Individual provider Active NPI

Rame D Iberdemaj, MD

  • Surgery Physician
  • Madera, CA
National Provider Identifier
1922294453
Registry record updated Sep 13, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
A112001 Issued in CA
Practice address
1000 E Almond Ave
102
Madera, CA 93637-5693
Phone
(559) 673-5657
Fax
(559) 549-9736
NPI assigned
Sep 18, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 13, 2013

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Legal Medicine 173000000X 244781 NY
Surgery Physician 208600000X 37724 AZ
Surgery Physician 208600000X A112001 CA Primary

Addresses

Primary practice location

1000 E Almond Ave
102
Madera, CA 93637-5693

Mailing address

1000 E Almond Ave
102
Madera, CA 93637-5693
Phone (559) 673-5657

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
I20130607000666 CA Practitioner - General Surgery 2062501893 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
Other, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1000 E Almond Ave
Madera, CA 93637-5693

Hospital & facility affiliations

  • Coastline Hospice, Inc Hospice, Sun Valley, Ca, CA, CCN B51673
  • Adventist Health Hanford Hospital, Hanford, CA, CCN 050121
  • Saint Agnes Medical Center Hospital, Fresno, CA, CCN 050093
  • Madera Community Hospital Hospital, Madera, CA, CCN 050856

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy1-10
Hernia repair - groin (open)1-10
Hernia repair (minimally invasive)1-10
Upper gastrointestinal (GI) endoscopy for acid reflux1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
112001CAMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Camarena Health Current Accepting new patients
Camarena Health CurrentSince Apr 1, 2022 Accepting new patients
Camarena Health CurrentSince Apr 1, 2022 Accepting new patients
United California Surgical Forum Inc. Surgery CurrentSince Feb 16, 2013 Accepting new patients
Steven K. Mangar, M.D., a Medical Corporation Past Accepting new patients
VHS of Arrowhead, Inc. Past Accepting new patients
Rome Memorial Hospital, Inc. Past Accepting new patients

Locations

2940 Fresno St
Fresno, CA 93721
Phone (559) 673-5657

344 E 6th St
Madera, CA 93638
Phone (559) 664-4158

1000 E Almond Ave
Madera, CA 93637
Phone (559) 673-5657

1000 E Almond Ave
#102
Madera, CA 93637
Phone (559) 673-5657

1000 E Almond Ave
#3A
Madera, CA 93637
Phone (559) 673-5657

1000 E Almond Ave
Ste 101
Madera, CA 93637
Phone (559) 673-5657

49169 Road 426
Oakhurst, CA 93644
Phone (559) 642-6724

Organizations & group practices 7

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 4

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": "1190073600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1379030400000",
    "number": "1922294453",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 E ALMOND AVE",
            "address_2": "102",
            "city": "MADERA",
            "state": "CA",
            "postal_code": "936375693",
            "telephone_number": "559-673-5657",
            "fax_number": "559-549-9736"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 E ALMOND AVE",
            "address_2": "102",
            "city": "MADERA",
            "state": "CA",
            "postal_code": "936375693",
            "telephone_number": "559-673-5657",
            "fax_number": "559-549-9736"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IBERDEMAJ",
        "first_name": "RAME",
        "middle_name": "D",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-09-18",
        "last_updated": "2013-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "173000000X",
            "taxonomy_group": "",
            "desc": "Legal Medicine",
            "state": "NY",
            "license": "244781",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "AZ",
            "license": "37724",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "CA",
            "license": "A112001",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Madera, CA

Sources for this page

Verify at the official NPI Registry.