Individual provider Active NPI

Ripudaman S Beniwal, MD

  • Gastroenterology Physician
  • Manteca, CA
National Provider Identifier
1528039799
Registry record updated Oct 14, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
A67409 Issued in CA
Practice address
1144 Norman Dr Ste 101
1530 N Bessie Ave, Ste104, Tracy Ca 95376 ( 2ND Office)
Manteca, CA 95336-5959
Phone
(209) 239-0515
Fax
(209) 239-0504
NPI assigned
Jan 27, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 14, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X A67409 CA Primary

Addresses

Primary practice location

1144 Norman Dr Ste 101
1530 N Bessie Ave, Ste104, Tracy Ca 95376 ( 2ND Office)
Manteca, CA 95336-5959

Mailing address

1144 Norman Dr Ste 101
Manteca, CA 95336-5959
Phone (209) 835-2992

Other identifiers 1

IdentifierTypeStateIssuer
00A674090MedicaidCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20061109000194 CA Practitioner - Gastroenterology 0749287522 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Gastroenterology
Education
Other, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

1144 Norman Dr
101 1530 N Bessie Ave Ste104 Tracy Ca 953
Manteca, CA 95336-5959

Hospital & facility affiliations

  • Sutter Tracy Community Hospital Hospital, Tracy, CA, CCN 050313
  • Doctors Hospital of Manteca Hospital, Manteca, CA, CCN 050118

Merit-based Incentive Payment System (MIPS)

Final score
97.92 of 100Reported as individual
Promoting interoperability
97
Improvement activities
40
Cost
92.55

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy237
Upper gastrointestinal (GI) endoscopy for acid reflux202

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A67409CAMDGastroenterology Physician

Practice roles (3 of 4)

OrganizationSpecialtyStatusNew patients
Manteca Gastroenterology Associates Inc Current Accepting new patients
Santokh Bhullar MD Inc Past Accepting new patients
Hill Physicians Medical Group - PPO Program Past Accepting new patients

Locations

1144 Norman Dr
Ste 101
Manteca, CA 95336
Phone (209) 239-0515

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: rbeniwal95592@hisp.ehr.sutterhealth.org

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": "1138320000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1223942400000",
    "number": "1528039799",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1144 NORMAN DR STE 101",
            "city": "MANTECA",
            "state": "CA",
            "postal_code": "953365959",
            "telephone_number": "209-835-2992",
            "fax_number": "209-835-3296"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1144 NORMAN DR STE 101",
            "address_2": "1530 N BESSIE AVE, STE104, TRACY CA 95376 ( 2ND OFFICE)",
            "city": "MANTECA",
            "state": "CA",
            "postal_code": "953365959",
            "telephone_number": "209-239-0515",
            "fax_number": "209-239-0504"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BENIWAL",
        "first_name": "RIPUDAMAN",
        "middle_name": "S",
        "name_prefix": "Mr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-27",
        "last_updated": "2008-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "CA",
            "license": "A67409",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A674090",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Manteca, CA

Sources for this page

Verify at the official NPI Registry.