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DR. RAMESH VIDAVALUR M.D
NPI 1215119581
Pediatrics - Neonatal-Perinatal Medicine in Ithaca, NY

Active since November 28, 2007PECOS Enrolled
101 DATES DR, ITHACA, NY 14850(607) 274-4585 Get Directions Write a Review

NPPES record last updated: August 28, 2014. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Ramesh Vidavalur M.d NPPES

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

DR. RAMESH VIDAVALUR M.D (NPI 1215119581) is an individual neonatal-perinatal medicine provider in Ithaca, New York, licensed in Maryland (D66840) and active in the NPI registry since November 2007. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1215119581
Entity TypeIndividualMale
Primary Taxonomy2080N0001X
Provider Legal NameDR. RAMESH VIDAVALURCredential: M.D
Location Address101 DATES DRIthaca, NY 14850-1342
Mailing Address10 Fairwinds WayIthaca, NY 14850-8521
Phone(607) 274-4585
Sole ProprietorNo
Enumeration DateNovember 28, 2007
Last NPPES UpdateAugust 28, 2014
✔ NPI 1215119581 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatrics · Neonatal-Perinatal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2080N0001X
License✔ Licensed in MD · D66840
Definition
A pediatrician who is the principal care provider for sick newborn infants. Clinical expertise is used for direct patient care and for consulting with obstetrical colleagues to plan for the care of mothers who have high-risk pregnancies.
101 DATES DR, Ithaca, NY 14850
Open in Google Maps ↗

Other Identifiers 1

Medicaid03875101NY

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Ramesh Vidavalur M.d is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

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.

PAUL EMERSON JONES PAC
Physician Assistant
101 DATES DR
ITHACA, NY 14850
Tompkins County (607) 274-4011
DR. KEITH GARRETT LAMBERT M.D.
Emergency Medicine
101 DATES DR
ITHACA, NY 14850
Tompkins County (607) 274-4011
DR. ANTHONY SANITO MD
Anesthesiology (Pain Medicine)
101 DATES DR
ITHACA, NY 14850
Tompkins County (607) 274-4011
KAREN L HENRY OTR/L
Occupational Therapist
101 DATES DR
ITHACA, NY 14850
Tompkins County (607) 274-4555
NO NAME GIVEN ERUM M.D
Psychiatry & Neurology (Psychiatry)
101 DATES DR
ITHACA, NY 14850
Tompkins County (607) 274-4011
SUZANNE DOZORETZ NP, RNFA
Nurse Practitioner (Family)
101 DATES DR
ITHACA, NY 14850
Tompkins County (607) 274-4011
DR. GRAHAM JAMES GORSLINE DNP CRNA
Nurse Anesthetist, Certified Registered
101 DATES DR
ITHACA, NY 14850
Tompkins County (762) 408-3230
PARKAVI KALAISELVAN MD
Student in an Organized Health Care Education/Training Program
101 DATES DR
ITHACA, NY 14850
Tompkins County (607) 252-3457

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 Ramesh Vidavalur's NPI number?

The NPI number for Ramesh Vidavalur is 1215119581. It was assigned to this individual provider in the NPPES registry on November 28, 2007.

Where is Ramesh Vidavalur located?

Ramesh Vidavalur practices at 101 Dates Dr, Ithaca, NY 14850. The listed phone number is (607) 274-4585.

What is Ramesh Vidavalur's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Neonatal-Perinatal Medicine, with taxonomy code 2080N0001X.

Is Ramesh Vidavalur enrolled in Medicare?

Yes. Ramesh Vidavalur is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Ramesh Vidavalur was last updated on August 28, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.