| Dr Ramani Peruvemba, MD | |
|
15200 Shady Grove Rd, 302, Rockville, MD 20850-3218 | |
| (240) 453-9182 | |
| (240) 453-9189 |
| Full Name | Dr Ramani Peruvemba |
|---|---|
| Gender | Male |
| Speciality | Anesthesiology |
| Experience | 31 Years |
| Location | 15200 Shady Grove Rd, Rockville, Maryland |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619924701 | NPI | - | NPPES |
| 807001600 | Medicaid | MD | |
| 601285800 | Other | FECA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207L00000X | Anesthesiology | D55800 (Maryland) | Secondary |
| 208VP0014X | Pain Medicine - Interventional Pain Medicine | D0055800 (Maryland) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Holy Cross Hospital | Silver spring, MD | Hospital |
| Adventist Healthcare Shady Grove Medical Center | Rockville, MD | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Privia Medical Group, Llc | 4385682061 | 1264 |
| First Colonies Anesthesia Associates, Llc | 8426039744 | 312 |
| Privia Medical Group, Llc | 4385682061 | 1264 |
| Entity Name | First Colonies Anesthesia Associates, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1740218767 PECOS PAC ID: 8426039744 Enrollment ID: O20040607001456 |
| Entity Name | Privia Medical Group Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1013042480 PECOS PAC ID: 4385682061 Enrollment ID: O20050422000298 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Ramani Peruvemba, MD 8400 Tysons Trace Ct, Vienna, VA 22182-6034 Ph: () - | Dr Ramani Peruvemba, MD 15200 Shady Grove Rd, 302, Rockville, MD 20850-3218 Ph: (240) 453-9182 |
Dr. Prabaal B Dey, M.D. Pain Medicine Medicare: Not Enrolled in Medicare Practice Location: 11921 Rockville Pike, Ste 505, Rockville, MD 20852 Phone: 410-265-7300 Fax: 410-265-9533 | |
Dr. Marc Alexander Loev, MD Pain Medicine Medicare: Medicare Enrolled Practice Location: 11921 Rockville Pike, Suite 505, Rockville, MD 20852 Phone: 301-881-7246 Fax: 301-881-2449 | |
Dr. Lester Alan Zuckerman, M.D. Pain Medicine Medicare: Not Enrolled in Medicare Practice Location: 11921 Rockville Pike, Suite 505, Rockville, MD 20852 Phone: 301-881-7246 Fax: 301-881-2449 | |
Dr. Bernard Emmett Filner, M.D. Pain Medicine Medicare: Not Enrolled in Medicare Practice Location: 15005 Shady Grove Rd, #320, Rockville, MD 20850 Phone: 301-251-1266 Fax: 301-279-8680 |