Individual provider Active NPI

Rameshkumar Raman, M.D.

  • Endocrinology, Diabetes & Metabolism Physician
  • Moline, IL
National Provider Identifier
1376521484
Registry record updated Jun 15, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X
License
036093833 Issued in IL
Practice address
612 35TH Ave Ste 1
Moline, IL 61265-6176
Phone
(309) 788-0014
Fax
(309) 623-4638
NPI assigned
Jan 9, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 15, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Endocrinology, Diabetes & Metabolism Physician 207RE0101X 036093833 IL Primary

Addresses

Primary practice location

612 35TH Ave Ste 1
Moline, IL 61265-6176

Mailing address

612 35TH Ave Ste 1
Moline, IL 61265-6176
Phone (309) 788-0014

Other practice location 1

1989 Spruce Hills Dr
Bettendorf, IA 52722-2624
Phone (563) 293-3131

Other identifiers 1

IdentifierTypeStateIssuer
036093833MedicaidIL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA, IL2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20041012000526 IA Practitioner - EndocrinologyPractitioner - Internal Medicine 2466412846 Reassigns benefits to 1 organization
I20050819000463 IL Practitioner - EndocrinologyPractitioner - Internal Medicine 2466412846 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Endocrinology
Education
Other, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Genesis Health SystemGroup PAC ID 6103829338, shared by 2 NPIs, 262 clinicians

Practice addresses (Care Compare)

2535 Maplecrest Rd
Suite 10
Bettendorf, IA 52722-2799
Phone (563) 421-4620

612 35TH Ave
Moline, IL 61265-6176
Phone (309) 281-6410

Hospital & facility affiliations

  • Genesis HLTH System Dba Genesis MDL Ctr-Illini Hospital, Silvis, IL, CCN 140275
  • Northwestern Medicine Central Dupage Hospital Hospital, Winfield, IL, CCN 140242
  • Genesis Medical Center-Davenport Hospital, Davenport, IA, CCN 160033
  • Hammond Henry Hospital Hospital, Geneseo, IL, CCN 141319
  • Trinity Rock Island Hospital, Rock Island, IL, CCN 140280

Merit-based Incentive Payment System (MIPS)

Final score
80.04 of 100Reported as individual
Quality
59.91
Promoting interoperability
97
Improvement activities
40
Cost
76.06

Merit-based Incentive Payment System (MIPS)

Final score
36.69 of 100Reported as individual
Quality
40
Improvement activities
0
Cost
68.98

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Genesis Health System CurrentSince Mar 15, 2024 Accepting new patients
Genesis Health System CurrentSince Mar 15, 2024 Accepting new patients
Alternatives for the Older Adult, Inc Past Accepting new patients
Community Health Care Inc Past Accepting new patients
Genesis Health System Past Accepting new patients
Genesis Health System Past Accepting new patients
Genesis Health System Past Accepting new patients

Locations

2535 Maplecrest Rd
Ste 10
Bettendorf, IA 52722
Phone (319) 344-3500

865 Lincoln Rd
Ste 100
Bettendorf, IA 52722
Phone (563) 355-1000

1351 W Central Park Ave
Ste 4100
Davenport, IA 52804
Phone (563) 355-9191

4700 E 56th St
Ste 100
Davenport, IA 52807
Phone (563) 383-2667

612 35th Ave
Moline, IL 61265
Phone (309) 764-6767

612 35th Ave
Ste 1
Moline, IL 61265
Phone (309) 788-0014

801 Illini Dr
Silvis, IL 61282
Phone (309) 281-4000

Organizations & group practices 7

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.

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": "1136764800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655251200000",
    "number": "1376521484",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "612 35TH AVE STE 1",
            "city": "MOLINE",
            "state": "IL",
            "postal_code": "612656176",
            "telephone_number": "309-788-0014",
            "fax_number": "309-623-4638"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "612 35TH AVE STE 1",
            "city": "MOLINE",
            "state": "IL",
            "postal_code": "612656176",
            "telephone_number": "309-788-0014",
            "fax_number": "309-623-4638"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1989 Spruce Hills Dr",
            "address_purpose": "LOCATION",
            "city": "Bettendorf",
            "state": "IA",
            "postal_code": "527222624",
            "country_code": "US",
            "telephone_number": "563-293-3131",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RAMAN",
        "first_name": "RAMESHKUMAR",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-01-09",
        "last_updated": "2022-06-15",
        "certification_date": "2022-06-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RE0101X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "IL",
            "license": "036093833",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036093833",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Moline, IL

Sources for this page

Verify at the official NPI Registry.