Radhika Shehani Ratnabalasuriar, M.D.

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

License

62165 Issued in MN

Practice address

12605 E 16TH Ave
Aurora, CO 80045-2545

Phone

(720) 848-0000

NPI assigned

Jun 8, 2012

Last updated

Aug 23, 2022By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Other identifiers 2

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in CO

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

Emergency Medicine

Education

University of Arizona College of Medicine, 2012

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Kremmling Memorial Hospital DistrictGroup PAC ID 7517871544, 37 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Middle Park Medical Center Hospital, Kremmling, CO, CCN 061318

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Kremmling Memorial Hospital District

  dba dba Middle Park Medical Center

  • Critical Access Hospital
  • Kremmling, CO
  • NPI 1619962321
  Medicare reassignment Care Compare group NPD
• Brighton Community Emergency Physicians Lpa

  • Emergency Medicine Physician
  • Brighton, CO
  • NPI 1639454242
  Medicare reassignment NPD
• Colorado Permanente Medical Group, P.C.

  dba CPMG

  • Internal Medicine Physician
  • Denver, CO
  • NPI 1760599724

  Emergency Medicine

  Medicare reassignment NPD
• Kremmling Memorial Hospital District

  dba Middle Park Medical Center - Fraser

  • Critical Access Hospital
  • Fraser, CO
  • NPI 1093546996
  NPD

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

• Kremmling Memorial Hospital District

  dba Middle Park Medical Center - Fraser

  • Critical Access Hospital
  • Fraser, CO
  • NPI 1093546996
  Care Compare affiliation
• Kremmling Memorial Hospital District

  dba Middle Park Medical Center - Granby

  • Critical Access Hospital
  • Granby, CO
  • NPI 1154936987
  Care Compare affiliation
• Kremmling Memorial Hospital District

  dba Middle Park Health Fraser Specialty Clinic

  • Specialist
  • Fraser, CO
  • NPI 1376416834

  Hospital

  Care Compare affiliation
• Kremmling Memorial Hospital District

  dba Middle Park Medical Center

  • Physical Therapy Clinic/Center
  • Kremmling, CO
  • NPI 1477195667

  Hospital

  Care Compare affiliation
• Kremmling Memorial Hospital District

  dba dba Middle Park Medical Center

  • Critical Access Hospital
  • Kremmling, CO
  • NPI 1619962321
  Care Compare affiliation
• Kremmling Memorial Hospital District

  dba Middle Park Medical Center

  • Physical Therapy Clinic/Center
  • Fraser, CO
  • NPI 1821647413

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1339113600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661212800000",
    "number": "1962764647",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3300 STUART ST",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802121716",
            "telephone_number": "319-400-5383"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12605 E 16TH AVE",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800452545",
            "telephone_number": "720-848-0000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1375 E 19th Ave",
            "address_purpose": "LOCATION",
            "city": "Denver",
            "state": "CO",
            "postal_code": "802181114",
            "country_code": "US",
            "telephone_number": "303-338-4545",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "550 S Wadsworth Blvd Unit 410",
            "address_purpose": "LOCATION",
            "city": "Lakewood",
            "state": "CO",
            "postal_code": "802263118",
            "country_code": "US",
            "telephone_number": "303-202-1283",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "45 W 10th St",
            "address_purpose": "LOCATION",
            "city": "St Paul",
            "state": "MN",
            "postal_code": "551021062",
            "country_code": "US",
            "telephone_number": "651-232-3000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RATNABALASURIAR",
        "first_name": "RADHIKA",
        "middle_name": "SHEHANI",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-06-08",
        "last_updated": "2022-08-23",
        "certification_date": "2022-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "AZ",
            "license": "D06242065",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "CO",
            "license": "DR0054985",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "MN",
            "license": "62165",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "26228700",
            "state": "CO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KAISER COMMERCIAL NUMBER",
            "identifier": "029382",
            "state": "CO"
        }
    ],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "https://careepiceast.kp.org:14430/Interconnect-prodcom/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/ceq",
            "affiliation": "N",
            "endpointDescription": "Carequality",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "C-CDA",
            "address_1": "1375 E 19th Ave",
            "city": "Denver",
            "state": "CO",
            "country_code": "US",
            "postal_code": "802181114",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Thomas Rau, MD

• Emergency Medicine Physician in Aurora, CO
• Providers in Aurora, CO by specialty
• Emergency Medicine Physician in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 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.