Individual provider Active NPI

Ranjith Dodla, MD

  • Vascular Surgery Physician
  • Flint, MI
National Provider Identifier
1407144652
Registry record updated Aug 16, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular Surgery PhysicianTaxonomy code 2086S0129X
License
4301109147 Issued in MI
Practice address
5020 W Bristol Rd
Flint, MI 48507-2919
Phone
(810) 732-1620
NPI assigned
Jul 20, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 16, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Vascular Surgery Physician 2086S0129X 4301109147 MI Primary

Addresses

Primary practice location

5020 W Bristol Rd
Flint, MI 48507-2919

Mailing address

5020 W Bristol Rd
Flint, MI 48507-2919
Phone (810) 732-1620

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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
I20160608000436 MI Practitioner - Vascular Surgery 8022308741 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Vascular Surgery
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Vascular Surgery Assoc PCGroup PAC ID 2567443559, 16 clinicians

Practice addresses (Care Compare)

5020 W Bristol Rd
Flint, MI 48507-2919
Phone (810) 732-1620

Hospital & facility affiliations

  • McLaren Flint Hospital, Flint, MI, CCN 230141
  • Hurley Medical Center Hospital, Flint, MI, CCN 230132
  • McLaren Lapeer Region Hospital, Lapeer, MI, CCN 230193
  • Ascension Genesys Hospital Hospital, Grand Blanc, MI, CCN 230197

Procedures performed for Medicare patients

ProcedureNumber of procedures
Spinal fusion1-10
Leg revascularization (restoring blood flow)16
Removal of tissue1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Vascular Surgery Assoc PC Vascular Surgery CurrentSince Jul 1, 2016 Accepting new patients
Vascular Surgery Assoc, PC Vascular Surgery Past Accepting new patients
McLaren Flint Past Accepting new patients
Vascular Surgery Assoc, PC Vascular Surgery Past Accepting new patients

Locations

5202 Miller Rd
Ste B
Flint, MI 48507
Phone (810) 720-1600

5054 W Bristol Rd
Ste E
Flint, MI 48507
Phone (810) 600-2030

5151 Gateway Ctr
Ste 400
Flint, MI 48507
Phone (810) 230-4532

5020 W Bristol Rd
Flint, MI 48507
Phone (313) 732-1620

1122 S Lapeer Rd
Ste C
Lapeer, MI 48446
Phone (810) 272-3880

4700 McLeod Dr E
Ste A
Saginaw, MI 48604
Phone (989) 791-4652

Interoperability endpoints

  • Direct secure messaging: ranjithdodla@mvc.allscriptsdirect.net
  • Direct secure messaging: rdodla1125410@direct.hfhs.org

Organizations & group practices 4

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 4

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": "1311120000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1471305600000",
    "number": "1407144652",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5020 W BRISTOL RD",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "485072919",
            "telephone_number": "810-732-1620"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5020 W BRISTOL RD",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "485072919",
            "telephone_number": "810-732-1620"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DODLA",
        "first_name": "RANJITH",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-07-20",
        "last_updated": "2016-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "MI",
            "license": "4301109147",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Flint, MI

Sources for this page

Verify at the official NPI Registry.