NPIMap

Individual provider Active NPI

Ramesh R Marahatta, MD

  • Nephrology Physician
  • Springfield, OR
National Provider Identifier
1679700280
Registry record updated Dec 22, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
MD175686 Issued in 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
Last updated
Dec 22, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 22, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X MD175686 OR Primary

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

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR
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
I20160929001097 OR Practitioner - NephrologyPractitioner - Internal Medicine 0941346357 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
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 PCGroup PAC ID 7517951841, 14 clinicians

Practice addresses (Care Compare)

1077 Gateway Loop
Springfield, OR 97477-1114
Phone (541) 485-6478

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD175686ORMDNephrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Eugene Springfield Nephrology Associates, PC Nephrology CurrentSince Jul 1, 2016 Accepting new patients
Advanced Vascular Centers Eugene LLC Nephrology CurrentSince Dec 15, 2021 Accepting new patients
Peacehealth Past Accepting new patients
Frederick Health Hospital Inc 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

  • Direct secure messaging: marahatr@yourcarecommunity.org
  • Direct secure messaging: rmarahatta42226@direct.acumenmd.com

Organizations & group practices 4

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 24

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

View all 24

NPI Registry JSON

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

{
    "created_epoch": "1245628800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1640131200000",
    "number": "1679700280",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3355 RIVERBEND DR",
            "address_2": "STE 200",
            "city": "SPRINGFIELD",
            "state": "OR",
            "postal_code": "974778800",
            "telephone_number": "541-868-9233",
            "fax_number": "541-868-9606"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3355 RIVERBEND DR",
            "address_2": "STE 200",
            "city": "SPRINGFIELD",
            "state": "OR",
            "postal_code": "974778800",
            "telephone_number": "541-868-9233",
            "fax_number": "541-868-9606"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1200 Gateway Loop",
            "address_purpose": "LOCATION",
            "city": "Springfield",
            "state": "OR",
            "postal_code": "974771176",
            "country_code": "US",
            "telephone_number": "503-683-7730",
            "fax_number": "541-204-1997",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MARAHATTA",
        "first_name": "RAMESH",
        "middle_name": "R",
        "name_prefix": "Mr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-06-22",
        "last_updated": "2021-12-22",
        "certification_date": "2021-12-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "OR",
            "license": "MD175686",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Springfield, OR

Sources for this page

Verify at the official NPI Registry.