Individual provider Active NPI

Ramprakash Devadoss, M.D.

  • Cardiovascular Disease Physician
  • Worcester, MA
National Provider Identifier
1487918017
Registry record updated Aug 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
1017739 Issued in MA
Practice address
55 Lake Ave N
Worcester, MA 01655-0002
Phone
(508) 334-3452
NPI assigned
Jun 28, 2012
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 7, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 1017739 MA Primary
Interventional Cardiology Physician 207RI0011X 1017739 MA
Interventional Cardiology Physician 207RI0011X 56795 AZ

Addresses

Primary practice location

55 Lake Ave N
Worcester, MA 01655-0002

Mailing address

PO Box 415348
Boston, MA 02241-5348

Other practice location 1

123 Summer St
Worcester, MA 01608-1216
Phone (508) 363-6177

Other practice location 2

60 Hospital Rd
Leominster, MA 01453-2205
Phone (978) 466-2052

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ, IL, MA3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20190730004020 AZ Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal MedicinePractitioner - Interventional Cardiology 3274869151
I20220602002998 IL Practitioner - Internal MedicinePractitioner - Cardiovascular Disease (Cardiology) 3274869151 Reassigns benefits to 2 organizations
I20240808002481 MA Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Interventional Cardiology 3274869151 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)Also: Interventional Cardiology
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Umass Memorial Medical Group IncGroup PAC ID 4284539891, 2,494 clinicians

Practice addresses (Care Compare)

55 Lake Ave N
Worcester, MA 01655-0002
Phone (508) 334-1000

Hospital & facility affiliations

  • Umass Memorial Medical Center/University Campus Hospital, Worcester, MA, CCN 220163
  • Umass Memorial Healthalliance Hospitals Hospital, Leominster, MA, CCN 220001
  • Milford Regional Medical Center Hospital, Milford, MA, CCN 220090
  • Umass Memorial Health - Harrington Hospital Hospital, Southbridge, MA, CCN 220019
  • Marlborough Hospital Hospital, Marlborough, MA, CCN 220049

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary angioplasty and stenting52
Pacemaker insertion or repair1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1017739MAMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mass General Brigham Medical Group Northern Massachusetts Inc Internal Medicine CurrentSince Oct 17, 2025 Accepting new patients
Methodist Medical Center of Illinois Internal Medicine CurrentSince Jul 21, 2022 Accepting new patients
Methodist Medical Center of Illinois Current Accepting new patients
Umass Memorial Medical Group Inc Internal Medicine CurrentSince Jul 24, 2024 Accepting new patients
Proctor Health Systems CurrentSince Jul 21, 2022 Accepting new patients
Umass Memorial Medical Group, Inc. CurrentSince Jul 24, 2024 Accepting new patients
Proctor Health Systems Internal Medicine CurrentSince Jul 21, 2022 Accepting new patients
Methodist Medical Center of Illinois CurrentSince Jul 21, 2022 Accepting new patients
Premier Cardiovascular Center, PLC Cardiovascular Disease Past Accepting new patients
Umass Memorial Medical Center, Inc. Past Accepting new patients

Locations

1776 Westlakes Pkwy
Ste 400
West Des Moines, IA 50266
Phone (515) 241-6161

5401 N Knoxville Ave
Ste 400
Peoria, IL 61614
Phone (309) 691-6610

5401 N Knoxville Ave
Ste 217
Peoria, IL 61614
Phone (309) 282-1864

815 Main St
Ste A1
Peoria, IL 61602

221 NE Glen Oak Ave
Peoria, IL 61636
Phone (309) 672-4281

112 NE Crescent Ave
Peoria, IL 61606
Phone (309) 680-2402

815 Main St
Ste A
Peoria, IL 61602
Phone (309) 672-4986

1 Hutchinson Dr
Danvers, MA 01923
Phone (978) 739-6950

60 Hospital Rd
Leominster, MA 01453
Phone (978) 466-2000

81 Highland Ave
Salem, MA 01970
Phone (978) 354-4009

123 Summer St
Worcester, MA 01608
Phone (508) 363-6000

55 Lake Ave N
Worcester, MA 01655
Phone 508334100048862

Organizations & group practices 10

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.

Hospital & facility affiliations 6

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": "1340841600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722988800000",
    "number": "1487918017",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 415348",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "022415348"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "55 LAKE AVE N",
            "city": "WORCESTER",
            "state": "MA",
            "postal_code": "016550002",
            "telephone_number": "508-334-3452"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "123 Summer St",
            "address_purpose": "LOCATION",
            "city": "Worcester",
            "state": "MA",
            "postal_code": "016081216",
            "country_code": "US",
            "telephone_number": "508-363-6177",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "60 Hospital Rd",
            "address_purpose": "LOCATION",
            "city": "Leominster",
            "state": "MA",
            "postal_code": "014532205",
            "country_code": "US",
            "telephone_number": "978-466-2052",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DEVADOSS",
        "first_name": "RAMPRAKASH",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-06-28",
        "last_updated": "2024-08-07",
        "certification_date": "2024-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "MA",
            "license": "1017739",
            "primary": true
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "MA",
            "license": "1017739",
            "primary": false
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "AZ",
            "license": "56795",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Worcester, MA

Sources for this page

Verify at the official NPI Registry.