Individual provider Active NPI

Ravindran Arcot Padmanabhan, M.D.

  • Infectious Disease Physician
  • Rocky Mount, NC
National Provider Identifier
1730114943
Registry record updated Mar 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Infectious Disease PhysicianTaxonomy code 207RI0200X
License
2010-01390 Issued in NC
Practice address
2460 Curtis Ellis Dr BLDG 300
Rocky Mount, NC 27804-2237
Phone
(252) 962-4290
Fax
(252) 962-4291
NPI assigned
Jul 12, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 15, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Infectious Disease Physician 207RI0200X 35086165 OH
Infectious Disease Physician 207RI0200X 81513-20 WI
Infectious Disease Physician 207RI0200X 2010-01390 NC Primary

Addresses

Primary practice location

2460 Curtis Ellis Dr BLDG 300
Rocky Mount, NC 27804-2237

Mailing address

2021 Mill Gate LN
Cary, NC 27519-7195
Phone (919) 270-5082

Other practice location 1

2021 Mill Gate Ln
Cary, NC 27519-7195
Phone (919) 270-5082

Other identifiers 1

IdentifierTypeStateIssuer
5915761MedicaidNC

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address rpadmanabhan11162@direct.UNC.nchie.net
Direct Messaging Address ravindran.padmanabhan.p1@direct.rida.nextgenshare.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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
I20241120001149 MI Practitioner - Infectious DiseasePractitioner - Internal Medicine 5799727616 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
86.47 of 100Reported as group
Quality
62.03
Promoting interoperability
99
Improvement activities
40
Cost
78.09

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2010-01390NCMDInfectious Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Aspirus Ironwood Hospital & Clinics, Inc. Current Accepting new patients
Aspirus Ironwood Hospital & Clinics, Inc. CurrentSince Nov 1, 2024 Accepting new patients
Aspirus Keweenaw Current Accepting new patients
Aspirus Iron River Hospital & Clinics, Inc. CurrentSince Nov 1, 2024 Accepting new patients
Aspirus Iron River Hospital & Clinics, Inc. CurrentSince Nov 1, 2024 Accepting new patients
Aspirus Ironwood Hospital & Clinics, Inc. CurrentSince Nov 1, 2024 Accepting new patients
Aspirus Keweenaw CurrentSince Nov 1, 2024 Accepting new patients
Aspirus Keweenaw CurrentSince Nov 1, 2024 Accepting new patients

Locations

29980 Network Pl
Chicago, IL 60673

1000 Cedar St
Houghton, MI 49931
Phone (906) 482-8201

814 S Ice Lake Rd
Iron River, MI 49935
Phone (715) 847-2022

1400 W Ice Lake Rd
Iron River, MI 49935
Phone (906) 265-6121

N10565 Grandview Ln
Ironwood, MI 49938
Phone (906) 932-1500

N10561 Grandview Ln
Ironwood, MI 49938
Phone (906) 932-1500

205 Osceola St
Laurium, MI 49913
Phone (906) 337-3100

601 S Center Ave
Merrill, WI 54452
Phone (715) 536-5511

Interoperability endpoints

  • Direct secure messaging: rpadmanabhan11162@direct.unc.nchie.net

Organizations & group practices 8

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1152662400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710460800000",
    "number": "1730114943",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2021 MILL GATE LN",
            "city": "CARY",
            "state": "NC",
            "postal_code": "275197195",
            "telephone_number": "919-270-5082"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2460 CURTIS ELLIS DR BLDG 300",
            "city": "ROCKY MOUNT",
            "state": "NC",
            "postal_code": "278042237",
            "telephone_number": "252-962-4290",
            "fax_number": "252-962-4291"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2021 Mill Gate Ln",
            "address_purpose": "LOCATION",
            "city": "Cary",
            "state": "NC",
            "postal_code": "275197195",
            "country_code": "US",
            "telephone_number": "919-270-5082",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PADMANABHAN",
        "first_name": "RAVINDRAN",
        "middle_name": "ARCOT",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-12",
        "last_updated": "2024-03-15",
        "certification_date": "2024-03-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RI0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "OH",
            "license": "35086165",
            "primary": false
        },
        {
            "code": "207RI0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "WI",
            "license": "81513-20",
            "primary": false
        },
        {
            "code": "207RI0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "NC",
            "license": "2010-01390",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5915761",
            "state": "NC"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "rpadmanabhan11162@direct.UNC.nchie.net",
            "affiliation": "N",
            "address_1": "2460 Curtis Ellis Dr Bldg 300",
            "city": "Rocky Mount",
            "state": "NC",
            "country_code": "US",
            "postal_code": "278042237",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ravindran.padmanabhan.p1@direct.rida.nextgenshare.com",
            "affiliation": "N",
            "address_1": "2304 Wesvill Ct",
            "address_2": "Suite 240",
            "city": "Raleigh",
            "state": "NC",
            "country_code": "US",
            "postal_code": "276072973",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Rocky Mount, NC

Sources for this page

Verify at the official NPI Registry.