Individual provider Active NPI

Uma Rangaraj, MD

  • Endocrinology, Diabetes & Metabolism Physician
  • Monroe, LA
National Provider Identifier
1396706271
Registry record updated Dec 4, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X
License
05919R Issued in LA
Practice address
3402 Magnolia Cove
Monroe, LA 71203
Phone
(318) 388-5831
Fax
(318) 812-1249
NPI assigned
Mar 30, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 4, 2009

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 05919R LA Primary

Addresses

Primary practice location

3402 Magnolia Cove
Monroe, LA 71203

Mailing address

PO Box 4083
Monroe, LA 71211-4083
Phone (318) 388-5831

Other identifiers 1

IdentifierTypeStateIssuer
1339971MedicaidLA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA
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
I20040823000728 LA Practitioner - EndocrinologyPractitioner - Internal Medicine 4587638838 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
05919RLAMDEndocrinology, Diabetes & Metabolism Physician

Practice roles

OrganizationSpecialtyStatusNew patients
The Arthritis and Diabetes Clinic Inc Endocrinology, Diabetes & Metabolism CurrentSince Aug 1, 2004 Accepting new patients

Locations

3402 Magnolia Cv
Monroe, LA 71203
Phone (318) 388-5380

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": "1143676800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1259884800000",
    "number": "1396706271",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4083",
            "city": "MONROE",
            "state": "LA",
            "postal_code": "712114083",
            "telephone_number": "318-388-5831",
            "fax_number": "318-812-1249"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3402 MAGNOLIA COVE",
            "city": "MONROE",
            "state": "LA",
            "postal_code": "71203",
            "telephone_number": "318-388-5831",
            "fax_number": "318-812-1249"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RANGARAJ",
        "first_name": "UMA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-30",
        "last_updated": "2009-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RE0101X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "LA",
            "license": "05919R",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1339971",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Monroe, LA

Sources for this page

Verify at the official NPI Registry.