Individual provider Active NPI

Vinny Ram, MD

  • Interventional Cardiology Physician
  • Peoria, AZ
National Provider Identifier
1881895159
Registry record updated Feb 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Cardiology PhysicianTaxonomy code 207RI0011X
License
43035 Issued in AZ
Practice address
13460 N 94TH Dr Ste J1
Peoria, AZ 85381-4246
Phone
(623) 876-8816
Fax
(623) 298-0168
NPI assigned
May 31, 2007
Last updated
Feb 1, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 1, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 43035 AZ
Cardiovascular Disease Physician 207RC0000X 43035 AZ
Interventional Cardiology Physician 207RI0011X 43035 AZ Primary

Addresses

Primary practice location

13460 N 94TH Dr Ste J1
Peoria, AZ 85381-4246

Mailing address

13460 N 94TH Dr Ste J1
Peoria, AZ 85381-4246
Phone (623) 876-8816

Other identifiers 2

IdentifierTypeStateIssuer
43035OtherAZSTATE LICENSE
520478MedicaidAZ

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100726000806 AZ Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Nuclear MedicinePractitioner - Internal MedicinePractitioner - Interventional CardiologyPractitioner - Other (Physician) 5193858298 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)Also: Interventional Cardiology
Education
State University of New York Downstate Medical Center, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Joseph a Caplan MD PCGroup PAC ID 5890687842, 30 clinicians

Practice addresses (Care Compare)

13460 N 94TH Dr
Suite J1
Peoria, AZ 85381-4246
Phone (623) 876-8816

14420 W Meeker Blvd
Suite 305
Sun City West, AZ 85375-5289
Phone (623) 876-8816

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
99.15 of 100Reported as group
Promoting interoperability
99
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary angioplasty and stenting31
Pacemaker insertion or repair14
Varicose vein removal11
Leg revascularization (restoring blood flow)1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
43035AZMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Hospital Development of West Phoenix Inc Cardiovascular Disease CurrentSince Mar 14, 2017 Accepting new patients
Phoenix Heart, PLLC CurrentSince Feb 15, 2015 Accepting new patients
Joseph a Caplan MD PC Cardiovascular Disease CurrentSince Feb 1, 2024 Accepting new patients
Phoenix Heart, PLLC Cardiovascular Disease CurrentSince Feb 15, 2015 Accepting new patients
Northern Arizona Healthcare Corporation Past Accepting new patients
Arizona Diagnostic Pathology Associates PLLC PastSince Oct 27, 2024 Accepting new patients

Locations

13055 W McDowell Rd
Ste E101
Avondale, AZ 85392
Phone (480) 515-0900

19251 E Oasis Dr
Black Cyn Cty, AZ 85324
Phone (602) 298-7777

525 S Watson Rd
Ste 205
Buckeye, AZ 85326
Phone (623) 322-0323

5555 W Thunderbird Rd
Glendale, AZ 85306
Phone (602) 588-5555

5651 W Talavi Blvd
Ste 160
Glendale, AZ 85306

5859 W Talavi Blvd
Ste 100
Glendale, AZ 85306
Phone (602) 298-7777

13677 W McDowell Rd
Goodyear, AZ 85395
Phone (623) 536-4200

140 N Litchfield Rd
Ste 104
Goodyear, AZ 85338
Phone (480) 478-0444

13128 N 94th Dr
Ste 100
Peoria, AZ 85381
Phone (623) 259-5900

13460 N 94th Dr
Ste J1
Peoria, AZ 85381

41818 N Venture Dr
Ste 110
Phoenix, AZ 85086
Phone (602) 298-7777

9520 W Palm Ln
Ste 150
Phoenix, AZ 85037
Phone (602) 584-5444

14420 W Meeker Blvd
Ste 305
Sun City West, AZ 85375
Phone (480) 772-9049

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/24502/brand/1/csg/1/fhir/r4

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 4

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": "1180569600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706745600000",
    "number": "1881895159",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13460 N 94TH DR STE J1",
            "city": "PEORIA",
            "state": "AZ",
            "postal_code": "853814246",
            "telephone_number": "623-876-8816",
            "fax_number": "623-298-0168"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13460 N 94TH DR STE J1",
            "city": "PEORIA",
            "state": "AZ",
            "postal_code": "853814246",
            "telephone_number": "623-876-8816",
            "fax_number": "623-298-0168"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAM",
        "first_name": "VINNY",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-31",
        "last_updated": "2024-02-01",
        "certification_date": "2021-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "AZ",
            "license": "43035",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "AZ",
            "license": "43035",
            "primary": false
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "AZ",
            "license": "43035",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "43035",
            "state": "AZ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "520478",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Peoria, AZ

Sources for this page

Verify at the official NPI Registry.