Individual provider Active NPI

Jeevan B Ramakrishnan, M.D.

  • Otolaryngology Physician
  • Raleigh, NC
National Provider Identifier
1699972307
Registry record updated Jul 12, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
License
2010-00316 Issued in NC
Practice address
4600 Lake Boone TRL
Suite 100
Raleigh, NC 27607-7501
Phone
(919) 787-1374
NPI assigned
Jun 27, 2007
Last updated
Jul 12, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 12, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology Physician 207Y00000X 2010-00316 NC Primary

Addresses

Primary practice location

4600 Lake Boone TRL
Suite 100
Raleigh, NC 27607-7501

Mailing address

4600 Lake Boone TRL
Raleigh, NC 27607-7528
Phone (919) 787-1374

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address JRamakrishnan@raleighcapitolent.emadirect.md Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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 1

Enrollment IDStateProvider typePAC IDDetails
I20101027000602 NC Practitioner - OtolaryngologyPractitioner - Other (Physician) 5193875334 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Otolaryngology
Education
University of Texas Medical School at Houston, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Raleigh Capitol Ear Nose and ThroatGroup PAC ID 2860657509, 28 clinicians

Practice addresses (Care Compare)

300 Health Park Dr
Suite 210
Garner, NC 27529-4685
Phone (919) 662-8181

4600 Lake Boone TRL
Raleigh, NC 27607-7529
Phone (919) 787-1374

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
89.65 of 100Reported as group
Quality
93.93
Promoting interoperability
100
Improvement activities
40
Cost
71.56

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
2010-00316NCMDOtolaryngology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Raleigh Capitol Ear, Nose, and Throat Otolaryngology CurrentSince Jul 1, 2012 Accepting new patients

Locations

300 Health Park Dr
Ste 210
Garner, NC 27529
Phone (919) 662-8181

4600 Lake Boone Trl
Raleigh, NC 27607
Phone (919) 787-1374

4600 Lake Boone Trl
Ste 100
Raleigh, NC 27607
Phone (919) 420-2027

Interoperability endpoints

  • Direct secure messaging: jbrama@raleighcapitolent.emadirect.md
  • Direct secure messaging: jramakrishnan@raleighcapitolent.emadirect.md
  • Direct secure messaging: jramakrishnan116989@direct.medicine.duke.edu

Organizations & group practices 1

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 1

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": "1182902400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626048000000",
    "number": "1699972307",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4600 LAKE BOONE TRL",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276077528",
            "telephone_number": "919-787-1374",
            "fax_number": "919-571-8135"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4600 LAKE BOONE TRL",
            "address_2": "SUITE 100",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276077501",
            "telephone_number": "919-787-1374"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAMAKRISHNAN",
        "first_name": "JEEVAN",
        "middle_name": "B",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-06-27",
        "last_updated": "2021-07-12",
        "certification_date": "2021-07-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "NC",
            "license": "2010-00316",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "JRamakrishnan@raleighcapitolent.emadirect.md",
            "affiliation": "N",
            "endpointDescription": "messages",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "messages",
            "address_1": "4600 Lake Boone Trl",
            "address_2": "Suite 100",
            "city": "Raleigh",
            "state": "NC",
            "country_code": "US",
            "postal_code": "276077501",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Raleigh, NC

Sources for this page

Verify at the official NPI Registry.