Individual provider Active NPI

Rama LR Nandipati, M.D

  • Pulmonary Disease Physician
  • Merced, CA
National Provider Identifier
1962583096
Registry record updated Jan 19, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
A46021 Issued in CA
Practice address
450 E Yosemite Ave Ste a
Merced, CA 95340-8429
Phone
(209) 725-1112
Fax
(209) 725-1117
NPI assigned
Oct 17, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 19, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pulmonary Disease Physician 207RP1001X A46021 CA Primary

Addresses

Primary practice location

450 E Yosemite Ave Ste a
Merced, CA 95340-8429

Mailing address

450 E Yosemite Ave
Suite a
Merced, CA 95340-8429
Phone (209) 725-1112

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
I20070611000367 CA Practitioner - Pulmonary DiseasePractitioner - Internal MedicinePractitioner - Critical Care (Intensivists)Practitioner - Sleep Medicine 7113923525 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A46021CAMDPulmonary Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Provident Primary Care Inc Pulmonary Disease CurrentSince Jul 10, 2021 Accepting new patients
Merced Pulmonary Medical Assoc. Pulmonary Disease PastSince Jun 1, 2006 Accepting new patients

Locations

410 E Yosemite Ave
Ste A
Merced, CA 95340
Phone (209) 384-9108

450 E Yosemite Ave
Ste A
Merced, CA 95340
Phone (209) 723-4885

3349 G St
Ste C
Merced, CA 95340
Phone (209) 384-4400

Interoperability endpoints

  • Direct secure messaging: ramanandipati@mcpmedicalofc.directglo.com

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.

NPI Registry JSON

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

{
    "created_epoch": "1161043200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1421625600000",
    "number": "1962583096",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "450 E YOSEMITE AVE",
            "address_2": "SUITE A",
            "city": "MERCED",
            "state": "CA",
            "postal_code": "953408429",
            "telephone_number": "209-725-1112",
            "fax_number": "209-725-1117"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "450 E YOSEMITE AVE STE A",
            "city": "MERCED",
            "state": "CA",
            "postal_code": "953408429",
            "telephone_number": "209-725-1112",
            "fax_number": "209-725-1117"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NANDIPATI",
        "first_name": "RAMA",
        "middle_name": "LR",
        "credential": "M.D",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-17",
        "last_updated": "2015-01-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "CA",
            "license": "A46021",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Merced, CA

Sources for this page

Verify at the official NPI Registry.