Individual provider Active NPI

Ganesh Ram, PA

  • Physician Assistant
  • Eau Claire, WI
National Provider Identifier
1467456848
Registry record updated Jul 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
950 Issued in WI
Practice address
1400 Bellinger St
Eau Claire, WI 54703-5222
Phone
(715) 838-5222
NPI assigned
Jun 13, 2005
Last updated
Jul 24, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 24, 2024

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X 950 WI
Surgical Physician Assistant 363AS0400X 950 WI
Surgical Physician Assistant 363AS0400X 2005034534 MO
Physician Assistant 363A00000X 950 WI Primary

Addresses

Primary practice location

1400 Bellinger St
Eau Claire, WI 54703-5222

Mailing address

200 1St St SW
Rochester, MN 55905-0001
Phone (507) 284-2511

Other practice location 1

18601 Lincoln St
Whitehall, WI 54773-8605
Phone (715) 538-4361

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address gram2239089@ehrdirect.mayoclinicmsg.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100803000155 WI Practitioner - Physician Assistant 0345255030 Reassigns benefits to 10 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Tri-County Memorial Hospital IncGroup PAC ID 4587642418, 75 clinicians

Practice addresses (Care Compare)

18601 Lincoln St
Whitehall, WI 54773-8605
Phone (715) 538-4361

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
2005034534MOMDSurgical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Tri-County Memorial Hospital, Inc. CurrentSince Jan 1, 2013 Accepting new patients
Mayo Clinic Health System-Northwest Wisconsin Region, Inc. CurrentSince Jul 15, 2024 Accepting new patients
Tri-County Memorial Hospital, Inc. CurrentSince Jan 13, 2026 Accepting new patients
Mayo Clinic Health System-Northwest Wisconsin Region, Inc. CurrentSince Dec 15, 2025 Accepting new patients
Mayo Clinic Health System-Northwest Wisconsin Region, Inc. CurrentSince Jul 15, 2024 Accepting new patients
Tri-County Memorial Hospital, Inc. CurrentSince Jan 1, 2013 Accepting new patients
County of Trempealeau CurrentSince Jan 1, 2017 Accepting new patients
County of Trempealeau CurrentSince Jan 1, 2017 Accepting new patients
Mayo Clinic Health System-Northwest Wisconsin Region, Inc. CurrentSince Dec 15, 2025 Accepting new patients
Mayo Clinic Health System-Northwest Wisconsin Region, Inc. CurrentSince Dec 15, 2025 Accepting new patients
Mayo Clinic Health System-Northwest Wisconsin Region, Inc. CurrentSince Dec 15, 2025 Accepting new patients
St Josephs Hospital of the Hospital Sisters of the Third Order of St F Past Accepting new patients
Mercy Clinic Cardiovascular and Thoracic Surgery, LLC Surgical PastSince Jan 19, 2017 Accepting new patients
Gundersen Clinic LTD Past Accepting new patients

Locations

200 1st St SW
Rochester, MN 55905
Phone (507) 266-4850

1222 E Woodland Ave
Barron, WI 54812
Phone (715) 537-3166

1501 Thompson St
Bloomer, WI 54724
Phone (715) 568-2000

2661 County Highway I
Chippewa Fls, WI 54729
Phone (715) 717-7200

1400 Bellinger St
Eau Claire, WI 54703
Phone (715) 838-3311

733 W Clairemont Ave
Eau Claire, WI 54701
Phone (715) 838-3806

900 W Clairemont Ave
Eau Claire, WI 54701
Phone (715) 717-4121

800 West Ave S
La Crosse, WI 54601
Phone (608) 372-5951

2321 Stout Rd
Menomonie, WI 54751
Phone (715) 235-5531

2409 Stout Rd
Menomonie, WI 54751
Phone (715) 231-3937

13025 8th St
Osseo, WI 54758
Phone (715) 597-2575

310 W Main St
Sparta, WI 54656
Phone (608) 269-1700

18601 Lincoln St
Whitehall, WI 54773
Phone (715) 538-1712

W20410 State Road 121
Whitehall, WI 54773
Phone (715) 538-4312

Interoperability endpoints

  • Direct secure messaging: gram2239089@ehrdirect.mayoclinicmsg.org
  • Direct secure messaging: gram61029@direct.emplifyhealth.org

Organizations & group practices 18

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.

View all 18

Hospital & facility affiliations 7

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": "1118620800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721779200000",
    "number": "1467456848",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 1ST ST SW",
            "city": "ROCHESTER",
            "state": "MN",
            "postal_code": "559050001",
            "telephone_number": "507-284-2511"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 BELLINGER ST",
            "city": "EAU CLAIRE",
            "state": "WI",
            "postal_code": "547035222",
            "telephone_number": "715-838-5222"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "18601 Lincoln St",
            "address_purpose": "LOCATION",
            "city": "Whitehall",
            "state": "WI",
            "postal_code": "547738605",
            "country_code": "US",
            "telephone_number": "715-538-4361",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RAM",
        "first_name": "GANESH",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-13",
        "last_updated": "2024-07-24",
        "certification_date": "2024-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "WI",
            "license": "950",
            "primary": false
        },
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "WI",
            "license": "950",
            "primary": false
        },
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "MO",
            "license": "2005034534",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "WI",
            "license": "950",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "gram2239089@ehrdirect.mayoclinicmsg.org",
            "affiliation": "N",
            "address_1": "1400 Bellinger St",
            "city": "Eau Claire",
            "state": "WI",
            "country_code": "US",
            "postal_code": "547035222",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Eau Claire, WI

Sources for this page

Verify at the official NPI Registry.