NPIMap

Individual provider Active NPI

Reena K Ranpuria, MD

  • Nephrology Physician
  • San Jose, CA
National Provider Identifier
1518173608
Registry record updated Feb 14, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
MT179524 Issued in PA
Practice address
125 N Jackson Ave
Suite 109
San Jose, CA 95116-1903
Phone
(408) 929-4425
Fax
(408) 929-4487
NPI assigned
May 15, 2007
Last updated
Feb 14, 2017By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 14, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X MT179524 PA
Nephrology Physician 207RN0300X MT179524 PA Primary

Addresses

Primary practice location

125 N Jackson Ave
Suite 109
San Jose, CA 95116-1903

Mailing address

7500 Greenway Center Dr
Ste 930
Greenbelt, MD 20770-3587
Phone (303) 626-6348

Other identifiers 5

IdentifierTypeStateIssuer
ZZZ04539ZOtherCAMEDICARE GROUP
ZZZ27071ZOtherCAMEDICARE GROUP
00A995868OtherCAMEDICARE PTAN
1518173608MedicaidCA
1316099658OtherCAGROUP NPI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090714000060 DC Practitioner - NephrologyPractitioner - Internal Medicine 3476645946 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
NephrologyAlso: Internal Medicine
Education
State University of New York at Buffalo School of Medicine, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Capital Nephrology, PCGroup PAC ID 6608891148, 9 clinicians

Practice addresses (Care Compare)

7500 Greenway Ctr Dr
Suite 930
Greenbelt, MD 20770-3587
Phone (301) 345-2412

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MT179524PAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Capital Nephrology, PC Nephrology CurrentSince Feb 4, 2012 Accepting new patients

Locations

7500 Greenway Center Dr
Ste 930
Greenbelt, MD 20770
Phone (301) 345-2412

Interoperability endpoints

  • Direct secure messaging: rranpuria1143861@direct.trinity-health.org

Organizations & group practices 1

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.

Hospital & facility affiliations 9

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": "1179187200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1487030400000",
    "number": "1518173608",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7500 GREENWAY CENTER DR",
            "address_2": "STE 930",
            "city": "GREENBELT",
            "state": "MD",
            "postal_code": "207703587",
            "telephone_number": "303-626-6348",
            "fax_number": "866-639-1174"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 N JACKSON AVE",
            "address_2": "SUITE 109",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951161903",
            "telephone_number": "408-929-4425",
            "fax_number": "408-929-4487"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RANPURIA",
        "first_name": "REENA",
        "middle_name": "K",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-15",
        "last_updated": "2017-02-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PA",
            "license": "MT179524",
            "primary": false
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "PA",
            "license": "MT179524",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP",
            "identifier": "ZZZ04539Z",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP",
            "identifier": "ZZZ27071Z",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "00A995868",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1518173608",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP NPI",
            "identifier": "1316099658",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Jose, CA

Sources for this page

Verify at the official NPI Registry.