DR. NATWARLAL V RAMANI MD
NPI 1285681098
Internal Medicine in Dover, DE

Active since May 27, 2006PECOS EnrolledAccepts Medicare Assignment
75/100
CMS Quality Rating
742 S GOVERNORS AVE, SUITE 3, DOVER, DE 19904(302) 678-5008(302) 678-5505 Get Directions Write a Review

NPPES record last updated: January 25, 2012. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Natwarlal V Ramani Md NPPES

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

DR. NATWARLAL V RAMANI MD (NPI 1285681098) is an individual internal medicine provider in Dover, Delaware, licensed in Delaware (C10004217) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS and is a graduate of Other (1979).

NPPES Registry Identity

NPI1285681098
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameDR. NATWARLAL V RAMANICredential: MD
Location Address742 S GOVERNORS AVE, SUITE 3Dover, DE 19904-4111
Mailing Address742 S Governors Ave, Suite 3Dover, DE 19904-4111 · (302) 678-5008 · Fax (302) 678-5505
Fax(302) 678-5505
Sole ProprietorNo
Medical School CMSOtherGraduated 1979
Enumeration DateMay 27, 2006
Last NPPES UpdateJanuary 25, 2012
NPI 1285681098 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License Licensed in DE · C10004217
Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

742 S GOVERNORS AVE, Dover, DE 19904

Other Identifiers 8

Medicare UPINB62870
Medicaid0000564501DE
Other522078909DE · Tricare
Other110072DE · Coventry
Other522078909DE · Blue Cross Blue Shield
Medicare ID-Type UnspecifiedG00047DE
Medicare ID-Type Unspecified000B87N47DE
Medicaid0000845502DE

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. Natwarlal V Ramani 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 ID840330866
PECOS Enrollment IDI20101020001274
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 16

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.

Biopsy of large bowel using a flexible endoscope 45380
A biopsy of the large bowel using a flexible endoscope is a procedure where a thin, flexible tube with a camera is inserted through the rectum to examine the bowel. If abnormal tissue is found, a small sample is taken for further examination. This helps in diagnosing conditions like inflammation, polyps, or cancer.
404 services399 patients
Removal of polyps or growths of large bowel using an endoscope with mechanical snare 45385
This procedure involves using a thin, flexible tube called an endoscope to examine the large bowel. If any abnormal growths or polyps are found, a tool called a mechanical snare is used to remove them. This is a common method to prevent potential health issues.
325 services323 patients
Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43239
This procedure involves using a thin, flexible tube with a light and camera, known as an endoscope, to examine the esophagus, stomach, and upper part of the small intestine. Small tissue samples are taken for further examination to help diagnose various conditions.
198 services186 patients
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.
191 services135 patients
Injection beneath lining of large bowel using a flexible endoscope 45381
This procedure involves a flexible tube, called an endoscope, being inserted into the large bowel. A small needle is then passed through the tube to inject medication under the bowel lining. This is typically done to treat inflammation or bleeding.
96 services94 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.
76 services58 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19904 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
$131.15 typical visit price
range $57.12 – $173.08
Typical copayment $32.78 (range $14.28 – $43.27)
Most-billed visit code 99204
Established Patient
$100.68 typical visit price
range $18.36 – $141.05
Typical copayment $25.17 (range $4.59 – $35.26)
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.

75/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice

Other Providers at the Same Location NPPES 5

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

Anesthesiology
742 S GOVERNORS AVE, SUITE 2
DOVER, DE 19904
Anesthesiology
742 S GOVERNORS AVE, SUITE 2
DOVER, DE 19904
Physician Assistant (Medical)
742 S GOVERNORS AVE, SUITE 3
DOVER, DE 19904
Clinic/Center (Ambulatory Surgical)
742 S GOVERNORS AVE, SUITE 2
DOVER, DE 19904
Internal Medicine
742 S GOVERNORS AVE, SUITE 3
DOVER, DE 19904

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 Natwarlal Ramani's NPI number?

The NPI number for Natwarlal Ramani is 1285681098. It was assigned to this individual provider in the NPPES registry on May 27, 2006.

Where is Natwarlal Ramani located?

Natwarlal Ramani practices at 742 S Governors Ave Suite 3, Dover, DE 19904. The listed phone number is (302) 678-5008.

What is Natwarlal Ramani's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Natwarlal Ramani enrolled in Medicare?

Yes. Natwarlal Ramani 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 Natwarlal Ramani accept?

Health plans from AmeriHealth Caritas Next and Highmark Blue Cross Blue Shield Delaware list Natwarlal Ramani 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.

When was this NPI record last updated?

The NPPES record for Natwarlal Ramani was last updated on January 25, 2012. NPI Profile syncs with the weekly NPPES data releases published by CMS.