9029
Fax
(209) 833-9352
NPI assigned
Jan 10, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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 A31206 CA
Pediatric Adolescent Medicine Physician 2080A0000X A31206 CA Primary

Addresses

Primary practice location

530 W Eaton Ave
#B
Tracy, CA 95376

Mailing address

530 W Eaton Ave
#B
Tracy, CA 95376
Phone (209) 835-9029

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A31206CAMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Sushma Indukuri Medical Corporation Pediatrics PastSince Mar 3, 2024 Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1136851200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1306825237",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "530 W EATON AVE",
            "address_2": "#B",
            "city": "TRACY",
            "state": "CA",
            "postal_code": "95376",
            "telephone_number": "209-835-9029",
            "fax_number": "209-833-9352"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "530 W EATON AVE",
            "address_2": "#B",
            "city": "TRACY",
            "state": "CA",
            "postal_code": "95376",
            "telephone_number": "209-835-9029",
            "fax_number": "209-833-9352"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAMA",
        "first_name": "NATESAN",
        "middle_name": "SUBRAMANIAN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-10",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "CA",
            "license": "A31206",
            "primary": false
        },
        {
            "code": "2080A0000X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Adolescent Medicine",
            "state": "CA",
            "license": "A31206",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tracy, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.