NPIMap

Individual provider Active NPI

Gangaram Rasa, M.D.

  • Cardiovascular Disease Physician
  • Mount Vernon, OH
National Provider Identifier
1982716379
Registry record updated Mar 17, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
35080950 Issued in OH
Practice address
1330 Coshocton Ave
Mount Vernon, OH 43050
Phone
(740) 393-9000
Fax
(740) 392-0167
NPI assigned
Aug 31, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 25678 NE
Cardiovascular Disease Physician 207RC0000X 35080950 OH Primary

Addresses

Primary practice location

1330 Coshocton Ave
Mount Vernon, OH 43050

Mailing address

1330 Coshocton Ave
Mount Vernon, OH 43050
Phone (740) 393-9000

Other identifiers 1

IdentifierTypeStateIssuer
2317148MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040702000654 OH Practitioner - Cardiovascular Disease (Cardiology) 7113902404 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)
Education
Other, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Knox Community HospitalGroup PAC ID 1153301833, 117 clinicians

Practice addresses (Care Compare)

1330 Coshocton Ave
Mount Vernon, OH 43050-1440

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary angioplasty and stenting26
Pacemaker insertion or repair1-10
Leg revascularization (restoring blood flow)1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35080950OHMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Knox Community Hospital Current Accepting new patients
Galion Community Hospital CurrentSince Sep 1, 2013 Accepting new patients
Knox Community Hospital Current Accepting new patients
Bucyrus Community Hospital LLC CurrentSince Sep 1, 2013 Accepting new patients
Knox Community Hospital CurrentSince Jul 29, 2017 Accepting new patients
Knox Community Hospital CurrentSince Jul 29, 2017 Accepting new patients
Galion Community Hospital CurrentSince Sep 1, 2013 Accepting new patients
Bucyrus Community Hospital LLC CurrentSince Sep 1, 2013 Accepting new patients
Knox Community Hospital Current Accepting new patients
University Group Medical Associates, P.C Past Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients
Osu Health System-Hospital at Home Cardiovascular Disease Past Accepting new patients
Knox Cardiology Associates, Inc. Cardiovascular Disease Past Accepting new patients

Locations

629 N Sandusky Ave
Bucyrus, OH 44820
Phone (419) 562-4677

304 S 4th St
Coshocton, OH 43812
Phone (740) 622-6612

269 Portland Way S
Galion, OH 44833
Phone (419) 468-4841

1330 Coshocton Ave
Mount Vernon, OH 43050
Phone (740) 393-9019

1451 Yauger Rd
Ste 1A
Mount Vernon, OH 43050
Phone (740) 397-5000

7 Woodlake Trl
Ste A
Mount Vernon, OH 43050
Phone (740) 397-0108

1330 Coshocton Ave
Fl 5
Mount Vernon, OH 43050
Phone (740) 393-9040

2981 W 4th St
Ontario, OH 44906
Phone (419) 468-0505

Organizations & group practices 13

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.

View all 13

Hospital & facility affiliations 8

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": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1615939200000",
    "number": "1982716379",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1330 COSHOCTON AVE",
            "city": "MOUNT VERNON",
            "state": "OH",
            "postal_code": "43050",
            "telephone_number": "740-393-9000",
            "fax_number": "740-392-0167"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1330 COSHOCTON AVE",
            "city": "MOUNT VERNON",
            "state": "OH",
            "postal_code": "43050",
            "telephone_number": "740-393-9000",
            "fax_number": "740-392-0167"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RASA",
        "first_name": "GANGARAM",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-31",
        "last_updated": "2021-03-17",
        "certification_date": "2021-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "NE",
            "license": "25678",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "OH",
            "license": "35080950",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2317148",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mount Vernon, OH

Sources for this page

Verify at the official NPI Registry.