Ravinder Mamedi, M.D.

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

98-01704 Issued in NC

Practice address

321 Highway 125
Roanoke Rapids, NC 27870-6445

Phone

(252) 537-8400

Fax

(252) 537-9585

NPI assigned

May 16, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NC

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

Psychiatry

Education

Other, 1988

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Hospital & facility affiliations

• Ecu Health North Hospital Hospital, Roanoke Rapids, NC, CCN 340151

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 and National Provider Directory roles.

• Roanoke Valley Psychiatric Associates, P.a.

  • Psychiatry Physician
  • Roanoke Rapids, NC
  • NPI 1003964016

  NC, Psychiatry

  Medicare reassignment NPD Authorized official
• Edwards Assessments and Counseling, Inc.

  • Clinical Social Worker
  • Roanoke Rapids, NC
  • NPI 1669774824
  NPD

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

• Halifax Regional Medical Center Inc

  • General Acute Care Hospital
  • Roanoke Rapids, NC
  • NPI 1346273943

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1147737600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1972554541",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "321 HIGHWAY 125",
            "city": "ROANOKE RAPIDS",
            "state": "NC",
            "postal_code": "278706445",
            "telephone_number": "252-537-8400",
            "fax_number": "252-537-9585"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "321 HIGHWAY 125",
            "city": "ROANOKE RAPIDS",
            "state": "NC",
            "postal_code": "278706445",
            "telephone_number": "252-537-8400",
            "fax_number": "252-537-9585"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAMEDI",
        "first_name": "RAVINDER",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-16",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NC",
            "license": "98-01704",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "89136MK",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Holly Virginia Mackenna, M.D.
• Marco Pestanas Magno, PT
• Magnolia Gardens, Inc.
• Magnolis Gardens, Inc
• Curtis Mallory
• Vijayalakshmi Mamedi, M.D.
• Natarajan Manickam, MD
• Nikta Mansouri
• Gerardo Marcial Maradiaga, MD
• Sarah C Massey, FNP

• Psychiatry Physician in Roanoke Rapids, NC
• Providers in Roanoke Rapids, NC by specialty
• Psychiatry Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; 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.