Individual provider Active NPI

Bebu Ram, MD

  • Anatomic Pathology & Clinical Pathology Physician
  • Greenville, SC
National Provider Identifier
1518489673
Registry record updated Sep 15, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X
License
89744 Issued in SC
Practice address
8 Memorial Medical CT Ste 1
Greenville, SC 29605-4400
Phone
(864) 295-3492
Fax
(864) 295-4817
NPI assigned
Jul 11, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 15, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Anatomic Pathology & Clinical Pathology Physician 207ZP0102X 39020000X NY
Anatomic Pathology & Clinical Pathology Physician 207ZP0102X 89744 SC Primary

Addresses

Primary practice location

8 Memorial Medical CT Ste 1
Greenville, SC 29605-4400

Mailing address

8 Memorial Medical CT Ste 1
Greenville, SC 29605-4400
Phone (864) 295-3492

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC, GA2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20230605001184 SC Practitioner - Pathology 2466848510 Reassigns benefits to 1 organization
I20241106001483 GA Practitioner - Pathology 2466848510 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Pathology
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Integrated Regional Laboratories Pathology Services, LLCGroup PAC ID 9133244346, 132 clinicians
Wellstar Medical Group LLCGroup PAC ID 6709065402, 3,059 clinicians

Practice addresses (Care Compare)

3651 Wheeler Rd
Augusta, GA 30909-6521
Phone (706) 651-6544

601 S 8TH St
Griffin, GA 30224-4213
Phone (770) 228-2721

Hospital & facility affiliations

  • Doctors Hospital Hospital, Augusta, GA, CCN 110177
  • Piedmont Augusta Hospital Hospital, Augusta, GA, CCN 110028

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
39020000XNYMDAnatomic Pathology & Clinical Pathology Physician
89744SCMDAnatomic Pathology & Clinical Pathology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Integrated Regional Laboratories Pathology Services, LLC Anatomic Pathology & Clinical Pathology CurrentSince Sep 16, 2024 Accepting new patients
Pathology Associates of Greenville PA Anatomic Pathology & Clinical Pathology CurrentSince May 22, 2023 Accepting new patients
Pathology Consultants, Inc Anatomic Pathology & Clinical Pathology PastSince Sep 17, 2023 Accepting new patients

Locations

3651 Wheeler Rd
Augusta, GA 30909
Phone (706) 651-3232

1900 Tebeau St
Waycross, GA 31501
Phone (912) 283-3030

8 Memorial Medical Ct
Greenville, SC 29605
Phone (864) 269-9899

8 Memorial Medical Ct
Ste 1
Greenville, SC 29605
Phone (864) 295-3492

701 Grove Rd
Greenville, SC 29605
Phone (864) 454-2030

Organizations & group practices 4

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 2

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": "1499731200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694736000000",
    "number": "1518489673",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8 MEMORIAL MEDICAL CT STE 1",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296054400",
            "telephone_number": "864-295-3492",
            "fax_number": "864-295-4817"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8 MEMORIAL MEDICAL CT STE 1",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296054400",
            "telephone_number": "864-295-3492",
            "fax_number": "864-295-4817"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAM",
        "first_name": "BEBU",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-07-11",
        "last_updated": "2023-09-15",
        "certification_date": "2023-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "NY",
            "license": "39020000X",
            "primary": false
        },
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "SC",
            "license": "89744",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenville, SC

Sources for this page

Verify at the official NPI Registry.