Individual provider Active NPI

Rajaratnam Pathmarajah, MD

  • Internal Medicine Physician
  • Middletown, OH
National Provider Identifier
1891882346
Registry record updated Apr 19, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
35-087707 Issued in OH
Practice address
6730 Roosevelt Ave Ste 303
Middletown, OH 45005-0017
Phone
(513) 874-0486
Fax
(513) 280-8868
NPI assigned
Oct 6, 2006
Last updated
Apr 19, 2017By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 19, 2017

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 35-087707 OH Primary
Adolescent Medicine (Internal Medicine) Physician 207RA0000X 35.087707 OH
Hospitalist Physician 208M00000X 35-087707 OH

Addresses

Primary practice location

6730 Roosevelt Ave Ste 303
Middletown, OH 45005-0017

Mailing address

PO Box 229
Miamisburg, OH 45343-0229
Phone (513) 874-0486

Other identifiers 6

IdentifierTypeStateIssuer
000000519937OtherBCBS FAIRFIELD HOS
2700545MedicaidOH
7100198040MedicaidKY
P01013479OtherOHRR MEDICARE
317497OtherAMERIGROUP
201035790MedicaidIN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20061023000327 OH Practitioner - Internal Medicine 1850398504 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Medicine Inpatient Group LLCGroup PAC ID 3577645340, 39 clinicians

Practice addresses (Care Compare)

630 Eaton Ave
Hamilton, OH 45013-2767
Phone (513) 867-2000

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
74.14 of 100Reported as individual
Quality
83.98
Improvement activities
0
Cost
76.51

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35-087707OHMDInternal Medicine Physician
35.087707OHMDAdolescent Medicine (Internal Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Medicine Inpatient Group, LLC Internal Medicine CurrentSince Aug 1, 2011 Accepting new patients
The Fort Hamilton Hospital Past Accepting new patients
Fairfield Hospitalists Inc Internal Medicine Past Accepting new patients
A2 Healthcare Internal Medicine Past Accepting new patients

Locations

2446 Kipling Ave
Cincinnati, OH 45239
Phone (513) 583-8500

630 Eaton Ave
Hamilton, OH 45013
Phone (513) 867-2000

6730 Roosevelt Ave
Ste 303
Middletown, OH 45005
Phone (513) 618-7430

10500 Montgomery Rd
Montgomery, OH 45242
Phone (513) 557-3206

Organizations & group practices 4

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 5

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": "1160092800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1492560000000",
    "number": "1891882346",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 229",
            "city": "MIAMISBURG",
            "state": "OH",
            "postal_code": "453430229",
            "telephone_number": "513-874-0486",
            "fax_number": "513-280-8868"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6730 ROOSEVELT AVE STE 303",
            "city": "MIDDLETOWN",
            "state": "OH",
            "postal_code": "450050017",
            "telephone_number": "513-874-0486",
            "fax_number": "513-280-8868"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATHMARAJAH",
        "first_name": "RAJARATNAM",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-06",
        "last_updated": "2017-04-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OH",
            "license": "35-087707",
            "primary": true
        },
        {
            "code": "207RA0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Adolescent Medicine",
            "state": "OH",
            "license": "35.087707",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "OH",
            "license": "35-087707",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS FAIRFIELD HOS",
            "identifier": "000000519937",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2700545",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100198040",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "P01013479",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIGROUP",
            "identifier": "317497",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "201035790",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Middletown, OH

Sources for this page

Verify at the official NPI Registry.