NPIMap

Organization Active NPI

Integrity Senior Health

  • Geriatric Medicine (Family Medicine) Physician
  • Mount Pleasant, WI
National Provider Identifier
1710486121
Registry record updated Feb 12, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Geriatric Medicine (Family Medicine) PhysicianTaxonomy code 207QG0300X
Legal business name
INTEGRITY SENIOR HEALTH
Practice address
4347 Danbury LN
Mount Pleasant, WI 53403-4022
Phone
(262) 902-2855
NPI assigned
Feb 12, 2018
Last updated
Feb 12, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 12, 2018

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

Authorized official

Name
Sandeep Ramanujam, MDNPI 1770756678
Title
Physician
Phone
(262) 902-2855

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
Geriatric Medicine (Family Medicine) PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207QG0300X Primary

Addresses

Primary practice location

4347 Danbury LN
Mount Pleasant, WI 53403-4022

Mailing address

4347 Danbury LN
Mount Pleasant, WI 53403-4022
Phone (262) 902-2855

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20180507001002 WI Part B Supplier - Clinic/Group Practice 4587928130 Receives reassigned benefits from 9 practitioners
Practice locations: Mount Pleasant, WI

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 10

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": "1518393600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1518393600000",
    "number": "1710486121",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4347 DANBURY LN",
            "city": "MOUNT PLEASANT",
            "state": "WI",
            "postal_code": "534034022",
            "telephone_number": "262-902-2855"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4347 DANBURY LN",
            "city": "MOUNT PLEASANT",
            "state": "WI",
            "postal_code": "534034022",
            "telephone_number": "262-902-2855"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTEGRITY SENIOR HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-02-12",
        "last_updated": "2018-02-12",
        "status": "A",
        "authorized_official_last_name": "RAMANUJAM",
        "authorized_official_first_name": "SANDEEP",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "262-902-2855",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207QG0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine, Geriatric Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mount Pleasant, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2018; 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.