Individual provider Active NPI

Surianarayanan Rammohan, MD

  • Vascular Surgery Physician
  • Amherst, NY
National Provider Identifier
1861549545
Registry record updated Jan 9, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular Surgery PhysicianTaxonomy code 2086S0129X
License
002732 Issued in NY
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

Updated by the provider on Jan 9, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
000528993001OtherNYBLUE CROSS WNY
1714163OtherNYINDEPENDENT HEALTH
00027895501OtherNYUNIVERA HEALTHCARE
02848497MedicaidNY

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
002732NYMDVascular Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Northtowns Medical Group, P.C. PastSince Aug 11, 1994 Accepting new patients
Sadashiv S Shenoy MD PLLC PastSince Jul 1, 2009 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.

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.

Verify at the official NPI Registry.