Individual provider Active NPI

Ramamurthy Godishala, MD

  • Cardiovascular Disease Physician
  • Auburn, NY
National Provider Identifier
1477555316
Registry record updated Jul 6, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
161158 Issued in NY
Practice address
281 Grant Ave
Auburn, NY 13021-1421
Phone
(315) 253-4459
Fax
(315) 255-2984
NPI assigned
Aug 11, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 6, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 161158 NY Primary

Addresses

Primary practice location

281 Grant Ave
Auburn, NY 13021-1421

Mailing address

281 Grant Ave
Auburn, NY 13021-1421
Phone (315) 253-4459

Other identifiers 1

IdentifierTypeStateIssuer
0095926MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20100310000412 NY Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 7719971993 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
27.41 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
91.38

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Auburn Memorial Medical Services, PC CurrentSince Jul 1, 2023 Accepting new patients
Auburn Memorial Medical Services, PC CurrentSince Jul 1, 2023 Accepting new patients
Rama M Godishala MDPC Cardiovascular Disease CurrentSince Oct 1, 1994 Accepting new patients

Locations

77 Nelson St
Ste 120
Auburn, NY 13021
Phone (315) 252-7550

281 Grant Ave
Auburn, NY 13021
Phone (315) 253-4459

17 Lansing St
Ste 302
Auburn, NY 13021
Phone (315) 567-0540

17 Lansing St
Ste 201
Auburn, NY 13021
Phone (315) 252-7434

17 Lansing St
Sennett, NY 13021
Phone (315) 255-7011

Interoperability endpoints

  • Direct secure messaging: rgodishala@hiemail.healtheconnections.org

Organizations & group practices 5

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": "1123718400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1341532800000",
    "number": "1477555316",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "281 GRANT AVE",
            "city": "AUBURN",
            "state": "NY",
            "postal_code": "130211421",
            "telephone_number": "315-253-4459",
            "fax_number": "315-255-2984"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "281 GRANT AVE",
            "city": "AUBURN",
            "state": "NY",
            "postal_code": "130211421",
            "telephone_number": "315-253-4459",
            "fax_number": "315-255-2984"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GODISHALA",
        "first_name": "RAMAMURTHY",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-08-11",
        "last_updated": "2012-07-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "NY",
            "license": "161158",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0095926",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Auburn, NY

Sources for this page

Verify at the official NPI Registry.