Active NPI
Ramani Peruvemba, M.D.
- Interventional Pain Medicine Physician
- Rockville, MD
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Interventional Pain Medicine Physician
- License
- D0055800
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 807001600 | Medicaid | MD | |
| 601285800 | Other | FECA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DC, MD
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
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
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
- Adventist Healthcare Shady Grove Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| D55800 | MD | MD | Anesthesiology Physician |
| D0055800 | MD | MD | Interventional Pain Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Privia Medical Group, LLC | Current | Accepting new patients | |
| Privia Medical Group, LLC | Current | Accepting new patients | |
| First Colonies Anesthesia Associates, LLC | Anesthesiology | Current | Accepting new patients |
| Nova Physician Wellness Center PLLC | Past | Accepting new patients | |
| Pain Management Specialists, PC | Past | 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
- https://api.platform.athenahealth.com/8042/brand/1/csg/1/fhir/r4
- ramani.peruvemba.1@8042.direct.athenahealth.com
- 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.
-
- Pain Medicine (Psychiatry & Neurology) Physician
- Rockville, MD
- NPI 1811715436
-
- General Acute Care Hospital
- Frederick, MD
- NPI 1538165527
Interventional Pain Medicine
-
- Specialist
- Rockville, MD
- NPI 1346277308
-
- Family Medicine Physician
- Fairfax, VA
- NPI 1215307400
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Rockville, MD
- NPI 1568468221
-
- General Acute Care Hospital
- Silver Spring, MD
- NPI 1669417838
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.