Individual provider Active NPI

Ramesh Bathina, MD

  • Interventional Pain Medicine Physician
  • Aurora, IL
National Provider Identifier
1417060146
Registry record updated Dec 26, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X
License
036107849 Issued in IL
Practice address
1315 N Highland Ave # 105
Aurora, IL 60506-1400
Phone
(630) 966-9999
Fax
(630) 859-2378
NPI assigned
Aug 16, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 26, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Interventional Pain Medicine Physician 208VP0014X 036107849 IL Primary

Addresses

Primary practice location

1315 N Highland Ave # 105
Aurora, IL 60506-1400

Mailing address

1300 N Highland Ave
Ste 2
Aurora, IL 60506-1464
Phone (630) 966-9999

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
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
I20040817000616 IL Practitioner - Interventional Pain ManagementPractitioner - Anesthesiology 7416920590

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Aurora Pain Clinic LTD CurrentSince Apr 25, 2005 Accepting new patients
K Qadir SC Past Accepting new patients
West Coast Anesthesia PLLC Past Accepting new patients

Locations

1300 N Highland Ave
Ste 2
Aurora, IL 60506
Phone (630) 897-9606

1325 N Highland Ave
Aurora, IL 60506
Phone (630) 801-2756

1315 N Highland Ave
Ste 105
Aurora, IL 60506
Phone (630) 906-9700

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.

NPI Registry JSON

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

{
    "created_epoch": "1155686400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1514246400000",
    "number": "1417060146",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1300 N HIGHLAND AVE",
            "address_2": "STE 2",
            "city": "AURORA",
            "state": "IL",
            "postal_code": "605061464",
            "telephone_number": "630-966-9999",
            "fax_number": "630-966-8919"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1315 N HIGHLAND AVE # 105",
            "city": "AURORA",
            "state": "IL",
            "postal_code": "605061400",
            "telephone_number": "630-966-9999",
            "fax_number": "630-859-2378"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BATHINA",
        "first_name": "RAMESH",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-16",
        "last_updated": "2017-12-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208VP0014X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "IL",
            "license": "036107849",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Aurora, IL

Sources for this page

Verify at the official NPI Registry.