Individual provider Active NPI

Haritha Ramasastry, M.D.

  • Gastroenterology Physician
  • Clanton, AL
National Provider Identifier
1407900616
Registry record updated Mar 11, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
17645 Issued in AL
Practice address
1006 Lay Dam Rd
Clanton, AL 35045-2306
Phone
(205) 280-3360
Fax
(205) 280-3369
NPI assigned
Jan 23, 2007
Last updated
Mar 11, 2010By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 11, 2010

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 17645 AL
Gastroenterology Physician 207RG0100X 17645 AL Primary

Addresses

Primary practice location

1006 Lay Dam Rd
Clanton, AL 35045-2306

Mailing address

PO Box 540
Pelham, AL 35124-0540
Phone (205) 280-3360

Other identifiers 2

IdentifierTypeStateIssuer
000037045MedicaidAL
51037045OtherALBCBS OF ALABAMA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
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
I20130125000466 AL Practitioner - Gastroenterology 3971757022 Practice locations: Clanton, AL

Care Compare profile

Medicare Care Compare
Specialty
Gastroenterology
Education
Other, 1976
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2030 Lay Dam Rd
Clanton, AL 35045-8344
Phone (205) 258-4489

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy310
Upper gastrointestinal (GI) endoscopy for acid reflux322

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
17645ALMDInternal Medicine Physician

Hospital & facility affiliations 2

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": "1169510400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1268265600000",
    "number": "1407900616",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 540",
            "city": "PELHAM",
            "state": "AL",
            "postal_code": "351240540",
            "telephone_number": "205-280-3360",
            "fax_number": "205-280-3369"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1006 LAY DAM RD",
            "city": "CLANTON",
            "state": "AL",
            "postal_code": "350452306",
            "telephone_number": "205-280-3360",
            "fax_number": "205-280-3369"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAMASASTRY",
        "first_name": "HARITHA",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-23",
        "last_updated": "2010-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "AL",
            "license": "17645",
            "primary": false
        },
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "AL",
            "license": "17645",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000037045",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF ALABAMA",
            "identifier": "51037045",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Clanton, AL

Sources for this page

Verify at the official NPI Registry.