Individual provider Active NPI

Ramu Patakoti, MD

  • Nephrology Physician
  • Naples, FL
National Provider Identifier
1942484902
Registry record updated May 27, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
ME136272 Issued in FL
Practice address
1213 Piper Blvd Ste 101
Naples, FL 34110-1393
Phone
(312) 363-8237
NPI assigned
Dec 26, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 27, 2022

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 125-049838 IL
Nephrology Physician 207RN0300X MD60016636 WA
Nephrology Physician 207RN0300X ME136272 FL Primary

Addresses

Primary practice location

1213 Piper Blvd Ste 101
Naples, FL 34110-1393

Mailing address

2338 Immokalee Rd Ste 408
Naples, FL 34110-1445
Phone (312) 363-8237

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address rpatakoti218818@wm.providencedirect.org Direct
Direct Messaging Address rpatakoti218818@wm.providencedirect.org Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20180911001745 FL Practitioner - Nephrology 3678646247 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nephrology
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

6101 Pine Ridge Rd
Naples, FL 34119-3900
Phone (312) 363-8237

Hospital & facility affiliations

  • Ara - Naples Dialysis Center LLC Dialysis facility, Naples, FL, CCN 102844
  • DaVita Naples Renal Center Dialysis facility, Naples, FL, CCN 102809
  • USRC Mustang Dialysis facility, Naples, FL, CCN 682729
  • Physicians Regional Medical Center - Pine Ridge Hospital, Naples, FL, CCN 100286
  • Naples Community Hospital Hospital, Naples, FL, CCN 100018

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
125-049838ILMDInternal Medicine Physician
ME136272FLMDNephrology Physician
MD60016636WAMDNephrology Physician

Practice roles (2 of 4)

OrganizationSpecialtyStatusNew patients
Naples Renal Care LLC Nephrology CurrentSince Mar 21, 2022 Accepting new patients
Inland Empire Hospital Services Association Past Accepting new patients

Locations

1213 Piper Blvd
Ste 101
Naples, FL 34110
Phone (239) 254-0099

2338 Immokalee Rd
Naples, FL 34110
Phone (239) 330-2933

6101 Pine Ridge Rd
Naples, FL 34119
Phone (239) 348-4000

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Interoperability endpoints

  • Direct secure messaging: rpatakoti218818@wm.providencedirect.org

Organizations & group practices 2

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 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": "1198627200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1653609600000",
    "number": "1942484902",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2338 IMMOKALEE RD STE 408",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341101445",
            "telephone_number": "312-363-8237"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1213 PIPER BLVD STE 101",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341101393",
            "telephone_number": "312-363-8237"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATAKOTI",
        "first_name": "RAMU",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-12-26",
        "last_updated": "2022-05-27",
        "certification_date": "2022-05-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "125-049838",
            "primary": false
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "WA",
            "license": "MD60016636",
            "primary": false
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "FL",
            "license": "ME136272",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "rpatakoti218818@wm.providencedirect.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "5633 N Lidgerwood St",
            "city": "Spokane",
            "state": "WA",
            "country_code": "US",
            "postal_code": "992081224",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "rpatakoti218818@wm.providencedirect.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "101 W 8th Ave Fl 9",
            "city": "Spokane",
            "state": "WA",
            "country_code": "US",
            "postal_code": "992042307",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Naples, FL

Sources for this page

Verify at the official NPI Registry.