Individual provider Active NPI

Ramani Peruvemba, M.D.

  • Interventional Pain Medicine Physician
  • Rockville, MD
National Provider Identifier
1619924701
Registry record updated Aug 6, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X
License
D0055800 Issued in MD
Practice address
15200 Shady Grove Rd
302
Rockville, MD 20850-3218
Phone
(240) 453-9182
Fax
(240) 453-9189
NPI assigned
May 27, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 6, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X D55800 MD
Interventional Pain Medicine Physician 208VP0014X D0055800 MD Primary

Addresses

Primary practice location

15200 Shady Grove Rd
302
Rockville, MD 20850-3218

Mailing address

8400 Tysons Trace CT
Vienna, VA 22182-6034

Other identifiers 2

IdentifierTypeStateIssuer
807001600MedicaidMD
601285800OtherFECA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, MD2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20040413001533 DC Practitioner - Anesthesiology 7315931144 Reassigns benefits to 2 organizations
I20081114000032 MD Practitioner - Anesthesiology 7315931144 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
New York Medical College, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
First Colonies Anesthesia Associates, LLCGroup PAC ID 8426039744, 339 clinicians
Privia Medical Group, LLCGroup PAC ID 4385682061, 1,522 clinicians

Practice addresses (Care Compare)

11210 Old Georgetown Rd
Rockville, MD 20852-3202
Phone (301) 881-7770

11350 Pembrooke SQ
Suite 304
Waldorf, MD 20603-4809
Phone (571) 366-8845

3202 Tower Oaks Blvd
Suite 100
Rockville, MD 20852-4219
Phone (240) 453-9182

9470 Annapolis Rd
Suite 309
Lanham, MD 20706-3022
Phone (202) 832-1800

950 N Glebe Rd
Suite 700
Arlington, VA 22203-4173

Hospital & facility affiliations

  • Holy Cross Hospital Hospital, Silver Spring, MD, CCN 210004
  • Adventist Healthcare Shady Grove Medical Center Hospital, Rockville, MD, CCN 210057

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
D55800MDMDAnesthesiology Physician
D0055800MDMDInterventional Pain Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Privia Medical Group, LLC CurrentSince May 30, 2015 Accepting new patients
Privia Medical Group, LLC CurrentSince May 30, 2015 Accepting new patients
First Colonies Anesthesia Associates, LLC Anesthesiology CurrentSince Apr 1, 2004 Accepting new patients
Nova Physician Wellness Center PLLC Past Accepting new patients
Pain Management Specialists, PC PastSince Jan 1, 2006 Accepting new patients
Frederick Health Hospital Inc Interventional Pain Medicine Past Accepting new patients

Locations

133 Defense Hwy
Ste 112
Annapolis, MD 21401
Phone (410) 573-0140

1475 Taney Ave
Ste 101
Frederick, MD 21702
Phone (301) 668-2344

9470 Annapolis Rd
Ste 309
Lanham, MD 20706
Phone (202) 832-1800

8118 Good Luck Rd
Lanham Seabrook, MD 20706
Phone (301) 552-8608

11210 Old Georgetown Rd
Rockville, MD 20852
Phone (301) 881-7770

11210 Old Georgetown Rd
#12202
Rockville, MD 20852
Phone (301) 881-7770

15200 Shady Grove Rd
Ste 302
Rockville, MD 20850
Phone (240) 453-9812

3202 Tower Oaks Blvd
Ste 100
Rockville, MD 20852
Phone (301) 217-0757

9901 Medical Center Dr
Rockville, MD 20850
Phone (301) 279-6000

8322 Bellona Ave
Ste 202
Towson, MD 21204
Phone (410) 825-6310

8322 Bellona Ave
Ste 201
Towson, MD 21204
Phone (410) 337-2688

11350 Pembrooke Sq
Ste 304
Waldorf, MD 20603
Phone (301) 856-2810

8605 Westwood Center Dr
Ste 201
Vienna, VA 22182
Phone (703) 570-1192

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/8042/brand/1/csg/1/fhir/r4
  • Direct secure messaging: ramani.peruvemba.1@8042.direct.athenahealth.com
  • Direct secure messaging: rperuvemba2080070@direct.trinity-health.org

Organizations & group practices 6

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.

Hospital & facility affiliations 3

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

NPI Registry JSON

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

{
    "created_epoch": "1148688000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1438819200000",
    "number": "1619924701",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8400 TYSONS TRACE CT",
            "city": "VIENNA",
            "state": "VA",
            "postal_code": "221826034"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15200 SHADY GROVE RD",
            "address_2": "302",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208503218",
            "telephone_number": "240-453-9182",
            "fax_number": "240-453-9189"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PERUVEMBA",
        "first_name": "RAMANI",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-27",
        "last_updated": "2015-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "MD",
            "license": "D55800",
            "primary": false
        },
        {
            "code": "208VP0014X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "MD",
            "license": "D0055800",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "807001600",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FECA",
            "identifier": "601285800",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rockville, MD

Sources for this page

Verify at the official NPI Registry.