Active NPI
Surianarayanan Rammohan, MD
- Vascular Surgery Physician
- Amherst, NY
National Provider Identifier
1861549545
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Vascular Surgery Physician
- License
- 002732
- Practice address
- 50 Alcona Ave
Amherst, NY 14226-2201 - Phone
- (716) 834-1193
- Fax
- (716) 834-1382
- NPI assigned
- Jan 4, 2007
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Vascular Surgery Physician | 2086S0129X | 002732 | NY | Primary |
Addresses
Primary practice location
50 Alcona Ave
Amherst, NY 14226-2201
Mailing address
2949 Elmwood Ave
Suite 201
Kenmore, NY 14217-1356
Phone (716) 877-0053
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000528993001 | Other | NY | BLUE CROSS WNY |
| 1714163 | Other | NY | INDEPENDENT HEALTH |
| 00027895501 | Other | NY | UNIVERA HEALTHCARE |
| 02848497 | Medicaid | NY |
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 |
|---|---|---|---|
| 002732 | NY | MD | Vascular Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Northtowns Medical Group, P.C. | Past | Accepting new patients | |
| Sadashiv S Shenoy MD PLLC | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Internal Medicine Physician
- Buffalo, NY
- NPI 1407818289
-
- Vascular & Interventional Radiology Physician
- Kenmore, NY
- NPI 1316181936
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167868800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1231459200000",
"number": "1861549545",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2949 ELMWOOD AVE",
"address_2": "SUITE 201",
"city": "KENMORE",
"state": "NY",
"postal_code": "142171356",
"telephone_number": "716-877-0053",
"fax_number": "716-877-1767"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "50 ALCONA AVE",
"city": "AMHERST",
"state": "NY",
"postal_code": "142262201",
"telephone_number": "716-834-1193",
"fax_number": "716-834-1382"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RAMMOHAN",
"first_name": "SURIANARAYANAN",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-01-04",
"last_updated": "2009-01-09",
"status": "A"
},
"taxonomies": [
{
"code": "2086S0129X",
"taxonomy_group": "",
"desc": "Surgery, Vascular Surgery",
"state": "NY",
"license": "002732",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS WNY",
"identifier": "000528993001",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "INDEPENDENT HEALTH",
"identifier": "1714163",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNIVERA HEALTHCARE",
"identifier": "00027895501",
"state": "NY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "02848497",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Amherst, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.