Active NPI
Vellore R Ramakrishnan, MD
- Vascular Surgery Physician
- Livonia, MI
National Provider Identifier
1992773394
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Vascular Surgery Physician
- License
- 4301037715
- Practice address
- 15146 Levan Rd
Suite 46
Livonia, MI 48154 - Phone
- (734) 462-8401
- Fax
- (734) 462-1410
- NPI assigned
- Mar 10, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Vascular Surgery Physician | 2086S0129X | 4301037715 | MI | Primary |
Addresses
Primary practice location
15146 Levan Rd
Suite 46
Livonia, MI 48154
Mailing address
15146 Levan Rd
Suite 46
Livonia, MI 48154
Phone (734) 462-8401
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 19546041110 | Medicaid | MI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4301037715 | MI | MD | Vascular Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Vellore R Ramakrishnan M.D, P.C. | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Specialist
- Livonia, MI
- NPI 1871624072
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1141948800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1264118400000",
"number": "1992773394",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15146 LEVAN RD",
"address_2": "SUITE 46",
"city": "LIVONIA",
"state": "MI",
"postal_code": "48154",
"telephone_number": "734-462-8401",
"fax_number": "734-462-1410"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15146 LEVAN RD",
"address_2": "SUITE 46",
"city": "LIVONIA",
"state": "MI",
"postal_code": "48154",
"telephone_number": "734-462-8401",
"fax_number": "734-462-1410"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RAMAKRISHNAN",
"first_name": "VELLORE",
"middle_name": "R",
"name_prefix": "Mr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-03-10",
"last_updated": "2010-01-22",
"status": "A"
},
"taxonomies": [
{
"code": "2086S0129X",
"taxonomy_group": "",
"desc": "Surgery, Vascular Surgery",
"state": "MI",
"license": "4301037715",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "19546041110",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Livonia, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.