DR. VIJAY SITHARAM RAMANATH M.D.
NPI 1003841297
Internal Medicine - Interventional Cardiology in Plano, TX

Active since July 12, 2006PECOS EnrolledAccepts Medicare Assignment
80.08/100
CMS Quality Rating
6124 W PARKER RD, SUITE 536, PLANO, TX 75093(972) 378-9560(844) 290-4363 Get Directions Write a Review

NPPES record last updated: May 19, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 19, 2023, Sep 23, 2022, Jan 26, 2016 (3 updates tracked since 2016).

About Dr. Vijay Sitharam Ramanath M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. VIJAY SITHARAM RAMANATH M.D. (NPI 1003841297) is an individual interventional cardiology provider in Plano, Texas, licensed in Texas (P2763) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS, is affiliated with Texas Health Presbyterian Hospital Plano, and is a graduate of State University Of New York Downstate Medical Center (2003).

NPPES Registry Identity

NPI1003841297
Entity TypeIndividualMale
Primary Taxonomy207RI0011X
Provider Legal NameDR. VIJAY SITHARAM RAMANATHCredential: M.D.
Location Address6124 W PARKER RD, SUITE 536Plano, TX 75093-8122
Mailing Address16980 Dallas Pkwy, Suite 200Dallas, TX 75248-1908 · (972) 378-9560 · Fax (844) 290-4363
Fax(844) 290-4363
Sole ProprietorNo
Medical School CMSState University Of New York Downstate Medical CenterGraduated 2003
Enumeration DateJuly 12, 2006
Last NPPES UpdateMay 19, 20233 updates tracked since enumeration
NPPES CertifiedMay 19, 2023
NPI 1003841297 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyInternal Medicine · Interventional CardiologyAllopathic & Osteopathic Physicians
Taxonomy Code207RI0011X
License Licensed in TX · P2763
Definition
An area of medicine within the subspecialty of cardiology, which uses specialized imaging and other diagnostic techniques to evaluate blood flow and pressure in the coronary arteries and chambers of the heart and uses technical procedures and medications to treat abnormalities that impair the function of the cardiovascular system.
Also ListedInternal Medicine · Cardiovascular DiseaseTaxonomy 207RC0000X · License P2763 (TX)
Also ListedNuclear Medicine · Nuclear CardiologyTaxonomy 207UN0901X · License P2763 (TX)
6124 W PARKER RD, Plano, TX 75093

Other Identifiers 1

Medicaid310090101TX

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Dr. Vijay Sitharam Ramanath M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID3476657743
PECOS Enrollment IDI20120904000713
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 39

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
749 services477 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000
An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.
637 services500 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
510 services104 patients
Injection, regadenoson, 0.1 mg J2785
Regadenoson injection, 0.1 mg, is a medication used to help visualize the heart during a stress test. It works by increasing blood flow in the arteries of the heart. It's injected into a vein and is generally well-tolerated.
252 services63 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
232 services126 patients
Heart muscle strain imaging 93356
Heart muscle strain imaging is a non-invasive test that uses sound waves to create pictures of your heart. It helps doctors evaluate how well your heart muscle is working and detect any damage or disease. This can aid in diagnosing heart conditions and guiding treatment plans.
197 services194 patients

Hospital Affiliations CMS Care Compare 3

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Texas Health Presbyterian Hospital Plano

Acute Care Hospitals · Plano, TX
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number450771
Location6200 W Parker RdPlano, TX 75093 · Collin County
Emergency services Birthing friendly

Texas Health Presbyterian Hospital Allen

Acute Care Hospitals · Allen, TX
4/5 CMS rating
OwnershipGovernment - Federal
CMS Certification Number450840
Location1105 Central Expressway NorthAllen, TX 75013 · Collin County
Emergency services Birthing friendly

Texas Health Hospital Frisco

Acute Care Hospitals · Frisco, TX
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number670260
Location12400 N Dallas ParkwayFrisco, TX 75033 · Denton County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 75093 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$126.40 typical visit price
range $54.84 – $166.88
Typical copayment $31.60 (range $13.71 – $41.72)
Most-billed visit code 99204
Established Patient
$97.05 typical visit price
range $17.52 – $136.11
Typical copayment $24.26 (range $4.38 – $34.02)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

