Individual provider Active NPI

Senthilkumar Ramasamy, M.D.

  • Sleep Medicine (Psychiatry & Neurology) Physician
  • Rio Rancho, NM
National Provider Identifier
1326056201
Registry record updated Aug 28, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sleep Medicine (Psychiatry & Neurology) PhysicianTaxonomy code 2084S0012X
License
2003-0552 Issued in NM
Practice address
1101 Golf Course Rd SE
Suite 203
Rio Rancho, NM 87124-4728
Phone
(505) 234-1616
Fax
(505) 234-1617
NPI assigned
Aug 4, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 28, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Sleep Medicine (Psychiatry & Neurology) Physician 2084S0012X 2003-0552 NM Primary

Addresses

Primary practice location

1101 Golf Course Rd SE
Suite 203
Rio Rancho, NM 87124-4728

Mailing address

1101 Golf Course Rd SE
Suite 203
Rio Rancho, NM 87124-4728
Phone (505) 234-1616

Other identifiers 7

IdentifierTypeStateIssuer
84875OtherNMPRESBYTERIAN HEALTH PLAN
01723049MedicaidNM
1316133580OtherNMNPI GROUP
43027261MedicaidNM
NM009K77OtherNMBCBS NEW MEXICO
1326056201OtherNMNPI INDIVIDUAL
P00094435OtherNMRAILROAD MEDICARE

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20040105000247 NM Practitioner - Sleep MedicinePractitioner - NeurologyPractitioner - NeurosurgeryPractitioner - Other (Physician) 4688573462

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
219317NYMDChild & Adolescent Psychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Park Avenue Medical Associates, P.C. PastSince Dec 4, 1999 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": "1154649600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1598572800000",
    "number": "1326056201",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1101 GOLF COURSE RD SE",
            "address_2": "SUITE 203",
            "city": "RIO RANCHO",
            "state": "NM",
            "postal_code": "871244728",
            "telephone_number": "505-234-1616",
            "fax_number": "505-234-1617"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1101 GOLF COURSE RD SE",
            "address_2": "SUITE 203",
            "city": "RIO RANCHO",
            "state": "NM",
            "postal_code": "871244728",
            "telephone_number": "505-234-1616",
            "fax_number": "505-234-1617"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAMASAMY",
        "first_name": "SENTHILKUMAR",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-04",
        "last_updated": "2020-08-28",
        "certification_date": "2020-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084S0012X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Sleep Medicine",
            "state": "NM",
            "license": "2003-0552",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PRESBYTERIAN HEALTH PLAN",
            "identifier": "84875",
            "state": "NM"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01723049",
            "state": "NM"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI GROUP",
            "identifier": "1316133580",
            "state": "NM"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "43027261",
            "state": "NM"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS NEW MEXICO",
            "identifier": "NM009K77",
            "state": "NM"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI INDIVIDUAL",
            "identifier": "1326056201",
            "state": "NM"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00094435",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rio Rancho, NM

Sources for this page

Verify at the official NPI Registry.