Ajjampur Ramachandrarao Vidyaranya, M.D.

Primary specialty

Nephrology PhysicianTaxonomy code 207RN0300X

License

37248 Issued in WI

Practice address

2901 W Kinnickinnic River Pkwy Ste 413
Milwaukee, WI 53215-3660

Phone

(414) 383-7744

Fax

(414) 383-8090

NPI assigned

Feb 13, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Vidyaranya R Ajjampore Other name

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in WI

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

Specialty

Nephrology

Education

Other, 1981

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Aurora Medical Group, Inc.Group PAC ID 6709794258, 3,764 clinicians

Milwaukee Nephrologists SCGroup PAC ID 4385538446, 21 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• DaVita Loomis Road Dialysis Dialysis facility, Greenfield, WI, CCN 522507
• Aurora St Lukes Medical Center Hospital, Milwaukee, WI, CCN 520138
• Ascension SE Wisconsin Hospital Hospital, Milwaukee, WI, CCN 520136
• Aurora Medical Center Hospital, Grafton, WI, CCN 520207

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: avidyaranya43425@direct.davitaphysiciansolutions.com
• FHIR API: https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.140.71975

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.

• Aurora Medical Group, Inc.

  • Certified Registered Nurse Anesthetist
  • Milwaukee, WI
  • NPI 1427271378
  Medicare reassignment Care Compare group NPD
• Milwaukee Nephrologists, S.C.

  • Nephrology Physician
  • Milwaukee, WI
  • NPI 1982763405
  Medicare reassignment Care Compare group NPD
• Aurora Medical Group, Inc.

  • Durable Medical Equipment & Medical Supplies
  • Oshkosh, WI
  • NPI 1326858044
  NPD
• Garfield Dialysis Venture LLC

  • Clinic/Center
  • Milwaukee, WI
  • NPI 1043491194
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Dva Renal Healthcare Inc

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Greenfield, WI
  • NPI 1720042559

  Dialysis facility

  Care Compare affiliation Name & address match
• Ascension SE Wisconsin Hospital, Inc

  • General Acute Care Hospital
  • Milwaukee, WI
  • NPI 1427007384
  Care Compare affiliation
• Ascension SE Wisconsin Hospital, Inc

  • Rehabilitation Hospital Unit
  • Brookfield, WI
  • NPI 1861417362
  Care Compare affiliation
• Aurora Health Care Metro, Inc.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Cudahy, WI
  • NPI 1235355983

  Hospital

  Care Compare affiliation
• Aurora Health Care Metro, Inc.

  • General Acute Care Hospital
  • Milwaukee, WI
  • NPI 1861447179
  Care Compare affiliation
• Aurora Medical Center Grafton, LLC

  • General Acute Care Hospital
  • Grafton, WI
  • NPI 1265740195
  Care Compare affiliation

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

{
    "created_epoch": "1139788800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1646006400000",
    "number": "1952375552",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2514 S 102ND ST",
            "address_2": "SUITE 120",
            "city": "WEST ALLIS",
            "state": "WI",
            "postal_code": "532272142",
            "telephone_number": "414-777-5200",
            "fax_number": "414-777-5210"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2901 W KINNICKINNIC RIVER PKWY STE 413",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532153660",
            "telephone_number": "414-383-7744",
            "fax_number": "414-383-8090"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VIDYARANYA",
        "first_name": "AJJAMPUR",
        "middle_name": "RAMACHANDRARAO",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-13",
        "last_updated": "2022-02-28",
        "certification_date": "2022-02-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "WI",
            "license": "37248",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "32436900",
            "state": "WI"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ajjampur.vidyaranya@milwaukeenephrologists.directbygreenway.com",
            "affiliation": "N",
            "address_1": "2901 W Kinnickinnic River Pkwy Ste 413",
            "city": "Milwaukee",
            "state": "WI",
            "country_code": "US",
            "postal_code": "532153660",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "VIDYARANYA",
            "last_name": "AJJAMPORE",
            "middle_name": "R",
            "credential": "MD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Ana Vidic, APRN
• Stephen Vidmar, RN
• Alessandro Vidoni
• Jennifer Jeannine Vidonish, CNP
• Stefan Vidovich
• Alexandria Grace Vieth, SAC-IT
• Karly Vigani
• Donald Joseph Viglia
• Sydney Avalon Vignali
• Kalluru Vijayabhanu, MD

• Nephrology Physician in Milwaukee, WI
• Providers in Milwaukee, WI by specialty
• Nephrology Physician in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.