Individual provider Active NPI

Cherridan Rambally, M.D.

  • Sleep Medicine (Internal Medicine) Physician
  • Oak Ridge, TN
National Provider Identifier
1619015575
Registry record updated Jul 20, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sleep Medicine (Internal Medicine) PhysicianTaxonomy code 207RS0012X
License
45091 Issued in TN
Practice address
944 Oak Ridge Tpke
Oak Ridge, TN 37830-6917
Phone
(865) 835-3810
Fax
(865) 835-3811
NPI assigned
Feb 2, 2007
Last updated
Jul 20, 2012By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 20, 2012

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X 0600003426 VT
Neurology Physician 2084N0400X 45091 TN
Sleep Medicine (Internal Medicine) Physician 207RS0012X 0420011690 VT
Sleep Medicine (Internal Medicine) Physician 207RS0012X 45091 TN Primary

Addresses

Primary practice location

944 Oak Ridge Tpke
Oak Ridge, TN 37830-6917

Mailing address

944 Oak Ridge Turnpike
Oak Ridge, TN 37830
Phone (865) 835-3810

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20201105001883 TX Practitioner - Neurology 6305998659

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
45091TNMDSleep Medicine (Internal Medicine) Physician
0420011690VTMDSleep Medicine (Internal Medicine) Physician
0600003426VTMDNeurology Physician

NPI Registry JSON

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

{
    "created_epoch": "1170374400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1342742400000",
    "number": "1619015575",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "944 OAK RIDGE TURNPIKE",
            "city": "OAK RIDGE",
            "state": "TN",
            "postal_code": "37830",
            "telephone_number": "865-835-3810",
            "fax_number": "865-835-3811"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "944 OAK RIDGE TPKE",
            "city": "OAK RIDGE",
            "state": "TN",
            "postal_code": "378306917",
            "telephone_number": "865-835-3810",
            "fax_number": "865-835-3811"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAMBALLY",
        "first_name": "CHERRIDAN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-02",
        "last_updated": "2012-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "VT",
            "license": "0600003426",
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "TN",
            "license": "45091",
            "primary": false
        },
        {
            "code": "207RS0012X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Sleep Medicine",
            "state": "VT",
            "license": "0420011690",
            "primary": false
        },
        {
            "code": "207RS0012X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Sleep Medicine",
            "state": "TN",
            "license": "45091",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oak Ridge, TN

Sources for this page

Verify at the official NPI Registry.