Active NPI
Ripudaman S Beniwal, MD
- Gastroenterology Physician
- Manteca, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gastroenterology Physician
- License
- A67409
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00A674090 | Medicaid | CA |
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
Enrollment records 1
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
- Doctors Hospital of Manteca
Merit-based Incentive Payment System (MIPS)
- Final score
- 97.92 of 100
- Promoting interoperability
- 97
- Improvement activities
- 40
- Cost
- 92.55
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Colonoscopy | 237 |
| Upper gastrointestinal (GI) endoscopy for acid reflux | 202 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A67409 | CA | MD | Gastroenterology Physician |
Practice roles (3 of 4)
| Organization | Specialty | Status | New 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
- 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.
-
- Gastroenterology Physician
- Manteca, CA
- NPI 1144488149
-
- Ambulatory Surgical Clinic/Center
- Manteca, CA
- NPI 1093599490
-
- Preferred Provider Organization
- San Ramon, CA
- NPI 1679011035
-
- Internal Medicine Physician
- Tracy, CA
- NPI 1801062260
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Manteca, CA
- NPI 1992736599
-
- General Acute Care Hospital
- Tracy, CA
- NPI 1821442864
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.