Organization Active NPI

Patel Ramanan and Associates P.a.

  • Internal Medicine Physician
  • Waldorf, MD
National Provider Identifier
1619973617
Registry record updated Mar 12, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
D46478 Issued in MD
Legal business name
PATEL RAMANAN AND ASSOCIATES P.A.
Practice address
3575 Old Washington Rd
Ste a
Waldorf, MD 20602-3269
Phone
(301) 645-9650
Fax
(301) 645-0774
NPI assigned
Jun 23, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 12, 2014

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

Authorized official

Name
Dr. Suresh A Patel, M.D.NPI 1912938176
Title
Doctor
Phone
(301) 645-9650

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X D46478 MD Primary

Addresses

Primary practice location

3575 Old Washington Rd
Ste a
Waldorf, MD 20602-3269

Mailing address

3575 Old Washington Rd
Ste a
Waldorf, MD 20602-3269
Phone (301) 645-9650

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20071102000375 MD Part B Supplier - Clinic/Group Practice 2668424003 Receives reassigned benefits from 2 practitioners
Practice locations: Waldorf, MD

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
21D0962856Patel Ramanan and Associates3575 Old Washington Road Ste a, Waldorf, MD 20602Certificate of waiverJul 14, 2027

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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": "1119484800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1394582400000",
    "number": "1619973617",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3575 OLD WASHINGTON RD",
            "address_2": "STE A",
            "city": "WALDORF",
            "state": "MD",
            "postal_code": "206023269",
            "telephone_number": "301-645-9650",
            "fax_number": "301-645-0774"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3575 OLD WASHINGTON RD",
            "address_2": "STE A",
            "city": "WALDORF",
            "state": "MD",
            "postal_code": "206023269",
            "telephone_number": "301-645-9650",
            "fax_number": "301-645-0774"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PATEL RAMANAN AND ASSOCIATES P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-23",
        "last_updated": "2014-03-12",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "SURESH",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "301-645-9650",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "MD",
            "license": "D46478",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Waldorf, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.

Verify at the official NPI Registry.