DR. AJIT RAMADUGU M.D.
NPI 1316473762
Internal Medicine - Gastroenterology in Thornton, CO

Active since May 04, 2017PECOS EnrolledAccepts Medicare Assignment
54.17/100
CMS Quality Rating
10001 WASHINGTON ST, THORNTON, CO 80229(303) 252-0083 Get Directions Write a Review

NPPES record last updated: August 29, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Aug 29, 2023, Jun 18, 2020 (2 updates tracked since 2020).

About Dr. Ajit Ramadugu M.d. NPPES

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

DR. AJIT RAMADUGU M.D. (NPI 1316473762) is an individual gastroenterology provider in Thornton, Colorado, licensed in Colorado (DR.0071243) and active in the NPI registry since May 2017. He is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of University Of Toledo College Of Medicine (2017).

NPPES Registry Identity

NPI1316473762
Entity TypeIndividualMale
Primary Taxonomy207RG0100X
Provider Legal NameDR. AJIT RAMADUGUCredential: M.D.
Location Address10001 WASHINGTON STThornton, CO 80229-2050
Mailing Address3333 S Wadsworth Blvd Unit D100Lakewood, CO 80227-5117 · (303) 205-1090 · Fax (303) 205-5535
Sole ProprietorYes
Medical School CMSUniversity Of Toledo College Of MedicineGraduated 2017
Enumeration DateMay 4, 2017
Last NPPES UpdateAugust 29, 20232 updates tracked since enumeration
NPPES CertifiedAugust 29, 2023
NPI 1316473762 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians
Taxonomy Code207RG0100X
License Licensed in CO · DR.0071243
Definition

An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.

10001 WASHINGTON ST, Thornton, CO 80229

Secondary Practice Locations 2

Location 13000 Arlington Ave # MS 1150Toledo, OH 43614-2598 · Phone (419) 383-4480 · Fax (419) 383-6180
Location 21740 W Taylor StChicago, IL 60612-7232 · Phone (866) 600-2273

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. Ajit Ramadugu 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 ID6103195813
PECOS Enrollment IDI20230823004678
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 7

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 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.
41 services40 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.
38 services38 patients
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.
28 services28 patients
Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk G0121
Colorectal cancer screening, such as a colonoscopy, is a preventive measure to detect early signs of cancer in the large intestine. For individuals not at high risk, it's typically recommended at age 50. A small, flexible tube with a camera is used to examine your colon. It's a safe, effective way to catch issues early.
22 services21 patients
Colorectal cancer screening; colonoscopy on individual at high risk G0105
Colorectal cancer screening, specifically a colonoscopy, is a preventive measure for those at high risk. A thin, flexible tube with a camera inspects the colon to spot any abnormal growths. This test helps detect potential issues early, enhancing the effectiveness of treatment.
18 services18 patients
Insertion of guide wire with dilation of esophagus using a flexible endoscope 43248
This is a procedure where a thin tube, called an endoscope, is gently passed through your mouth into your esophagus. A guide wire is then inserted to help widen any narrow areas. This helps improve swallowing and reduce discomfort.
17 services16 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 80229 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
$132.55 typical visit price
range $58.06 – $174.82
Typical copayment $33.13 (range $14.51 – $43.70)
Most-billed visit code 99204
Established Patient
$102.03 typical visit price
range $18.88 – $142.79
Typical copayment $25.50 (range $4.72 – $35.69)
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.

54.17/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality61.89
Promoting Interoperability0
Improvement Activities40
Cost68.7

Other Providers at the Same Location NPPES 15

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

Dentist
10001 WASHINGTON ST
THORNTON, CO 80229
Dentist (General Practice)
10001 WASHINGTON ST
THORNTON, CO 80229
Dentist (General Practice)
10001 WASHINGTON ST
THORNTON, CO 80229
Dentist
10001 WASHINGTON ST
THORNTON, CO 80229
Nurse Practitioner (Family)
10001 WASHINGTON ST
THORNTON, CO 80229
Optometrist
10001 WASHINGTON ST
THORNTON, CO 80229
Optometrist
10001 WASHINGTON ST
THORNTON, CO 80229
Physician Assistant
10001 WASHINGTON ST
THORNTON, CO 80229

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 Ajit Ramadugu's NPI number?

The NPI number for Ajit Ramadugu is 1316473762. It was assigned to this individual provider in the NPPES registry on May 4, 2017.

Where is Ajit Ramadugu located?

Ajit Ramadugu practices at 10001 Washington St, Thornton, CO 80229. The listed phone number is (303) 252-0083.

What is Ajit Ramadugu's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Is Ajit Ramadugu enrolled in Medicare?

Yes. Ajit Ramadugu 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 Ajit Ramadugu accept?

Health plans from UnitedHealthcare list Ajit Ramadugu 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 Ajit Ramadugu was last updated on August 29, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.