Individual provider Active NPI

Ralph Cardamone, M.D.

  • Cardiovascular Disease Physician
  • Clearfield, PA
National Provider Identifier
1598860751
Registry record updated Aug 31, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
MD030745E Issued in PA
Practice address
10 S 2ND St
Clearfield, PA 16830-2347
Phone
(814) 339-7101
Fax
(814) 339-6165
NPI assigned
Sep 13, 2006
Last updated
Aug 31, 2015By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 31, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X MD030745E PA Primary

Addresses

Primary practice location

10 S 2ND St
Clearfield, PA 16830-2347

Mailing address

PO Box 167
Clearfield, PA 16830-0167
Phone (814) 339-7101

Other identifiers 2

IdentifierTypeStateIssuer
0011894280001MedicaidPA
060008973OtherPARAILROAD MEDICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20101130000662 PA Practitioner - Cardiovascular Disease (Cardiology) 9133161342

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD030745EPAMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Clearfield Hospital Past Accepting new patients
Clearfield Hospital Past Accepting new patients

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1158105600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1440979200000",
    "number": "1598860751",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 167",
            "city": "CLEARFIELD",
            "state": "PA",
            "postal_code": "168300167",
            "telephone_number": "814-339-7101",
            "fax_number": "814-339-6165"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 S 2ND ST",
            "city": "CLEARFIELD",
            "state": "PA",
            "postal_code": "168302347",
            "telephone_number": "814-339-7101",
            "fax_number": "814-339-6165"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARDAMONE",
        "first_name": "RALPH",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-13",
        "last_updated": "2015-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "PA",
            "license": "MD030745E",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0011894280001",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "060008973",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Clearfield, PA

Sources for this page

Verify at the official NPI Registry.