NPIMap

Organization Active NPI

Dr. Padma Ram Medical Services, LLC

  • Internal Medicine Physician
  • Oswego, NY
National Provider Identifier
1902960800
Registry record updated Apr 4, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
DR. PADMA RAM MEDICAL SERVICES, LLC
Practice address
300 State Route 104
Oswego, NY 13126-2956
Phone
(315) 342-0030
Fax
(315) 216-6669
NPI assigned
Dec 22, 2006
Last updated
Apr 4, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 4, 2022

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

Authorized official

Name
Mr. Sunil Ram
Title
Ceo
Phone
(315) 216-6687

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X Primary
Primary Care Clinic/Center 261QP2300X

Addresses

Primary practice location

300 State Route 104
Oswego, NY 13126-2956

Mailing address

300 State Route 104
Oswego, NY 13126-2956
Phone (315) 342-0030

Other identifiers 1

IdentifierTypeStateIssuer
05983591MedicaidNY

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL www.prammd.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040803000406 NY Part B Supplier - Clinic/Group Practice 8325019581 Receives reassigned benefits from 6 practitioners
Practice locations: Oswego, NY

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory

Locations

300 State Route 104
Oswego, NY 13126
Phone (315) 342-0030

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1166745600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1649030400000",
    "number": "1902960800",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 STATE ROUTE 104",
            "city": "OSWEGO",
            "state": "NY",
            "postal_code": "131262956",
            "telephone_number": "315-342-0030",
            "fax_number": "315-342-0258"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 STATE ROUTE 104",
            "city": "OSWEGO",
            "state": "NY",
            "postal_code": "131262956",
            "telephone_number": "315-342-0030",
            "fax_number": "315-216-6669"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. PADMA RAM MEDICAL SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-22",
        "last_updated": "2022-04-04",
        "certification_date": "2022-04-04",
        "status": "A",
        "authorized_official_last_name": "RAM",
        "authorized_official_first_name": "SUNIL",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "315-216-6687",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "05983591",
            "state": "NY"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "www.prammd.com",
            "affiliation": "N",
            "address_1": "300 State Route 104",
            "city": "Oswego",
            "state": "NY",
            "country_code": "US",
            "postal_code": "131262956",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Oswego, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.