Ramesh R Marahatta, MD
Individual provider Active NPI Nephrology Physician · Springfield, OR
NPI 1679700280 · NPPES record last updated Dec 22, 2021
Key facts
- NPI
- 1679700280
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Nephrology Physician 207RN0300X
- License
- MD175686 (OR)
- Practice address
- 3355 Riverbend Dr
Ste 200
Springfield, OR 97477-8800 - Phone
- (541) 868-9233
- Fax
- (541) 868-9606
- NPI assigned
- Jun 22, 2009
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 4
Hospital & facility affiliations 24
Medicare Care Compare profile
- Specialty
- Nephrology
- Education
- Other, 2002
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Eugene Springfield Nephrology Associates PC
Practice addresses (Care Compare)
1077 Gateway Loop
Springfield, OR 97477-1114
Phone (541) 485-6478
Hospital & facility affiliations
- Qualicenters - Eugene-Springfield LTD
- FMC Emerald Valley
- Fresenius Kidney Care West Eugene
- FMC Coos Bay
- FMC Eugene
- Sacred Heart Medical Center - Riverbend
- Peacehealth Cottage Grove Community Medical Center
- McKenzie-Willamette Medical Center
- Peace Harbor Medical Center
- Samaritan Lebanon Community Hospital
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in OR
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160929001097 | OR | Practitioner - Nephrology |
0941346357 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD175686 | OR | MD | Nephrology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Eugene Springfield Nephrology Associates, PC | Nephrology | Current |
Accepting new patients |
| Advanced Vascular Centers Eugene LLC | Nephrology | Current |
Accepting new patients |
| Frederick Health Hospital Inc | Past | Accepting new patients | |
| Peacehealth | Past | Accepting new patients |
Locations
617 Hickory St NW
Ste 160
Albany, OR 97321
Phone (541) 928-1411
1077 Gateway Loop
Springfield, OR 97477
Phone (541) 485-6478
1200 Gateway Loop
Springfield, OR 97477
Phone (503) 683-7730
3355 Riverbend Dr
Ste 200
Springfield, OR 97477
Phone (541) 485-6478
Interoperability endpoints
- marahatr@yourcarecommunity.org
- rmarahatta42226@direct.acumenmd.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nephrology Physician | 207RN0300X | MD175686 | OR | Yes |
Addresses
Primary practice location
3355 Riverbend Dr
Ste 200
Springfield, OR 97477-8800
Mailing address
3355 Riverbend Dr
Ste 200
Springfield, OR 97477-8800
Phone (541) 868-9233
Other practice location 1
1200 Gateway Loop
Springfield, OR 97477-1176
Phone (503) 683-7730
Other providers in Springfield, OR
- Sarbmeet Mann
- Zachariah Manning
- Celia Rae Mansfield
- Tasha Marie Manske
- Louann Manwarren
- Marc B Schnapper MD PC
- Devlyn Kelly Marcott
- Richard William Marcus
- Kyla Markel
- Steven Don Marks
All providers in Springfield, OR · Nephrology Physician in Oregon
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 22, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.