Active NPI
Ramakant Mahadeo Mulay, MD
- Nephrology Physician
- Dyersburg, TN
National Provider Identifier
1720198013
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nephrology Physician
- License
- 109397
- Practice address
- 1575 Parr Ave
Suite B
Dyersburg, TN 38024-3151 - Phone
- (731) 286-1510
- Fax
- (731) 286-2662
- NPI assigned
- Aug 30, 2006
- Last updated
- Nov 18, 2011
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nephrology Physician | 207RN0300X | MD017125 | TN | |
| Nephrology Physician | 207RN0300X | 109397 | MO | Primary |
Addresses
Primary practice location
1575 Parr Ave
Suite B
Dyersburg, TN 38024-3151
Mailing address
1575 Parr Ave
Suite B
Dyersburg, TN 38024-3151
Phone (731) 286-1510
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TN, MO
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20080318000798 | TN | Practitioner - Nephrology | 5193633774 | Practice locations: Covington, TN; Ripley, TN; Dyersburg, TN |
| I20090218000198 | MO | Practitioner - Nephrology | 5193633774 | Practice locations: Kennett, MO |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD017125 | TN | MD | Nephrology Physician |
| 17125 | TN | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dva Healthcare Renal Care Inc | Past | Accepting new patients | |
| Kidney Experts PLLC | Nephrology | Past | Accepting new patients |
| Dva Healthcare Renal Care Inc | Past | Accepting new patients |
Interoperability endpoints
- rmulay@yourcarecommunity.org
Organizations & group practices 3
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.
-
dba Tipton County Dialysis
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Covington, TN
- NPI 1215990759
-
dba Waverly Dialysis
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Morton, PA
- NPI 1619939311
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156896000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1321574400000",
"number": "1720198013",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1575 PARR AVE",
"address_2": "SUITE B",
"city": "DYERSBURG",
"state": "TN",
"postal_code": "380243151",
"telephone_number": "731-286-1510",
"fax_number": "731-286-2662"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1575 PARR AVE",
"address_2": "SUITE B",
"city": "DYERSBURG",
"state": "TN",
"postal_code": "380243151",
"telephone_number": "731-286-1510",
"fax_number": "731-286-2662"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MULAY",
"first_name": "RAMAKANT",
"middle_name": "MAHADEO",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-08-30",
"last_updated": "2011-11-18",
"status": "A"
},
"taxonomies": [
{
"code": "207RN0300X",
"taxonomy_group": "",
"desc": "Internal Medicine, Nephrology",
"state": "TN",
"license": "MD017125",
"primary": false
},
{
"code": "207RN0300X",
"taxonomy_group": "",
"desc": "Internal Medicine, Nephrology",
"state": "MO",
"license": "109397",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Dyersburg, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.