Individual provider Active NPI

Ramesh Kadekoppal Rao, MD

  • Radiation Oncology Physician
  • Harrogate, TN
National Provider Identifier
1831164862
Registry record updated Apr 20, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiation Oncology PhysicianTaxonomy code 2085R0001X
License
MD21418 Issued in TN
Practice address
389 Forge Ridge Road
Harrogate, TN 37752
Phone
(423) 869-0725
Fax
(423) 869-9275
NPI assigned
Feb 22, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Radiation Oncology Physician 2085R0001X MD21418 TN Primary

Addresses

Primary practice location

389 Forge Ridge Road
Harrogate, TN 37752

Mailing address

PO Box 1788
Knoxville, TN 37901-1788
Phone (865) 549-4892

Other identifiers 7

IdentifierTypeStateIssuer
3065611MedicaidTN
TN0155OtherTNJOHN DEERE/UHC
5618128OtherTNAETNA
7323916OtherTNCIGNA
3706129MedicaidTN
4152612OtherTNBCBS
30656101MedicaidTN

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

LicenseStateTypeSpecialty
MD21418TNMDRadiation Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Volunteer Radiation Oncology Group PC Radiation Oncology Past Accepting new patients
Health Ventures, Inc Past Accepting new patients
East Tennessee Women'S Care, PC Past Accepting new patients
Appalachian Radiation Oncology Associates, P. C. Radiation Oncology Past Accepting new patients

Organizations & group practices 4

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": "1140566400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1208649600000",
    "number": "1831164862",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1788",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379011788",
            "telephone_number": "865-549-4892",
            "fax_number": "865-549-2762"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "389 FORGE RIDGE ROAD",
            "city": "HARROGATE",
            "state": "TN",
            "postal_code": "37752",
            "telephone_number": "423-869-0725",
            "fax_number": "423-869-9275"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAO",
        "first_name": "RAMESH",
        "middle_name": "KADEKOPPAL",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-22",
        "last_updated": "2008-04-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiation Oncology",
            "state": "TN",
            "license": "MD21418",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3065611",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "JOHN DEERE/UHC",
            "identifier": "TN0155",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "5618128",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "7323916",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3706129",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "4152612",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "30656101",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Harrogate, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2008; 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.