Individual provider Active NPI

Ramana Adapa, MD

  • Preventive Medicine/Occupational Environmental Medicine Physician
  • Tracy, CA
National Provider Identifier
1407959315
Registry record updated Jun 5, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Preventive Medicine/Occupational Environmental Medicine PhysicianTaxonomy code 2083P0500X
License
A85126 Issued in CA
Practice address
652 W 11TH St
Suite 137
Tracy, CA 95376-3869
Phone
(209) 833-7555
Fax
(209) 833-7518
NPI assigned
Sep 6, 2006
Last updated
Jun 5, 2013By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 5, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Preventive Medicine/Occupational Environmental Medicine Physician 2083P0500X A85126 CA Primary
Occupational Medicine Physician 2083X0100X A85126 CA

Addresses

Primary practice location

652 W 11TH St
Suite 137
Tracy, CA 95376-3869

Mailing address

652 W 11TH St
Suite 137
Tracy, CA 95376-3869
Phone (209) 833-7555

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080609000208 CA Practitioner - Family Practice 3870663404 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Gautami Agastya MD IncGroup PAC ID 3375605348, 2 clinicians

Practice addresses (Care Compare)

652 W 11TH St
Suite 137
Tracy, CA 95376-3869
Phone (209) 833-7555

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
85126CAMDClinical Social Worker
A85126CAMDPreventive Medicine/Occupational Environmental Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Gautami Agastya, MD., Inc. Preventive Medicine/Occupational Environmental Medicine CurrentSince Jan 3, 2008 Accepting new patients
Sutter Tracy Community Hospital Past Accepting new patients
Dameron Hospital Association Past Accepting new patients
Hill Physicians Medical Group - PPO Program Past Accepting new patients

Locations

652 W 11th St
Tracy, CA 95376
Phone (209) 239-4229

652 W 11th St
Ste 137
Tracy, CA 95376
Phone (209) 833-7555

Interoperability endpoints

  • Direct secure messaging: radapa13647@hpmg.direct-ci.net
  • Direct secure messaging: ramana.adapa.1@8236.direct.athenahealth.com

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1157500800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1370390400000",
    "number": "1407959315",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "652 W 11TH ST",
            "address_2": "SUITE 137",
            "city": "TRACY",
            "state": "CA",
            "postal_code": "953763869",
            "telephone_number": "209-833-7555",
            "fax_number": "209-833-7518"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "652 W 11TH ST",
            "address_2": "SUITE 137",
            "city": "TRACY",
            "state": "CA",
            "postal_code": "953763869",
            "telephone_number": "209-833-7555",
            "fax_number": "209-833-7518"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ADAPA",
        "first_name": "RAMANA",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-06",
        "last_updated": "2013-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2083P0500X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Preventive Medicine/Occupational Environmental Medicine",
            "state": "CA",
            "license": "A85126",
            "primary": true
        },
        {
            "code": "2083X0100X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Occupational Medicine",
            "state": "CA",
            "license": "A85126",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tracy, CA

Sources for this page

Verify at the official NPI Registry.