Individual provider Active NPI

Ramakumar Venkata Rayasam, M.D.,

  • Plastic Surgery within the Head & Neck (Otolaryngology) Physician
  • Phillipsburg, NJ
National Provider Identifier
1922097666
Registry record updated Aug 8, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic Surgery within the Head & Neck (Otolaryngology) PhysicianTaxonomy code 207YX0007X
License
MA03805100 Issued in NJ
Practice address
207 S 2ND St
Morris Park
Phillipsburg, NJ 08865-1807
Phone
(908) 454-2279
NPI assigned
Oct 16, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 8, 2012

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic Surgery within the Head & Neck (Otolaryngology) Physician 207YX0007X MA03805100 NJ Primary
Otolaryngic Allergy Physician 207YX0602X MA03805100 NJ

Addresses

Primary practice location

207 S 2ND St
Morris Park
Phillipsburg, NJ 08865-1807

Mailing address

207 S 2ND St
Morris Park
Phillipsburg, NJ 08865-1807
Phone (908) 454-2279

Other names 1

  • Dr. Ramakumar V Rayasam Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
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
I20100608000666 NJ Practitioner - OtolaryngologyPractitioner - Allergy/Immunology 0648300244 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
OtolaryngologyAlso: Allergy/Immunology
Education
Other, 1975
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

207 S 2ND St
Morris Park
Phillipsburg, NJ 08865-1807
Phone (908) 454-2279

Hospital & facility affiliations

  • St Luke'S Warren Hospital Hospital, Phillipsburg, NJ, CCN 310060

Merit-based Incentive Payment System (MIPS)

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

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MA03805100NJMDPlastic Surgery within the Head & Neck (Otolaryngology) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ram V.Rayasam.M.D.P.a CurrentSince Jan 1, 1989 Accepting new patients

Locations

207 S 2nd St
Phillipsburg, NJ 08865
Phone (908) 454-2279

Organizations & group practices 1

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": "1129420800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1344384000000",
    "number": "1922097666",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "207 S 2ND ST",
            "address_2": "MORRIS PARK",
            "city": "PHILLIPSBURG",
            "state": "NJ",
            "postal_code": "088651807",
            "telephone_number": "908-454-2279"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "207 S 2ND ST",
            "address_2": "MORRIS PARK",
            "city": "PHILLIPSBURG",
            "state": "NJ",
            "postal_code": "088651807",
            "telephone_number": "908-454-2279"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAYASAM",
        "first_name": "RAMAKUMAR",
        "middle_name": "VENKATA",
        "name_prefix": "Dr.",
        "credential": "M.D.,",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-10-16",
        "last_updated": "2012-08-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207YX0007X",
            "taxonomy_group": "",
            "desc": "Otolaryngology, Plastic Surgery within the Head & Neck",
            "state": "NJ",
            "license": "MA03805100",
            "primary": true
        },
        {
            "code": "207YX0602X",
            "taxonomy_group": "",
            "desc": "Otolaryngology, Otolaryngic Allergy",
            "state": "NJ",
            "license": "MA03805100",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "RAMAKUMAR",
            "last_name": "RAYASAM",
            "middle_name": "V",
            "prefix": "DR.",
            "credential": "M.D.,",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Phillipsburg, NJ

Sources for this page

Verify at the official NPI Registry.