Active NPI
Ranju B Wadhwa, M.D.
- Rheumatology Physician
- Port St Lucie, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Rheumatology Physician
- License
- ME 63650
- Practice address
- 1701 SE Hillmoor Dr
D-16
Port St Lucie, FL 34952-7552 - Phone
- (772) 800-7758
- Fax
- (772) 800-7867
- NPI assigned
- May 25, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Rheumatology Physician | 207RR0500X | ME 63650 | FL | Primary |
Addresses
Primary practice location
1701 SE Hillmoor Dr
D-16
Port St Lucie, FL 34952-7552
Mailing address
1701 SE Hillmoor Dr
D-16
Port St Lucie, FL 34952-7552
Phone (772) 800-7758
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL, TX, SD
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 3
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20080502000523 | FL | Practitioner - Rheumatology | 5193804078 | Reassigns benefits to 1 organization |
| I20170209000167 | TX | Practitioner - Internal Medicine | 5193804078 | Reassigns benefits to 1 organization |
| I20170905003424 | SD | Practitioner - Rheumatology | 5193804078 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Rheumatology
- Education
- Other, 1980
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
1701 SE Hillmoor Dr
Suite D16
Port St Lucie, FL 34952-7541
Phone (772) 800-7758
Hospital & facility affiliations
- Cleveland Clinic Martin North Hospital
- St Lucie Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 75 of 100
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME 63650 | FL | MD | Rheumatology Physician |
Practice roles (6 of 8)
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kayenta Alternative Rural Hospital | Current | Accepting new patients | |
| Arthritis and Rheumatology Associates of Treasure Coast LLC | Rheumatology | Current | Accepting new patients |
| Monument Health Rapid City Hospital Inc | Current | Accepting new patients | |
| Monument Health Rapid City Hospital, Inc | Current | Accepting new patients | |
| Monument Health Rapid City Hospital, Inc. | Family Medicine | Current | Accepting new patients |
| Kayenta Alternative Rural Hospital | Past | Accepting new patients |
Locations
1701 SE Hillmoor Dr
Ste D16
Port St Lucie, FL 34952
Phone (772) 210-1162
353 Fairmont Blvd
Rapid City, SD 57701
Phone (605) 719-1000
Networks
- Freedom Health HMO Network
- Optimum HealthCare HMO Network
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.
-
- Rheumatology Physician
- Port St Lucie, FL
- NPI 1427591684
FL, Rheumatology
-
- Multi-Specialty Clinic/Center
- Rapid City, SD
- NPI 1275553463
SD
-
- Urgent Care Clinic/Center
- Rapid City, SD
- NPI 1215727854
-
- Family Medicine Physician
- Wall, SD
- NPI 1265811285
Family Medicine
-
- General Acute Care Hospital
- Tonalea, AZ
- NPI 1740359108
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Port St Lucie, FL
- NPI 1538115696
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1148515200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1490140800000",
"number": "1659327419",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1701 SE HILLMOOR DR",
"address_2": "D-16",
"city": "PORT ST LUCIE",
"state": "FL",
"postal_code": "349527552",
"telephone_number": "772-800-7758",
"fax_number": "772-800-7867"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1701 SE HILLMOOR DR",
"address_2": "D-16",
"city": "PORT ST LUCIE",
"state": "FL",
"postal_code": "349527552",
"telephone_number": "772-800-7758",
"fax_number": "772-800-7867"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WADHWA",
"first_name": "RANJU",
"middle_name": "B",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-05-25",
"last_updated": "2017-03-22",
"status": "A"
},
"taxonomies": [
{
"code": "207RR0500X",
"taxonomy_group": "",
"desc": "Internal Medicine, Rheumatology",
"state": "FL",
"license": "ME 63650",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Port St Lucie, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2017; 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.