Individual provider Active NPI

Ramakrishna P. Gollapudi, M.D.

  • Gastroenterology Physician
  • Brentwood, CA
National Provider Identifier
1891880159
Registry record updated Jul 16, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
117810 Issued in CA
Practice address
350 John Muir Pkwy Ste 175
Brentwood, CA 94513-5185
Phone
(925) 756-3400
Fax
(510) 506-7727
NPI assigned
Oct 4, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 16, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X 117810 CA Primary

Addresses

Primary practice location

350 John Muir Pkwy Ste 175
Brentwood, CA 94513-5185

Mailing address

3687 Mt Diablo Blvd
Suite 200
Lafayette, CA 94549-3717

Other practice location 1

4053 Lone Tree Way Ste 201
Antioch, CA 94531-6210
Phone (925) 756-3400

Other practice location 2

4053 Lone Tree Way Ste 200
Antioch, CA 94531-6210
Phone (925) 756-3400

Other identifiers 2

IdentifierTypeStateIssuer
A48964OtherCASTATE MEDICAL LICENSE
E18837OtherCAMEDICARE UPIN

Other names 1

  • Dr. Ram Gollapudi Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20100526000810 CA Practitioner - GastroenterologyPractitioner - Internal Medicine 5890824080 Reassigns benefits to 1 organization
Practice locations: Antioch, CA

Care Compare profile

Medicare Care Compare
Specialty
GastroenterologyAlso: Internal Medicine
Education
Other, 1978
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Sutter Bay Medical FoundationGroup PAC ID 4284538778, 3,783 clinicians

Practice addresses (Care Compare)

3200 Kearney St
Fremont, CA 94538-2299
Phone (510) 490-1222

3901 Lone Tree Way
Antioch, CA 94509-6200
Phone (650) 845-7649

795 El Camino Real
Palo Alto, CA 94301-2302
Phone (415) 600-1020

Hospital & facility affiliations

  • Sutter Delta Medical Center Hospital, Antioch, CA, CCN 050523

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy234
Upper gastrointestinal (GI) endoscopy for acid reflux172

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
117810CAMDGastroenterology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Sutter Bay Medical Foundation CurrentSince Aug 2, 2017 Accepting new patients
Sutter Bay Medical Foundation CurrentSince Aug 2, 2017 Accepting new patients
Bass Medical Group Past Accepting new patients
John Muir Health Past Accepting new patients
Sutter Delta Medical Center Past Accepting new patients

Locations

4053 Lone Tree Way
Ste 201
Antioch, CA 94531
Phone (925) 756-3400

4053 Lone Tree Way
Ste 200
Antioch, CA 94531
Phone (925) 756-3400

350 John Muir Pkwy
Ste 175
Brentwood, CA 94513
Phone (925) 513-2483

3200 Kearney St
Fremont, CA 94538
Phone (510) 498-2800

3687 Mt Diablo Blvd
Ste 200
Lafayette, CA 94549
Phone (510) 204-6660

12 Camino Encinas
Orinda, CA 94563
Phone (510) 204-8180

795 El Camino Real
#1112
Palo Alto, CA 94301

Interoperability endpoints

  • Direct secure messaging: rgollapudi154387@hisp.ehr.sutterhealth.org

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 1

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": "1159920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1563235200000",
    "number": "1891880159",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3687 MT DIABLO BLVD",
            "address_2": "SUITE 200",
            "city": "LAFAYETTE",
            "state": "CA",
            "postal_code": "945493717"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "350 JOHN MUIR PKWY STE 175",
            "city": "BRENTWOOD",
            "state": "CA",
            "postal_code": "945135185",
            "telephone_number": "925-756-3400",
            "fax_number": "510-506-7727"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4053 Lone Tree Way Ste 201",
            "address_purpose": "LOCATION",
            "city": "Antioch",
            "state": "CA",
            "postal_code": "945316210",
            "country_code": "US",
            "telephone_number": "925-756-3400",
            "fax_number": "510-506-7727",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4053 Lone Tree Way Ste 200",
            "address_purpose": "LOCATION",
            "city": "Antioch",
            "state": "CA",
            "postal_code": "945316210",
            "country_code": "US",
            "telephone_number": "925-756-3400",
            "fax_number": "510-506-7727",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GOLLAPUDI",
        "first_name": "RAMAKRISHNA",
        "middle_name": "P.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-04",
        "last_updated": "2019-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "CA",
            "license": "117810",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE MEDICAL LICENSE",
            "identifier": "A48964",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE UPIN",
            "identifier": "E18837",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "RAM",
            "last_name": "GOLLAPUDI",
            "prefix": "DR.",
            "credential": "M.D.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Brentwood, CA

Sources for this page

Verify at the official NPI Registry.