Individual provider Active NPI

Vimala Arul Ranjithan, M.D.

  • General Practice Physician
  • Cumberland, MD
National Provider Identifier
1770537888
Registry record updated Dec 21, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
D0019750 Issued in MD
Practice address
517 E Oldtown Rd Rear
Cumberland, MD 21502-3689
Phone
(301) 777-9393
Fax
(301) 777-9066
NPI assigned
May 22, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 21, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X D0019750 MD Primary

Addresses

Primary practice location

517 E Oldtown Rd Rear
Cumberland, MD 21502-3689

Mailing address

906 Weires Ave
Lavale, MD 21502-7436
Phone (301) 777-9393

Other identifiers 1

IdentifierTypeStateIssuer
753241500MedicaidMD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Dawns Family Practice Past Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1148256000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1292889600000",
    "number": "1770537888",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "906 WEIRES AVE",
            "city": "LAVALE",
            "state": "MD",
            "postal_code": "215027436",
            "telephone_number": "301-777-9393",
            "fax_number": "301-777-9066"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "517 E OLDTOWN RD REAR",
            "city": "CUMBERLAND",
            "state": "MD",
            "postal_code": "215023689",
            "telephone_number": "301-777-9393",
            "fax_number": "301-777-9066"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RANJITHAN",
        "first_name": "VIMALA",
        "middle_name": "ARUL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-22",
        "last_updated": "2010-12-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "MD",
            "license": "D0019750",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "753241500",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cumberland, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.