NPIMap

Individual provider Active NPI

Ramesh Vedula, MD

  • Radiation Oncology Physician
  • Sierra Vista, AZ
National Provider Identifier
1881630895
Registry record updated Sep 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiation Oncology PhysicianTaxonomy code 2085R0001X
License
RV075689 Issued in MI
Practice address
5151 E Highway 90
Sierra Vista, AZ 85635-2436
Phone
(520) 803-6644
Fax
(520) 459-3193
NPI assigned
Jun 20, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 4, 2024

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 RV075689 MI Primary

Addresses

Primary practice location

5151 E Highway 90
Sierra Vista, AZ 85635-2436

Mailing address

1001 Bellefontaine Ave
Lima, OH 45804-2800
Phone (419) 998-4575

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200903003399 AZ Practitioner - Radiation Oncology 5890862379 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Radiation Oncology
Education
Other, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cochise Oncology LLCGroup PAC ID 2567474083, 6 clinicians

Practice addresses (Care Compare)

5151 E Hwy 90
Sierra Vista, AZ 85635-2436
Phone (520) 803-6644

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
RV075689MIMDRadiation Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Cochise Oncology LLC Radiation Oncology CurrentSince Oct 1, 2020 Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients
Lima Memorial Professional Corporation Family Medicine Past Accepting new patients
Integrated Community Oncology Network LLC Radiation Oncology Past Accepting new patients
Cochise Medical Oncology, LLC Past Accepting new patients

Locations

300 El Camino Real
Sierra Vista, AZ 85635
Phone (520) 417-4594

5151 E Highway 90
Sierra Vista, AZ 85635
Phone (520) 803-6644

Interoperability endpoints

  • Direct secure messaging: ramesh.vedula@2042.securemail.mdnavigatorclinical.com

Organizations & group practices 5

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.

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1150761600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725408000000",
    "number": "1881630895",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1001 BELLEFONTAINE AVE",
            "city": "LIMA",
            "state": "OH",
            "postal_code": "458042800",
            "telephone_number": "419-998-4575",
            "fax_number": "419-998-4586"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5151 E HIGHWAY 90",
            "city": "SIERRA VISTA",
            "state": "AZ",
            "postal_code": "856352436",
            "telephone_number": "520-803-6644",
            "fax_number": "520-459-3193"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VEDULA",
        "first_name": "RAMESH",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-20",
        "last_updated": "2024-09-04",
        "certification_date": "2024-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiation Oncology",
            "state": "MI",
            "license": "RV075689",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sierra Vista, AZ

Sources for this page

Verify at the official NPI Registry.