NPIMap

Individual provider Active NPI

Ratnakanth Mohanrao Siddabattula, MD

  • Internal Medicine Physician
  • Gettysburg, PA
National Provider Identifier
1942468152
Registry record updated Jun 29, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
MD469384 Issued in PA
Practice address
16 E Hanover St Apt 21
Gettysburg, PA 17325-7752
Phone
(717) 420-2631
Fax
(717) 420-2885
NPI assigned
May 26, 2008
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 29, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X AP22784397762 MD
Internal Medicine Physician 207R00000X MD469384 PA Primary

Addresses

Primary practice location

16 E Hanover St Apt 21
Gettysburg, PA 17325-7752

Mailing address

13504 Attleboro CT
Apt # 21
Laurel, MD 20708-1557
Phone (917) 622-5441

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, MD, PA3 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20131211001238 DC Practitioner - Family Practice 8820225188 Reassigns benefits to 1 organization
I20140130000122 MD Practitioner - Internal MedicinePractitioner - Hospitalist 8820225188 Reassigns benefits to 1 organization
I20210625001162 PA Practitioner - Internal Medicine 8820225188 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Health Care Center LLCGroup PAC ID 6103227327, 2 clinicians

Practice addresses (Care Compare)

16 E Hanover St
Gettysburg, PA 17325-7752
Phone (717) 420-2631

200 Memorial Ave
Westminster, MD 21157-5726
Phone (410) 871-6700

5255 Loughboro Rd NW
Washington, DC 20016-2633
Phone (301) 623-4352

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
81.6 of 100Reported as group
Quality
76.36
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
AP22784397762MDMDInternal Medicine Physician
MD469384PAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Emergency Medicine Associates P.a., P.C. Internal Medicine CurrentSince May 16, 2019 Accepting new patients
Medstar Union Memorial Physicians LLC Current Accepting new patients
Emergency Medicine Associates P.a., P.C. CurrentSince May 16, 2019 Accepting new patients
Health Care Center LLC CurrentSince Aug 1, 2021 Accepting new patients
Meade, Reyes & Nayak, P.a. Past Accepting new patients
Carroll Hospital Center, Inc. Past Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

5255 Loughboro Rd NW
Washington, DC 20016
Phone (202) 243-2280

201 E University Pkwy
Baltimore, MD 21218
Phone (410) 554-2651

5 Garrett Ave
La Plata, MD 20646
Phone (301) 609-4000

9000 Franklin Square Dr
Rosedale, MD 21237
Phone (410) 682-7000

200 Memorial Ave
Westminster, MD 21157
Phone (410) 848-3000

16 E Hanover St
Gettysburg, PA 17325
Phone (717) 420-2631

16 E Hanover St
Apt 21
Gettysburg, PA 17325
Phone (717) 420-2631

1701 N George Mason Dr
Arlington, VA 22205
Phone (703) 558-5000

100 Fairview Dr
Franklin, VA 23851
Phone (757) 516-1153

Interoperability endpoints

  • Direct secure messaging: rsiddabattula288321@wellspan.direct-ci.com

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 11

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": "1211760000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1624924800000",
    "number": "1942468152",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13504 ATTLEBORO CT",
            "address_2": "APT # 21",
            "city": "LAUREL",
            "state": "MD",
            "postal_code": "207081557",
            "telephone_number": "917-622-5441"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16 E HANOVER ST APT 21",
            "city": "GETTYSBURG",
            "state": "PA",
            "postal_code": "173257752",
            "telephone_number": "717-420-2631",
            "fax_number": "717-420-2885"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIDDABATTULA",
        "first_name": "RATNAKANTH",
        "middle_name": "MOHANRAO",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-05-26",
        "last_updated": "2021-06-29",
        "certification_date": "2021-06-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MD",
            "license": "AP22784397762",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PA",
            "license": "MD469384",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gettysburg, PA

Sources for this page

Verify at the official NPI Registry.