Organization Active NPI

Naples Renal Care LLC

  • Nephrology Physician
  • Naples, FL
National Provider Identifier
1699422600
Registry record updated Aug 19, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
Legal business name
NAPLES RENAL CARE LLC
Practice address
1213 Piper Blvd Ste 101
Naples, FL 34110-1393
Phone
(312) 363-8237
Fax
(866) 908-1231
NPI assigned
Mar 9, 2022
Last updated
Aug 19, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 19, 2022

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

Authorized official

Name
Dr. Ramu Patakoti, MDNPI 1942484902
Title
Physician & Owner
Phone
(312) 363-8237

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
Nephrology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RN0300X Primary

Addresses

Primary practice location

1213 Piper Blvd Ste 101
Naples, FL 34110-1393

Mailing address

2338 Immokalee Rd Ste 408
Naples, FL 34110-1445
Phone (312) 363-8237

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220527001844 FL Part B Supplier - Clinic/Group Practice 7911394135 Receives reassigned benefits from 1 practitioner
Practice locations: Naples, FL

National Provider Directory

National Provider Directory

Locations

1213 Piper Blvd
Ste 101
Naples, FL 34110
Phone (239) 254-0099

2338 Immokalee Rd
Naples, FL 34110
Phone (239) 330-2933

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1646784000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1660867200000",
    "number": "1699422600",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2338 IMMOKALEE RD STE 408",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341101445",
            "telephone_number": "312-363-8237",
            "fax_number": "866-908-1231"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1213 PIPER BLVD STE 101",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341101393",
            "telephone_number": "312-363-8237",
            "fax_number": "866-908-1231"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NAPLES RENAL CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-03-09",
        "last_updated": "2022-08-19",
        "certification_date": "2022-08-19",
        "status": "A",
        "authorized_official_last_name": "PATAKOTI",
        "authorized_official_first_name": "RAMU",
        "authorized_official_title_or_position": "PHYSICIAN & OWNER",
        "authorized_official_telephone_number": "312-363-8237",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Nephrology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Naples, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.