Organization Active NPI

Shenbagavali Ramaswami, MD

  • Obstetrics Physician
  • Brockton, MA
National Provider Identifier
1386700706
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics PhysicianTaxonomy code 207VX0000X
License
51635 Issued in MA
Legal business name
SHENBAGAVALI RAMASWAMI, MD
Practice address
830 Oak St
Ste 102W
Brockton, MA 02301-1168
Phone
(781) 585-9522
Fax
(781) 585-9544
NPI assigned
Dec 29, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Shenbagavalli Ramaswami, MDNPI 1255385266
Title
President
Phone
(781) 585-9522

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207VX0000X 51635 MA Primary

Addresses

Primary practice location

830 Oak St
Ste 102W
Brockton, MA 02301-1168

Mailing address

830 Oak St
Ste 102W
Brockton, MA 02301-1168
Phone (781) 585-9522

Other identifiers 4

IdentifierTypeStateIssuer
051635OtherMATUFTS
13148OtherMAHARVARD PILGRIM HEALTHCAR
3007421MedicaidMA
J05614OtherMABLUE CROSS BLUE SHIELD

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1167350400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1386700706",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "830 OAK ST",
            "address_2": "STE 102W",
            "city": "BROCKTON",
            "state": "MA",
            "postal_code": "023011168",
            "telephone_number": "781-585-9522",
            "fax_number": "781-585-9544"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "830 OAK ST",
            "address_2": "STE 102W",
            "city": "BROCKTON",
            "state": "MA",
            "postal_code": "023011168",
            "telephone_number": "781-585-9522",
            "fax_number": "781-585-9544"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHENBAGAVALI RAMASWAMI, MD",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-29",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "RAMASWAMI",
        "authorized_official_first_name": "SHENBAGAVALLI",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "781-585-9522",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207VX0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology, Obstetrics",
            "state": "MA",
            "license": "51635",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TUFTS",
            "identifier": "051635",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HARVARD PILGRIM HEALTHCAR",
            "identifier": "13148",
            "state": "MA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3007421",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "J05614",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brockton, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.