Organization Active NPI

Ganesh Ramaswami M.D. P.C.

  • Specialist
  • Monroe, MI
National Provider Identifier
1619226388
Registry record updated Sep 10, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
4301086629 Issued in MI
Legal business name
GANESH RAMASWAMI M.D. P.C.
Practice address
721 N Macomb St
Ste 6
Monroe, MI 48162-2982
Phone
(734) 299-3004
Fax
(734) 299-3144
NPI assigned
Sep 10, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 10, 2012

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

Authorized official

Name
Dr. Ganesh Ramaswanu, M.D.
Title
Owner
Phone
(419) 450-0496

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X 4301086629 MI Primary

Addresses

Primary practice location

721 N Macomb St
Ste 6
Monroe, MI 48162-2982

Mailing address

721 N Macomb St
Ste 6
Monroe, MI 48162-2982
Phone (734) 299-3004

Other names 1

  • Ganesh Ramaswami M.D. P.C. Former legal business name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20121217000427 MI Part B Supplier - Clinic/Group Practice 8527210632 Receives reassigned benefits from 1 practitioner
Practice locations: Allen Park, MI; Taylor, MI; Romulus, MI

National Provider Directory

National Provider Directory

Locations

7910 Allen Rd
Ste 102
Allen Park, MI 48101
Phone (734) 619-0512

9950 Wayne Rd
Ste 300
Romulus, MI 48174
Phone (734) 619-0512

12701 Telegraph Rd
Ste 102
Taylor, MI 48180
Phone (734) 287-1950

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1347235200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1347235200000",
    "number": "1619226388",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "721 N MACOMB ST",
            "address_2": "STE 6",
            "city": "MONROE",
            "state": "MI",
            "postal_code": "481622982",
            "telephone_number": "734-299-3004",
            "fax_number": "734-299-3144"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "721 N MACOMB ST",
            "address_2": "STE 6",
            "city": "MONROE",
            "state": "MI",
            "postal_code": "481622982",
            "telephone_number": "734-299-3004",
            "fax_number": "734-299-3144"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GANESH RAMASWAMI M.D. P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-09-10",
        "last_updated": "2012-09-10",
        "status": "A",
        "authorized_official_last_name": "RAMASWANU",
        "authorized_official_first_name": "GANESH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "419-450-0496",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "MI",
            "license": "4301086629",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ganesh Ramaswami M.D. P.C.",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Monroe, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.