NALINI RAMAIYA MD
NPI 1205901899
Family Medicine in Macon, GA

Q: What is Nalini Ramaiya's NPI number?

The NPI number for Nalini Ramaiya is 1205901899. It was assigned to this individual provider in the NPPES registry on November 21, 2006.

Q: What is Nalini Ramaiya's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Q: When was this NPI record last updated?

The NPPES record for Nalini Ramaiya was last updated on July 31, 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.

Active since November 21, 2006PECOS EnrolledAccepts Medicare Assignment

89.89/100

CMS Quality Rating

2410 INGLESIDE AVE, MACON, GA 31204(478) 845-7462(855) 791-3372 Get Directions Write a Review

NPPES record last updated: July 31, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Nalini Ramaiya Md NPPES

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

NALINI RAMAIYA MD (NPI 1205901899) is an individual family medicine provider in Macon, Georgia, licensed in Georgia (27241) and active in the NPI registry since November 2006. She is enrolled in Medicare PECOS, is affiliated with Houston Healthcare, and maintains a secondary practice location in Macon.

NPPES Registry Identity

NPI1205901899

Entity TypeIndividualFemale

Primary Taxonomy207Q00000X

Provider Legal NameNALINI RAMAIYACredential: MD

Location Address2410 INGLESIDE AVEMacon, GA 31204-2036

Mailing Address235 Peachtree St Ne, North Tower, Suite 2100Atlanta, GA 30303-1401 · (770) 994-4747 · Fax (770) 994-9326

Phone(478) 845-7462

Fax(855) 791-3372

Sole ProprietorNo

Medical School CMSOtherGraduated 1977

Enumeration DateNovember 21, 2006

Last NPPES UpdateJuly 31, 2023

NPPES CertifiedJuly 31, 2023

✔ NPI 1205901899 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in GA · 27241

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

Also ListedEmergency Medicine · Emergency Medical ServicesTaxonomy 207PE0004X · License 27241 (GA)

2410 INGLESIDE AVE, Macon, GA 31204

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Secondary Practice Location 1

Location 1350 Hospital DrMacon, GA 31217-3838 · Phone (770) 994-9326 ext. 317 · Fax (770) 994-4747

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc..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

Nalini Ramaiya 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 ID1153488192

PECOS Enrollment IDI20090319000173

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 3

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 low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

177 services170 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.

26 services26 patients

Detection test by immunoassay with direct visual observation for influenza virus 87804

This is a test that identifies the influenza virus in your body. It works by using an immunoassay, a method that detects the presence of the virus through an immune response. The results are directly observable, making it a quick and efficient way to diagnose flu.

22 services11 patients

Hospital Affiliations CMS Care Compare

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

Houston Healthcare

Acute Care Hospitals · Warner Robins, GA

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number110069

Location1601 Watson BoulevardWarner Robins, GA 31093 · Houston County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 31204 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

$83.23 typical visit price

range $53.31 – $164.04

Typical copayment $20.80 (range $13.32 – $41.01)

Most-billed visit code 99203

Established Patient

$94.84 typical visit price

range $16.68 – $133.24

Typical copayment $23.71 (range $4.17 – $33.31)

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.

89.89/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored through an Alternative Payment Model

Quality

79.78

Promoting Interoperability

100

Improvement Activities

Other Providers at the Same Location NPPES 11

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

CENTRAL GA WOMEN'S HEALTH CENTER 2 LLC

Obstetrics & Gynecology