AYYAPPA MYSORE RANGARAJU MD – NPI #1093059925
Internal Medicine

An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.

Health Care Provider Taxonomy Code for Internal Medicine

AYYAPPA MYSORE RANGARAJU is a physician located in CLOVIS, NM. NPPES has assigned the NPI number 1093059925 to AYYAPPA MYSORE RANGARAJU on November 15, 2012. It is a Type-1 NPI, indicating this NPI number is associated with an individual. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 207RG0100X from the Health Care Provider Taxonomy code set, which is classified as Internal Medicine, specializing in Gastroenterology

The NPI profile was previously updated about 9 years ago on Oct 02, 2017. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for AYYAPPA MYSORE RANGARAJU below.

NPI Profile for
AYYAPPA MYSORE RANGARAJU

NPI Number
1093059925
Enumeration Date

(more than 13 years ago)
Entity Type
Type-1  Individual (Male)
Legal Name
AYYAPPA MYSORE RANGARAJU
Credentials
MD
Primary location
2421 W 21ST ST STE B
CLOVIS, NM 88101-2006
Phone: (575) 769-7577 Fax: (575) 742-7856
1 Other location(s):
1545 Atlantic anenue
Interfaith medical center
brooklyn, NY 11213
Phone: (718) 613-4072
Mailing address
PO BOX 26666
PHS PROVIDER ENROLLMENT
ALBUQUERQUE, NM 87125-6666
Phone: (505) 923-6770 Fax: (505) 923-5354
Sole Proprietor
Yes
Updated
Identifiers

Identifiers for AYYAPPA MYSORE RANGARAJU

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
MEDICAIDNM34803548
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207RG0100X
- Internal Medicine / Gastroenterology (Primary)		 NM MD2017-0029
207R00000X
- Internal Medicine		 NM MD2017-0029

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.

Additional Information

Accepts Medicare
This provider accepts Medicare-approved amount as payment in full. The Medicare-approved amount is the total the provider can be paid. When a provider accepts the Medicare-approved amount as payment, you won't be billed for more than the Medicare deductible & coinsureance.
Medicare Ordering & Referring
Provider can:
  • Refer to Part B
  • Order Durable Medical Equipment
  • Refer to Home Health Agency
  • Order Power Mobility Devices
Affiliations
AYYAPPA MYSORE RANGARAJU is affiliated with the following medical group(s):
  • HOSPITAL
    • MEMORIAL MEDICAL CENTER
      2450 SOUTH TELSHOR BLVD
      LAS CRUCES, NM 88011
    • MOUNTAIN VIEW REGIONAL MEDICAL CENTER
      4311 EAST LOHMAN AVENUE
      LAS CRUCES, NM 88011
    • PLAINS REGIONAL MEDICAL CENTER
      2100 N MARTIN LUTHER KING, JR, BLVD
      CLOVIS, NM 88101

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