Active NPI
Ramesh Kadekoppal Rao, MD
- Radiation Oncology Physician
- Harrogate, TN
National Provider Identifier
1831164862
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Radiation Oncology Physician
- License
- MD21418
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3065611 | Medicaid | TN | |
| TN0155 | Other | TN | JOHN DEERE/UHC |
| 5618128 | Other | TN | AETNA |
| 7323916 | Other | TN | CIGNA |
| 3706129 | Medicaid | TN | |
| 4152612 | Other | TN | BCBS |
| 30656101 | Medicaid | TN |
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 |
|---|---|---|---|
| MD21418 | TN | MD | Radiation Oncology Physician |
Practice roles
| Organization | Specialty | Status | New 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.
-
- Radiation Oncology Physician
- Johnson City, TN
- NPI 1184799207
-
- Specialist
- Knoxville, TN
- NPI 1457574345
-
- Primary Care Clinic/Center
- Knoxville, TN
- NPI 1558563262
-
- Radiation Oncology Physician
- Morristown, TN
- NPI 1811914328
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.