Active NPI
Ratnaji Babu Nallamothu, M.D.
- Specialist
- Sacramento, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- A69392
- Practice address
- 777 Campus Commons Rd
Suite 120
Sacramento, CA 95825-8309 - Phone
- (916) 929-8564
- Fax
- (916) 929-4529
- NPI assigned
- Jul 22, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | A69392 | CA | Primary |
Addresses
Primary practice location
777 Campus Commons Rd
Suite 120
Sacramento, CA 95825-8309
Mailing address
777 Campus Commons Rd
Suite 120
Sacramento, CA 95825-8309
Phone (916) 929-8564
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 390006482 | Other | RAILROAD MEDICARE | |
| GR0015060 | Medicaid | CA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nephrology
- Education
- Saint Louis University School of Medicine, 1999
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1111 Exposition Blvd
Suite 300
Sacramento, CA 95815-4324
Phone (916) 564-6232
Hospital & facility affiliations
- DaVita West Sacramento Dialysis Center
- DaVita University Dialysis Center
- DaVita Joy of Dixon Dialysis Center
- Sutter Medical Center, Sacramento
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Capital Nephrology Medical Group | Specialist | Current | Accepting new patients |
| Hill Physicians Medical Group - PPO Program | Past | Accepting new patients | |
| Natomas Dialysis LLC | Past | Accepting new patients |
Locations
2218 Kausen Dr
Ste 103
Elk Grove, CA 95758
Phone (916) 683-8774
1111 Exposition Blvd
Ste 300
Sacramento, CA 95815
Phone (916) 564-6232
333 University Ave
Ste 120
Sacramento, CA 95825
Phone (916) 929-8564
Organizations & group practices 3
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.
-
- Specialist
- Sacramento, CA
- NPI 1235150400
-
- Preferred Provider Organization
- San Ramon, CA
- NPI 1679011035
-
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Sacramento, CA
- NPI 1154348068
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Dixon, CA
- NPI 1720269996
Dialysis facility
-
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Sacramento, CA
- NPI 1154415982
Dialysis facility
-
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- West Sacramento, CA
- NPI 1598896250
Dialysis facility
-
- General Acute Care Hospital
- Sacramento, CA
- NPI 1811946734
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153526400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1331078400000",
"number": "1407877608",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "777 CAMPUS COMMONS RD",
"address_2": "SUITE 120",
"city": "SACRAMENTO",
"state": "CA",
"postal_code": "958258309",
"telephone_number": "916-929-8564",
"fax_number": "916-929-4529"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "777 CAMPUS COMMONS RD",
"address_2": "SUITE 120",
"city": "SACRAMENTO",
"state": "CA",
"postal_code": "958258309",
"telephone_number": "916-929-8564",
"fax_number": "916-929-4529"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NALLAMOTHU",
"first_name": "RATNAJI",
"middle_name": "BABU",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-22",
"last_updated": "2012-03-07",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "CA",
"license": "A69392",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "390006482",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "GR0015060",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Sacramento, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.