NPIMap

Organization Active NPI

R. Vedala and Associates

  • Diagnostic Radiology Physician
  • Terre Haute, IN
National Provider Identifier
1790891745
Registry record updated May 7, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
01027928 Issued in IN
Legal business name
R. VEDALA AND ASSOCIATES
Practice address
2901 Ohio Blvd
Suite 127
Terre Haute, IN 47803-2239
Phone
(812) 234-8261
Fax
(812) 234-8262
NPI assigned
Aug 22, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 7, 2013

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

Authorized official

Name
Ranganath Vedala, M.D.NPI 1023055639
Title
Owner
Phone
(812) 235-0124

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2085R0202X 01027928 IN Primary

Addresses

Primary practice location

2901 Ohio Blvd
Suite 127
Terre Haute, IN 47803-2239

Mailing address

2901 Ohio Blvd
Suite 127
Terre Haute, IN 47803-2239
Phone (812) 234-8261

Other identifiers 2

IdentifierTypeStateIssuer
000000102940OtherINBC/BS GROUP #
200085210MedicaidIN

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1156204800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1367884800000",
    "number": "1790891745",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2901 OHIO BLVD",
            "address_2": "SUITE 127",
            "city": "TERRE HAUTE",
            "state": "IN",
            "postal_code": "478032239",
            "telephone_number": "812-234-8261",
            "fax_number": "812-234-8262"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2901 OHIO BLVD",
            "address_2": "SUITE 127",
            "city": "TERRE HAUTE",
            "state": "IN",
            "postal_code": "478032239",
            "telephone_number": "812-234-8261",
            "fax_number": "812-234-8262"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "R. VEDALA AND ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-22",
        "last_updated": "2013-05-07",
        "status": "A",
        "authorized_official_last_name": "VEDALA",
        "authorized_official_first_name": "RANGANATH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "812-235-0124",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "IN",
            "license": "01027928",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS GROUP #",
            "identifier": "000000102940",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200085210",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Terre Haute, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2013; 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.