Ayyappa Mysore Rangaraju, MD | |
2421 W 21st St Ste B, Clovis, NM 88101-2006 | |
(575) 769-7577 | |
(575) 742-7856 |
Full Name | Ayyappa Mysore Rangaraju |
---|---|
Gender | Male |
Speciality | Gastroenterology |
Experience | 18 Years |
Location | 2421 W 21st St Ste B, Clovis, New Mexico |
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 |
---|---|---|---|
1093059925 | NPI | - | NPPES |
34803548 | Medicaid | NM |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | MD2017-0029 (New Mexico) | Secondary |
207RG0100X | Internal Medicine - Gastroenterology | MD2017-0029 (New Mexico) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Memorial Medical Center | Las cruces, NM | Hospital |
Plains Regional Medical Center | Clovis, NM | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Digestive Disease Consultants Of Las Cruces Llc | 4880659754 | 4 |
Presbyterian Healthcare Services | 9234041708 | 1119 |
Entity Name | Presbyterian Healthcare Services |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1104802354 PECOS PAC ID: 9234041708 Enrollment ID: O20031103000603 |
Entity Name | Digestive Disease Consultants Of Las Cruces Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1235184326 PECOS PAC ID: 4880659754 Enrollment ID: O20041120000001 |
Entity Name | Las Cruces Physician Practices, Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1093947491 PECOS PAC ID: 7618974858 Enrollment ID: O20061031000215 |
Mailing Address | Practice Location Address |
---|---|
Ayyappa Mysore Rangaraju, MD Po Box 26666, Phs Provider Enrollment, Albuquerque, NM 87125-6666 Ph: (505) 923-6770 | Ayyappa Mysore Rangaraju, MD 2421 W 21st St Ste B, Clovis, NM 88101-2006 Ph: (575) 769-7577 |
Arnel Anthony S Bobadilla, MD Gastroenterology Medicare: Accepting Medicare Assignments Practice Location: 2200 W 21st St, Plains Regional Medical Group, Clovis, NM 88101 Phone: 505-769-7577 Fax: 505-769-7595 | |
Donna M Thibodeau, MD Gastroenterology Medicare: Accepting Medicare Assignments Practice Location: 2100 N Dr Martin Luther King Jr Blvd, Clovis Plains Reg Med Ctr, Clovis, NM 88101 Phone: 505-769-2141 Fax: 505-769-7337 | |
Obadias Ferrari, MD Gastroenterology Medicare: Not Enrolled in Medicare Practice Location: 2100 N Dr Martin Luther King Jr Blvd, Clovis Plains Regional Medical Center (prmc), Clovis, NM 88101 Phone: 505-769-2141 Fax: 505-769-7337 | |
Donald L Heine, MD Gastroenterology Medicare: Medicare Enrolled Practice Location: 1600 W 21st St, Suite A, Clovis, NM 88101 Phone: 575-762-2121 Fax: 575-935-2121 | |
Brian E Willmon, MD Gastroenterology Medicare: Accepting Medicare Assignments Practice Location: 2000 W 21st St, Ste W-8, Clovis, NM 88101 Phone: 505-763-4479 Fax: 505-763-6007 | |
Mohammad R Hassan, MD Gastroenterology Medicare: Accepting Medicare Assignments Practice Location: 2000 W 21st St, W7, Clovis, NM 88101 Phone: 575-763-3666 Fax: 575-762-3520 |