Active NPI
Ramakrishna P. Gollapudi, M.D.
- Gastroenterology Physician
- Brentwood, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gastroenterology Physician
- License
- 117810
- 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
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 |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| A48964 | Other | CA | STATE MEDICAL LICENSE |
| E18837 | Other | CA | MEDICARE UPIN |
Other names 1
- Dr. Ram Gollapudi
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Gastroenterology
- Education
- Other, 1978
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
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
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Colonoscopy | 234 |
| Upper gastrointestinal (GI) endoscopy for acid reflux | 172 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 117810 | CA | MD | Gastroenterology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sutter Bay Medical Foundation | Current | Accepting new patients | |
| Sutter Bay Medical Foundation | Current | 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
- 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.
-
- Multi-Specialty Clinic/Center
- Palo Alto, CA
- NPI 1013950807
-
- Clinical Medical Laboratory
- Santa Clara, CA
- NPI 1669287033
-
- Specialist
- Walnut Creek, CA
- NPI 1154401941
-
- General Acute Care Hospital
- Concord, CA
- NPI 1801821376
-
- General Acute Care Hospital
- Antioch, CA
- NPI 1124135132
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Antioch, CA
- NPI 1467808659
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.