NPIMap

Individual provider Active NPI

Kamarajapuram Raman Desikan, M.D.

  • Hematology & Oncology Physician
  • Batesville, AR
National Provider Identifier
1619973500
Registry record updated Jun 24, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hematology & Oncology PhysicianTaxonomy code 207RH0003X
License
E0269 Issued in AR
Practice address
1710 Harrison St
Batesville, AR 72501-7303
Phone
(870) 262-1750
Fax
(870) 262-1754
NPI assigned
Jun 24, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 24, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X E-0269 AR
Hematology & Oncology Physician 207RH0003X E0269 AR Primary

Addresses

Primary practice location

1710 Harrison St
Batesville, AR 72501-7303

Mailing address

PO Box 2197
Batesville, AR 72503-2197
Phone (870) 262-1750

Other practice location 1

1000 N University Ave
Little Rock, AR 72207-6347
Phone (501) 661-0060

Other identifiers 2

IdentifierTypeStateIssuer
127717001MedicaidAR
E0269OtherARLICENSE NUMBER

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR
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
I20040212000753 AR Practitioner - Hematology/OncologyPractitioner - Internal Medicine 0648164285 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Hematology/OncologyAlso: Internal Medicine
Education
Other, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
White River Health System, Inc. 190 clinicians

Practice addresses (Care Compare)

12 Hospital Cir
Suite a
Batesville, AR 72501-7320
Phone (870) 262-1500

Hospital & facility affiliations

  • White River Medical Center Hospital, Batesville, AR, CCN 040119
  • Stone County Medical Center Hospital, Mountain View, AR, CCN 041310

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
E0269ARMDHematology & Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
White River Health System, Inc. CurrentSince Mar 25, 2019 Accepting new patients
White River Health System, Inc. Hematology & Oncology CurrentSince Jul 1, 2011 Accepting new patients
White River Health System, Inc. CurrentSince Jul 1, 2011 Accepting new patients
Arkansas Oncology Associates Past Accepting new patients
Ozarks Medical Center Past Accepting new patients
White River Health System Past Accepting new patients

Locations

3443 Harrison St
Batesville, AR 72501
Phone (870) 698-1635

16 Hospital Cir
Ste A
Batesville, AR 72501
Phone (870) 269-4361

1710 Harrison St
Batesville, AR 72501
Phone (870) 262-1240

12 Hospital Cir
Ste A
Batesville, AR 72501
Phone (870) 262-1500

1710 Harrison St
#3
Batesville, AR 72501
Phone (870) 262-1750

Interoperability endpoints

  • Direct secure messaging: kambarajapuram.desikan.1@13831.direct.athenahealth.com
  • Direct secure messaging: raman.desikan@rkdmd.ikm.direct-ci.com

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 17

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

View all 17

NPI Registry JSON

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

{
    "created_epoch": "1119571200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1561334400000",
    "number": "1619973500",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2197",
            "city": "BATESVILLE",
            "state": "AR",
            "postal_code": "725032197",
            "telephone_number": "870-262-1750",
            "fax_number": "870-262-1754"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1710 HARRISON ST",
            "city": "BATESVILLE",
            "state": "AR",
            "postal_code": "725017303",
            "telephone_number": "870-262-1750",
            "fax_number": "870-262-1754"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1000 N University Ave",
            "address_purpose": "LOCATION",
            "city": "Little Rock",
            "state": "AR",
            "postal_code": "722076347",
            "country_code": "US",
            "telephone_number": "501-661-0060",
            "fax_number": "501-661-1233",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DESIKAN",
        "first_name": "KAMARAJAPURAM",
        "middle_name": "RAMAN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-24",
        "last_updated": "2019-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "AR",
            "license": "E-0269",
            "primary": false
        },
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "AR",
            "license": "E0269",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "127717001",
            "state": "AR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE NUMBER",
            "identifier": "E0269",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Batesville, AR

Sources for this page

Verify at the official NPI Registry.