Active NPI
Ram Venkatesh Anantha, M.D.
- Surgical Critical Care Physician
- Winston Salem, NC
National Provider Identifier
1770936510
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgical Critical Care Physician
- License
- 2016-01236
- Practice address
- Wake Forest Baptist Medical Ctr
1 Medical Center Boulevard
Winston Salem, NC 27157-0001 - Phone
- (336) 716-7398
- NPI assigned
- Jul 17, 2016
- Last updated
- Jan 12, 2017
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | 2016-01236 | NC | |
| Surgical Critical Care Physician | 2086S0102X | 2016-01236 | NC | Primary |
| Trauma Surgery Physician | 2086S0127X | 2016-01236 | NC |
Addresses
Primary practice location
Wake Forest Baptist Medical Ctr
1 Medical Center Boulevard
Winston Salem, NC 27157-0001
Mailing address
800 Chatham Rd
Apartment 143
Winston Salem, NC 27101-1204
Phone (336) 935-9058
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2016-01236 | NC | MD | Trauma Surgery Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1468713600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1484179200000",
"number": "1770936510",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "800 CHATHAM RD",
"address_2": "APARTMENT 143",
"city": "WINSTON SALEM",
"state": "NC",
"postal_code": "271011204",
"telephone_number": "336-935-9058"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "WAKE FOREST BAPTIST MEDICAL CTR",
"address_2": "1 MEDICAL CENTER BOULEVARD",
"city": "WINSTON SALEM",
"state": "NC",
"postal_code": "271570001",
"telephone_number": "336-716-7398"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ANANTHA",
"first_name": "RAM",
"middle_name": "VENKATESH",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2016-07-17",
"last_updated": "2017-01-12",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "NC",
"license": "2016-01236",
"primary": false
},
{
"code": "2086S0102X",
"taxonomy_group": "",
"desc": "Surgery, Surgical Critical Care",
"state": "NC",
"license": "2016-01236",
"primary": true
},
{
"code": "2086S0127X",
"taxonomy_group": "",
"desc": "Surgery, Trauma Surgery",
"state": "NC",
"license": "2016-01236",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Winston Salem, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.