NPIMap

Individual provider Active NPI

Ramavathi Nandyala, MD

  • Cardiovascular Disease Physician
  • San Antonio, TX
National Provider Identifier
1609837988
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
L9384 Issued in TX
Practice address
4411 Medical Dr
Suite 300
San Antonio, TX 78229-3822
Phone
(210) 614-5400
Fax
(210) 614-2413
NPI assigned
Mar 28, 2006
Last updated
Jul 21, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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 L9384 TX Primary

Addresses

Primary practice location

4411 Medical Dr
Suite 300
San Antonio, TX 78229-3822

Mailing address

4411 Medical Dr Ste 300
San Antonio, TX 78229-3824
Phone (210) 614-5400

Other practice location 1

12709 Toepperwein Rd Ste 306
Live Oak, TX 78233-3223
Phone (210) 967-0096

Other identifiers 4

IdentifierTypeStateIssuer
P00979606OtherTXRAILROAD MEDICARE
8CW806OtherBCBS TX
168974705MedicaidTX
TXB133020OtherTXMEDICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20041124000296 TX Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 5092770537 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Cardiology Clinic of San Antonio, PLLCGroup PAC ID 1153517420, 125 clinicians
Legacy Heart Care of San AntonioGroup PAC ID 9830316645, 12 clinicians

Practice addresses (Care Compare)

1139 E Sonterra Blvd
San Antonio, TX 78258-4347
Phone (210) 638-2000

12412 Judson Rd
Live Oak, TX 78233-3255
Phone (210) 650-4949

1310 McCullough Ave
San Antonio, TX 78212-5601
Phone (210) 208-2200

4411 Medical Dr
San Antonio, TX 78229-3824

5510 Presidio Pkwy
San Antonio, TX 78249-3192
Phone (210) 583-7200

7700 Floyd Curl Dr
San Antonio, TX 78229-3902
Phone (210) 575-4000

8026 Floyd Curl Dr
San Antonio, TX 78229-3915
Phone (210) 575-8110

8401 Datapoint Dr
Suite 421
San Antonio, TX 78229-5900
Phone (210) 558-1800

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as individual
Promoting interoperability
98
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Legacy Heartcare of Dallas, LLC Cardiovascular Disease CurrentSince Feb 17, 2024 Accepting new patients
Legacy Heart Care of Grand Prairie, LLC Cardiovascular Disease CurrentSince Sep 1, 2024 Accepting new patients
Legacy Heartcare of Dallas, LLC Cardiovascular Disease CurrentSince Feb 17, 2024 Accepting new patients
Legacy Heart Care of San Antonio Cardiovascular Disease CurrentSince Feb 1, 2015 Accepting new patients
Legacy Heart Care of San Antonio Cardiovascular Disease CurrentSince Feb 1, 2015 Accepting new patients
VHS San Antonio Partners LLC Cardiovascular Disease CurrentSince Mar 9, 2010 Accepting new patients
Legacy Heart Care of Fort Worth, LLC Cardiovascular Disease CurrentSince Sep 1, 2024 Accepting new patients
VHS San Antonio Partners, LLC CurrentSince Mar 9, 2010 Accepting new patients
East Texas Medical Specialists PLLC Past Accepting new patients
San Antonio Cardiology Clinic PA Cardiovascular Disease Past Accepting new patients
William E Craig MD PA Cardiovascular Disease Past Accepting new patients
Imed Healthcare Associates, PLLC Past Accepting new patients
Methodist Medical Group, PLLC Cardiovascular Disease Past Accepting new patients

Locations

2500 West Fwy
Ste 200
Ft Worth, TX 76102
Phone (817) 423-4400

4927 Lake Ridge Pkwy
Ste 145
Grand Prairie, TX 75052
Phone (817) 423-4400

12702 Toepperwein Rd
Ste 123
Live Oak, TX 78233
Phone (210) 934-4100

7300 Eldorado Pkwy
Ste 105
McKinney, TX 75070
Phone (945) 200-6880

4716 Dexter Dr
Ste 200
Plano, TX 75093
Phone (817) 502-7027

111 Dallas St
San Antonio, TX 78205
Phone (210) 297-7000

3903 Wiseman Blvd
Ste 114
San Antonio, TX 78251
Phone (210) 256-9467

615 Soledad St
Ste 300
San Antonio, TX 78205

8401 Datapoint Dr
Ste 421
San Antonio, TX 78229
Phone (210) 558-1800

Interoperability endpoints

  • Direct secure messaging: 3543-nandyala-ramavathi@direct.leadingreach.com
  • Direct secure messaging: ramavathi.nandyala@hca7.eclinicaldirectplus.com

Organizations & group practices 14

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.

View all 14

Hospital & facility affiliations 16

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 16

NPI Registry JSON

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

{
    "created_epoch": "1143504000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1609837988",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4411 MEDICAL DR STE 300",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782293824",
            "telephone_number": "210-614-5400",
            "fax_number": "210-614-2413"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4411 MEDICAL DR",
            "address_2": "SUITE 300",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782293822",
            "telephone_number": "210-614-5400",
            "fax_number": "210-614-2413"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "12709 Toepperwein Rd Ste 306",
            "address_purpose": "LOCATION",
            "city": "Live Oak",
            "state": "TX",
            "postal_code": "782333223",
            "country_code": "US",
            "telephone_number": "210-967-0096",
            "fax_number": "210-967-0383",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NANDYALA",
        "first_name": "RAMAVATHI",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-28",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "TX",
            "license": "L9384",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00979606",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS TX",
            "identifier": "8CW806",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "168974705",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "TXB133020",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

Verify at the official NPI Registry.