NPIMap

Organization Active NPI

Family Doctors Ramanathan, PLLC

  • Family Medicine Physician
  • Henderson, NV
National Provider Identifier
1437258274
Registry record updated Nov 6, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
9434 Issued in NV
Legal business name
FAMILY DOCTORS RAMANATHAN, PLLC
Practice address
291 N Pecos Rd
Henderson, NV 89074-1918
Phone
(702) 616-9471
Fax
(702) 616-9681
NPI assigned
Sep 21, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 6, 2014

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

Authorized official

Name
Ravi S Ramanathan, MDNPI 1770582520
Title
Ceo/Medical Director
Phone
(702) 616-9471

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X 9434 NV Primary

Addresses

Primary practice location

291 N Pecos Rd
Henderson, NV 89074-1918

Mailing address

291 N Pecos Rd
Henderson, NV 89074-1918
Phone (702) 616-9471

Other identifiers 1

IdentifierTypeStateIssuer
100506471MedicaidNV

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090427000412 NV Part B Supplier - Clinic/Group Practice 8628125341 Receives reassigned benefits from 19 practitioners
Practice locations: Henderson, NV; Las Vegas, NV

National Provider Directory

National Provider Directory

Locations

321 N Pecos Rd
Ste 300
Henderson, NV 89074
Phone (702) 616-9471

2980 S Jones Blvd
Ste A
Las Vegas, NV 89146
Phone (702) 362-3937

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

Practitioners & affiliated clinicians

Practitioners 27

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 27

NPI Registry JSON

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

{
    "created_epoch": "1158796800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1415232000000",
    "number": "1437258274",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "291 N PECOS RD",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890741918",
            "telephone_number": "702-616-9471",
            "fax_number": "702-616-9681"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "291 N PECOS RD",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890741918",
            "telephone_number": "702-616-9471",
            "fax_number": "702-616-9681"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY DOCTORS RAMANATHAN, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-21",
        "last_updated": "2014-11-06",
        "status": "A",
        "authorized_official_last_name": "RAMANATHAN",
        "authorized_official_first_name": "RAVI",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "CEO/MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "702-616-9471",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "NV",
            "license": "9434",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100506471",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Henderson, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.