Individual provider Active NPI

Andres Ramgoolam, MD

  • Pediatrics Physician
  • Greensboro, NC
National Provider Identifier
1760481576
Registry record updated Aug 19, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
2007-01181 Issued in NC
Practice address
719 Green Valley Rd
Ste 209
Greensboro, NC 27408-7014
Phone
(336) 272-9447
Fax
(336) 272-2112
NPI assigned
Jul 14, 2005
Last updated
Aug 19, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 19, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 2007-01181 NC Primary
Pediatrics Physician 208000000X 18196 MS

Addresses

Primary practice location

719 Green Valley Rd
Ste 209
Greensboro, NC 27408-7014

Mailing address

719 Green Valley Rd
Ste 209
Greensboro, NC 27408-7014
Phone (336) 272-9447

Other identifiers 2

IdentifierTypeStateIssuer
06880227MedicaidMS
5914938MedicaidNC

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address aramgoolam45920@direct.conehealth.com 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
I20240805002695 NC Practitioner - Pediatric Medicine 3072505189 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
18196MSMDPediatrics Physician
2007-01181NCMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Moses Cone Physician Services Inc CurrentSince Jun 2, 2024 Accepting new patients
Moses Cone Physician Services Inc Current Accepting new patients
Allergy and Asthma Center of North Carolina, PA Past Accepting new patients
Clarksdale Hma LLC Past Accepting new patients
Pediatric Emergency Specialists, PC Past Accepting new patients

Locations

1240 Huffman Mill Rd
Burlington, NC 27215
Phone (336) 538-7000

1107 S Main St
Reidsville, NC 27320
Phone (336) 348-6664

Interoperability endpoints

  • Direct secure messaging: aramgoolam45920@direct.conehealth.com

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1121299200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629331200000",
    "number": "1760481576",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "719 GREEN VALLEY RD",
            "address_2": "STE 209",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274087014",
            "telephone_number": "336-272-9447",
            "fax_number": "336-272-2112"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "719 GREEN VALLEY RD",
            "address_2": "STE 209",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274087014",
            "telephone_number": "336-272-9447",
            "fax_number": "336-272-2112"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAMGOOLAM",
        "first_name": "ANDRES",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-14",
        "last_updated": "2021-08-19",
        "certification_date": "2021-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NC",
            "license": "2007-01181",
            "primary": true
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "MS",
            "license": "18196",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "06880227",
            "state": "MS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5914938",
            "state": "NC"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "aramgoolam45920@direct.conehealth.com",
            "affiliation": "N",
            "endpointDescription": "Cone Health Direct Message",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "719 Green Valley Rd",
            "address_2": "Ste 209",
            "city": "Greensboro",
            "state": "NC",
            "country_code": "US",
            "postal_code": "274087014",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Greensboro, NC

Sources for this page

Verify at the official NPI Registry.