80.08/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality83.89
Promoting Interoperability100
Improvement Activities40
Cost45.67

Reported Quality Measures

Advance Care Plan
52%1,437 patients3/55-star benchmark: 100%
Controlling High Blood Pressure
74%781 patients4/55-star benchmark: 91%
Coronary Artery Disease (CAD): Angiotensin-Converting Enzyme (ACE) Inhibitor or Angiotensin Receptor Blocker (ARB) Therapy - Diabetes or Left Ventricular Systolic Dysfunction (LVEF <= 40%)
84%55 patients4/55-star benchmark: 100%
Coronary Artery Disease (CAD): Antiplatelet Therapy
91%340 patients4/55-star benchmark: 100%
Coronary Artery Disease (CAD): Beta-Blocker Therapy Prior Myocardial Infarction (MI) or Left Ventricular Systolic Dysfunction (LVEF <= 40%)
92%60 patients4/55-star benchmark: 99%
Documentation of Current Medications in the Medical Record
82%3,256 patients4/55-star benchmark: 100%
e-Prescribing
98%1,116 patients4/55-star benchmark: 100%
Falls: Screening for Future Fall Risk
1%1,122 patients1/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
44%1,824 patients2/55-star benchmark: 98%
Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented
25%1,573 patients2/55-star benchmark: 61%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Patients combinedPopulations: 82% · 770 patients
Patients screened: 85% · 770 patients
47%36 patients2/55-star benchmark: 100%
Provide Patients Electronic Access to Their Health Information
94%838 patients4/55-star benchmark: 100%
Statin Therapy for the Prevention and Treatment of Cardiovascular Disease
92%763 patients5/55-star benchmark: 91%
Use of High-Risk Medications in Older Adults
Lower rates are better for this measure.
Patients appropriateDiagnosis: 0% · 1,160 patients
Patients totalRate: 0% · 1,160 patients
0%1,160 patients5/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Obstetrics & Gynecology
6124 W PARKER RD, STE 134
PLANO, TX 75093
Clinic/Center (Ambulatory Surgical)
6124 W PARKER RD, PRESBYTERIAN HOSPITAL # 232
PLANO, TX 75093
Clinic/Center (Medical Specialty)
6124 W PARKER RD, MEDICAL OFFICE BUILDING 3, SUITE #330
PLANO, TX 75093
Psychiatry & Neurology (Neurology)
6124 W PARKER RD, SUITE 432
PLANO, TX 75093
Internal Medicine (Pulmonary Disease)
6124 W PARKER RD, SUITE 530
PLANO, TX 75093
Internal Medicine
6124 W PARKER RD, MOB III SUITE 234
PLANO, TX 75093
Physician Assistant
6124 W PARKER RD, #536
PLANO, TX 75093
Internal Medicine (Endocrinology, Diabetes & Metabolism)
6124 W PARKER RD, SUITE 332
PLANO, TX 75093

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Vijay Ramanath's NPI number?

The NPI number for Vijay Ramanath is 1003841297. It was assigned to this individual provider in the NPPES registry on July 12, 2006.

Where is Vijay Ramanath located?

Vijay Ramanath practices at 6124 W Parker Rd Suite 536, Plano, TX 75093. The listed phone number is (972) 378-9560.

What is Vijay Ramanath's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Interventional Cardiology, with taxonomy code 207RI0011X.

Is Vijay Ramanath enrolled in Medicare?

Yes. Vijay Ramanath is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Vijay Ramanath accept?

Health plans from Baylor Scott and White Health Plan, Blue Cross and Blue Shield of Texas and Oscar Insurance Company list Vijay Ramanath as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Vijay Ramanath affiliated with any hospitals?

According to CMS data, Vijay Ramanath is affiliated with Texas Health Presbyterian Hospital Plano, Texas Health Presbyterian Hospital Allen and Texas Health Hospital Frisco.

When was this NPI record last updated?

The NPPES record for Vijay Ramanath was last updated on May 19, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.