RAJESH RAMANATHAN MD
NPI 1104145325
Surgery - Surgical Oncology in Gilbert, AZ

Active since May 27, 2010PECOS EnrolledAccepts Medicare Assignment
81.49/100
CMS Quality Rating
BANNER MD ANDERSON CANCER CENTER, 2946 E. BANNER GATEWAY DRIVE, GILBERT, AZ 85234(480) 256-6444(480) 256-3682 Get Directions Write a Review

NPPES record last updated: October 30, 2019. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Oct 30, 2019, Oct 1, 2019 (2 updates tracked since 2019).

About Rajesh Ramanathan Md NPPES

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

RAJESH RAMANATHAN MD (NPI 1104145325) is an individual surgical oncology provider in Gilbert, Arizona, licensed in Arizona (58811) and active in the NPI registry since May 2010. He is enrolled in Medicare PECOS and is a graduate of Geisel School Of Medicine At Dartmouth (2010).

NPPES Registry Identity

NPI1104145325
Entity TypeIndividualMale
Primary Taxonomy2086X0206X
Provider Legal NameRAJESH RAMANATHANCredential: MD
Location AddressBANNER MD ANDERSON CANCER CENTER, 2946 E. BANNER GATEWAY DRIVEGilbert, AZ 85234
Mailing AddressBanner Md Anderson Cancer Center, 2940 E. Banner Gateway Drive Suite 450Gilbert, AZ 85234 · (480) 256-6444 · Fax (480) 256-3682
Fax(480) 256-3682
Sole ProprietorNo
Medical School CMSGeisel School Of Medicine At DartmouthGraduated 2010
Enumeration DateMay 27, 2010
Last NPPES UpdateOctober 30, 20192 updates tracked since enumeration
NPI 1104145325 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySurgery · Surgical OncologyAllopathic & Osteopathic Physicians
Taxonomy Code2086X0206X
License Licensed in AZ · 58811
Definition

A surgical oncologist is a well-qualified surgeon who has obtained additional training and experience in the multidisciplinary approach to the prevention, diagnosis, treatment, and rehabilitation of cancer patients, and devotes a major portion of his or her professional practice to these activities and cancer research.

BANNER MD ANDERSON CANCER CENTER, Gilbert, AZ 85234

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

Rajesh Ramanathan Md 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 ID3274771985
PECOS Enrollment IDI20190930000291
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 9

Services this provider delivered to Medicare fee-for-service patients, from the 2024 & 2026 CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205
This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.
48 services48 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
30 services27 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
27 services27 patients
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.
22 services22 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.
18 services13 patients
Fluoroscopic guidance for insertion or removal of central vein access device 77001
Fluoroscopic guidance for central vein access device insertion or removal is a procedure where a special X-ray, called a fluoroscope, is used to help accurately place or remove a device in a central vein. This device aids in delivering medications or collecting blood samples.
13 services13 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 85234 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
$168.60 typical visit price
range $55.44 – $168.60
Typical copayment $42.15 (range $13.86 – $42.15)
Most-billed visit code 99205
Established Patient
$69.24 typical visit price
range $17.72 – $137.41
Typical copayment $17.31 (range $4.43 – $34.35)
Most-billed visit code 99213
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.

81.49/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Promoting Interoperability100
Improvement Activities40
Cost38.3

Referred Medical Equipment & Supplies CMS DME claims 5

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Parenteral nutrition solution, not otherwise specified, 10 grams lipids B4185
Other-Enteral and Parenteral · category OB005N
2 suppliers38 claims1,230 services$10.72 avg. paid by Medicare
Parenteral nutrition solution; compounded amino acid and carbohydrates with electrolytes, trace elements and vitamins, including preparation, any strength, 74 to 100 grams of protein - premix B4197
Other-Enteral and Parenteral · category OB005N
1 supplier26 claims130 services$279.40 avg. paid by Medicare
Parenteral nutrition solution; compounded amino acid and carbohydrates with electrolytes, trace elements and vitamins, including preparation, any strength, over 100 grams of protein - premix B4199
Other-Enteral and Parenteral · category OB005N
2 suppliers11 claims63 services$320.47 avg. paid by Medicare
Parenteral nutrition supply kit; premix, per day B4220
Other-Enteral and Parenteral · category OB005N
2 suppliers39 claims207 services$8.01 avg. paid by Medicare
Parenteral nutrition administration kit, per day B4224
Other-Enteral and Parenteral · category OB005N
2 suppliers39 claims207 services$25.00 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 16

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

Internal Medicine (Hematology & Oncology)
BANNER MD ANDERSON CANCER CENTER, 2946 E BANNER GATEWAY DRIVE
GILBERT, AZ 85234
Nurse Practitioner (Adult Health)
BANNER MD ANDERSON CANCER CENTER, 2946 E. BANNER GATEWAY DRIVE
GILBERT, AZ 85234
Physician Assistant
BANNER MD ANDERSON CANCER CENTER, 2946 E. BANNER GATEWAY DRIVE
GILBERT, AZ 85234
Radiology (Body Imaging)
BANNER MD ANDERSON CANCER CENTER, 2946 E BANNER GATEWAY DRIVE
GILBERT, AZ 85234
Nurse Practitioner (Family)
BANNER MD ANDERSON CANCER CENTER, 2946 E. BANNER GATEWAY DRIVE
GILBERT, AZ 85234
Radiology (Diagnostic Radiology)
BANNER MD ANDERSON CANCER CENTER, 2940 E. BANNER GATEWAY DRIVE SUITE 350
GILBERT, AZ 85234
Radiology (Radiation Oncology)
BANNER MD ANDERSON CANCER CENTER, 2946 E. BANNER GATEWAY DRIVE
GILBERT, AZ 85234
Surgery (Surgical Oncology)
BANNER MD ANDERSON CANCER CENTER, 2946 E. BANNER GATEWAY DRIVE
GILBERT, AZ 85234

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1104145325, enumerated as an "individual" on May 27, 2010.

The provider is located at BANNER MD ANDERSON CANCER CENTER 2946 E. BANNER GATEWAY DRIVE GILBERT, AZ 85234 and the phone number is (480) 256-6444.

Surgery with taxonomy code 2086X0206X and a focus in Surgical Oncology.

The provider might be accepting Accepts: Ambetter from Arizona Complete Health, Blue Cross. Please consult your insurance carrier or call the provider to verify.