Individual provider Active NPI

Ramesh Shatagopam, MD

  • Cardiovascular Disease Physician
  • Terre Haute, IN
National Provider Identifier
1649381690
Registry record updated Mar 14, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
01048847A Issued in IN
Practice address
1429 N 6TH St
Terre Haute, IN 47807-1037
Phone
(812) 232-0564
Fax
(812) 242-3543
NPI assigned
Aug 31, 2006
Last updated
Mar 14, 2013By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 14, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 01048847A IN Primary
Cardiovascular Disease Physician 207RC0000X 36111955 IL

Addresses

Primary practice location

1429 N 6TH St
Terre Haute, IN 47807-1037

Mailing address

221 S 6TH St
Terre Haute, IN 47807-4214
Phone (812) 242-3175

Other identifiers 16

IdentifierTypeStateIssuer
200374390AOtherINMOLINA HEALTHCARE MCAID
200374390LMedicaidIN
P00828502OtherINRAILROAD MEDICARE
P00855812OtherINRAILROAD MEDICARE
060068689OtherRAILROAD MCARE PALAMETTO
351904269120OtherCARESOURCE MEDICAID
7690262001OtherCIGNA
0182822OtherUS DEPT OF LABOR
200374390ZMedicaidIN
778240OtherAETNA
7789240OtherAETNA
N289136OtherHARMONY HEALTH PLAN IND
000000224022OtherANTHEM
200374390MedicaidIN
P00393763OtherRAILROAD MEDICARE
471334OtherHEALTHLINK

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN, IL2 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
I20040327000271 IN Practitioner - Cardiovascular Disease (Cardiology) 9234021882 Reassigns benefits to 2 organizations
I20041101000563 IL Practitioner - Cardiovascular Disease (Cardiology) 9234021882 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)
Education
Other, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1429 No 6TH St
Uap Medical Office Building
Terre Haute, IN 47807-1037
Phone (812) 232-0564

890 Ridgelawn Rd
Martinsville, IL 62442-0399
Phone (217) 382-4191

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
36111955ILMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Union Hospital Inc CurrentSince Sep 9, 2004 Accepting new patients
Union Hospital, Inc. Cardiovascular Disease Current Accepting new patients
Union Associated Physicians Clinic LLC CurrentSince Jan 1, 2010 Accepting new patients
Union Hospital, Inc. CurrentSince Sep 9, 2004 Accepting new patients
Union Hospital Inc. Current Accepting new patients
Union Associated Physicians Clinic, LLC CurrentSince Jan 1, 2010 Accepting new patients
University Group Medical Associates, P.C Past Accepting new patients

Locations

408 N 2nd St
Marshall, IL 62441
Phone (217) 826-2361

410 N 2nd St
Marshall, IL 62441
Phone (217) 826-2358

890 E Ridgelawn Rd
Martinsville, IL 62442
Phone (217) 382-4004

727 E Court St
Paris, IL 61944
Phone (217) 465-4141

801 S Main St
Clinton, IN 47842
Phone (765) 832-1212

2229 Mary Sherman Dr
Sullivan, IN 47882
Phone (812) 238-2100

1429 N 6th St
Terre Haute, IN 47807
Phone (812) 242-3115

1429 N 6th St
Ofc
Terre Haute, IN 47807

1606 N 7th St
Terre Haute, IN 47804
Phone (812) 238-7523

1725 N 5th St
Terre Haute, IN 47804
Phone (812) 232-6646

221 S 6th St
Terre Haute, IN 47807
Phone (812) 242-3105

4601 S 7th St
Terre Haute, IN 47802
Phone (812) 232-3281

Interoperability endpoints

  • Direct secure messaging: rshatagopam@unionhealth.cernerdirect.com

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 9

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": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1363219200000",
    "number": "1649381690",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "221 S 6TH ST",
            "city": "TERRE HAUTE",
            "state": "IN",
            "postal_code": "478074214",
            "telephone_number": "812-242-3175",
            "fax_number": "812-242-3543"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1429 N 6TH ST",
            "city": "TERRE HAUTE",
            "state": "IN",
            "postal_code": "478071037",
            "telephone_number": "812-232-0564",
            "fax_number": "812-242-3543"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHATAGOPAM",
        "first_name": "RAMESH",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-31",
        "last_updated": "2013-03-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "IN",
            "license": "01048847A",
            "primary": true
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "IL",
            "license": "36111955",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MOLINA HEALTHCARE MCAID",
            "identifier": "200374390A",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200374390L",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00828502",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00855812",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MCARE PALAMETTO",
            "identifier": "060068689",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CARESOURCE MEDICAID",
            "identifier": "351904269120",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "7690262001",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "US DEPT OF LABOR",
            "identifier": "0182822",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200374390Z",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "778240",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "7789240",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HARMONY HEALTH PLAN IND",
            "identifier": "N289136",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000224022",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200374390",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00393763",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHLINK",
            "identifier": "471334",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Terre Haute, IN

Sources for this page

Verify at the official NPI Registry.