Individual provider Active NPI

Vivek Shreedhara Ramarathnam, MD

  • Infectious Disease Physician
  • Fort Worth, TX
National Provider Identifier
1770783243
Registry record updated Nov 8, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Infectious Disease PhysicianTaxonomy code 207RI0200X
License
N4687 Issued in TX
Practice address
1025 College Ave
Fort Worth, TX 76104-3013
Phone
(817) 810-9810
Fax
(817) 810-9815
NPI assigned
Jul 23, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 8, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Infectious Disease Physician 207RI0200X N4687 TX Primary

Addresses

Primary practice location

1025 College Ave
Fort Worth, TX 76104-3013

Mailing address

PO Box 162464
Fort Worth, TX 76161-2464
Phone (817) 810-9810

Other identifiers 1

IdentifierTypeStateIssuer
8DK236OtherTXBCBS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20120823000645 TX Practitioner - Infectious Disease 0345497509 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Infectious Disease
Education
Baylor College of Medicine, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Texas Centers for Infectious Disease Associates PAGroup PAC ID 4880596451, 17 clinicians

Practice addresses (Care Compare)

1025 College Ave
Fort Worth, TX 76104-3013
Phone (817) 810-9810

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
96.77 of 100Reported as group
Quality
92.76
Improvement activities
40
Cost
78.94

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue23
Removal of skin lesions1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
N4687TXMDInfectious Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Texas Centers for Infectious Disease Associates PA Infectious Disease CurrentSince Aug 1, 2012 Accepting new patients
Tarrant County Infectious Disease Associates Infectious Disease PastSince Oct 6, 2019 Accepting new patients

Locations

3410 Worth St
Ste 780
Dallas, TX 75246
Phone (817) 810-9810

1025 College Ave
Fort Worth, TX 76104
Phone (817) 810-9810

1125 College Ave
Ft Worth, TX 76104
Phone (817) 336-1640

Interoperability endpoints

  • Direct secure messaging: vramarathnam@direct.uspi.com
  • FHIR API: https://fhir4.healow.com/fhir/r4/GCCBBA

Organizations & group practices 2

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.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1185148800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1541635200000",
    "number": "1770783243",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 162464",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761612464",
            "telephone_number": "817-810-9810",
            "fax_number": "817-810-9815"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1025 COLLEGE AVE",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761043013",
            "telephone_number": "817-810-9810",
            "fax_number": "817-810-9815"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAMARATHNAM",
        "first_name": "VIVEK",
        "middle_name": "SHREEDHARA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-07-23",
        "last_updated": "2018-11-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RI0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "TX",
            "license": "N4687",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "8DK236",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Worth, TX

Sources for this page

Verify at the official NPI Registry.