Ram Gopal Malladi, M.D.

Primary specialty

Otolaryngology PhysicianTaxonomy code 207Y00000X

License

45911 Issued in MA

Practice address

75 Springfield Rd
Suite 6
Westfield, MA 01085-1832

Phone

(413) 568-2304

Fax

(413) 568-3517

NPI assigned

Apr 27, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MA

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

Merit-based Incentive Payment System (MIPS)

Final score

0 of 100Reported as individual

Quality

0

Improvement activities

0

Cost

0

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

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.

• Visiting Nurse Association and Hospice of Western New England, Inc.

  dba Baystate Hospice

  • Community Based Hospice Care Agency
  • West Springfield, MA
  • NPI 1437139664
  NPD (past)

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

{
    "created_epoch": "1146096000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1585008000000",
    "number": "1790742344",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 HOSPITAL DR",
            "address_2": "STE 106",
            "city": "HOLYOKE",
            "state": "MA",
            "postal_code": "010406612",
            "telephone_number": "413-568-2304",
            "fax_number": "413-568-3517"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "75 SPRINGFIELD RD",
            "address_2": "SUITE 6",
            "city": "WESTFIELD",
            "state": "MA",
            "postal_code": "010851832",
            "telephone_number": "413-568-2304",
            "fax_number": "413-568-3517"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MALLADI",
        "first_name": "RAM",
        "middle_name": "GOPAL",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-27",
        "last_updated": "2020-03-24",
        "certification_date": "2020-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "MA",
            "license": "45911",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael Joseph Macmunn, LICSW
• Michelle Magner
• Kayla Mailloux, PA-C
• Celia Maldonado
• Tariq Malik, M.D.
• Alexandria Mallios
• Linzy Malone, B.S.W
• John Maloney, LMHC
• Sandra Malvezzi, MA
• Samantha Ann Manchino, MSED

• Otolaryngology Physician in Westfield, MA
• Providers in Westfield, MA by specialty
• Otolaryngology Physician in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.