| Dr Ravi Nallamothu, MD | |
|
1055 N Curtis Rd, Boise, ID 83706-1309 | |
| (208) 302-2000 | |
| (208) 302-2055 |
| Full Name | Dr Ravi Nallamothu |
|---|---|
| Gender | Male |
| Speciality | Critical Care (intensivists) |
| Experience | 23 Years |
| Location | 1055 N Curtis Rd, Boise, Idaho |
| 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 |
|---|---|---|---|
| 1265764781 | NPI | - | NPPES |
| Facility Name | Location | Facility Type |
|---|---|---|
| Adventist Health St Helena | Saint helena, CA | Hospital |
| Adventist Health Ukiah Valley | Ukiah, CA | Hospital |
| Adventist Health Clearlake | Clearlake, CA | Hospital |
| Sutter Santa Rosa Regional Hospital | Santa rosa, CA | Hospital |
| Adventist Health Howard Memorial | Willits, CA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Medical Specialists Associates Pc | 1557669439 | 8 |
| Inpatient Specialists Of California Pc | 3476864448 | 373 |
| Adventist Health Physicians Network | 3274580972 | 628 |
| Ukiah Adventist Hospital | 6406816123 | 136 |
| Cep America - Intensivists Pc | 9032423421 | 112 |
| Entity Name | Willits Hospital Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1356339543 PECOS PAC ID: 7416940697 Enrollment ID: O20040405000843 |
| Entity Name | Ukiah Adventist Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1235120676 PECOS PAC ID: 6406816123 Enrollment ID: O20041015000818 |
| Entity Name | Adventist Health Clearlake Hospital Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1124018031 PECOS PAC ID: 3072421197 Enrollment ID: O20041112000573 |
| Entity Name | Adventist Health Physicians Network |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1063718583 PECOS PAC ID: 3274580972 Enrollment ID: O20050407000633 |
| Entity Name | Washington Township Medical Foundation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1346557014 PECOS PAC ID: 2860687050 Enrollment ID: O20101112001225 |
| Entity Name | Inpatient Specialists of California PC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1952792475 PECOS PAC ID: 3476864448 Enrollment ID: O20150617000915 |
| Entity Name | Cep America - Intensivists PC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1407234057 PECOS PAC ID: 9032423421 Enrollment ID: O20150729008559 |
| Entity Name | Medical Specialists Associates PC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1326404948 PECOS PAC ID: 1557669439 Enrollment ID: O20160408001002 |
| Entity Name | Merced Intensivist Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1720604895 PECOS PAC ID: 9032535802 Enrollment ID: O20200811004111 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Ravi Nallamothu, MD Po Box 190930, Boise, ID 83719-0930 Ph: (208) 367-5170 | Dr Ravi Nallamothu, MD 1055 N Curtis Rd, Boise, ID 83706-1309 Ph: (208) 302-2000 |
Dr. Jennifer A Hofstra, MD Critical Care Medicine Medicare: Accepting Medicare Assignments Practice Location: 1055 N Curtis Road, Boise, ID 83706 Phone: 757-446-8920 Fax: 757-446-5242 |
Dr. James Robert Polk, MD Critical Care Medicine Medicare: Not Enrolled in Medicare Practice Location: 1055 N Curtis Rd, Boise, ID 83706 Phone: 208-367-3104 |
Dr. Michael Frederic Krug, M.D. Critical Care Medicine Medicare: Accepting Medicare Assignments Practice Location: 190 E Bannock St, Boise, ID 83712 Phone: 208-381-5015 Fax: 208-381-1873 |
Derrel V Walker, M.D. Critical Care Medicine Medicare: Medicare Enrolled Practice Location: 1055 N Curtis Road, Boise, ID 83706 Phone: 208-367-7350 Fax: 208-367-3951 |
Dr. Janat E. O'donnell, MD Critical Care Medicine Medicare: Medicare Enrolled Practice Location: 500 W. Fort St., # 111, Boise, ID 83702 Phone: 208-422-1325 Fax: 208-422-1319 |
Carl L Durning, MD Critical Care Medicine Medicare: Not Enrolled in Medicare Practice Location: 6094 W Emerald St, Boise, ID 83704 Phone: 208-367-6575 Fax: 208-367-6597 |
Dr. Christopher J Goulet, M.D. Critical Care Medicine Medicare: Accepting Medicare Assignments Practice Location: 6259 W Emerald St, Boise, ID 83704 Phone: 208-489-1900 Fax: 208-375-5286 |