DR. KAMALESH J RAMAIYA MD
NPI 1467568485
Ophthalmology in Albuquerque, NM

Active since August 22, 2006PECOS EnrolledAccepts Medicare Assignment
96.75/100
CMS Quality Rating
5757 HARPER DR NE, ALBUQUERQUE, NM 87109(505) 888-5757(505) 213-0103 Get Directions Write a Review

NPPES record last updated: November 28, 2011. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Kamalesh J Ramaiya Md NPPES

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

DR. KAMALESH J RAMAIYA MD (NPI 1467568485) is an individual ophthalmology provider in Albuquerque, New Mexico, licensed in New Mexico (MD2011-0677) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS, is affiliated with Lovelace Medical Center, and is a graduate of University Of Arizona College Of Medicine (2005).

NPPES Registry Identity

NPI1467568485
Entity TypeIndividualMale
Primary Taxonomy207W00000X
Provider Legal NameDR. KAMALESH J RAMAIYACredential: MD
Location Address5757 HARPER DR NEAlbuquerque, NM 87109-3566
Mailing Address8801 Horizon Blvd Ne, Suite 360Albuquerque, NM 87113-1533 · (505) 828-4923 · Fax (505) 213-0103
Fax(505) 213-0103
Sole ProprietorNo
Medical School CMSUniversity Of Arizona College Of MedicineGraduated 2005
Enumeration DateAugust 22, 2006
Last NPPES UpdateNovember 28, 2011
NPI 1467568485 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
Licenses Licensed in NM · MD2011-0677 Licensed in MO · 2009005095
Definition
An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.
5757 HARPER DR NE, Albuquerque, NM 87109

Other Identifiers 3

Medicaid88482774NM
OtherP00977423NM · Medicare Railroad Carrier Palmetto Gba
Medicare PINPTAN NMAAA1528NM

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. Kamalesh J 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 ID4486704947
PECOS Enrollment IDI20111020000174
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.

Injection, faricimab-svoa, 0.1 mg J2777
Faricimab-svoa is a medication given through an injection into the eye to treat certain eye conditions. The 0.1 mg dosage helps control disease progression, improving vision and eye health. The procedure is done by a healthcare professional.
25,620 services147 patients
Injection, aflibercept, 1 mg J0178
Aflibercept injection is a treatment for certain eye conditions that affect vision. It works by blocking abnormal blood vessel growth and leakage in the eye, which can cause vision loss. The medication is administered directly into the eye by a healthcare professional.
2,006 services312 patients
Injection of drug into eye 67028
An injection into the eye is a procedure where a medication is delivered directly into your eye to treat various conditions. A local anesthetic is applied to numb the eye, ensuring minimal discomfort. The drug helps manage diseases like macular degeneration or diabetic retinopathy.
1,683 services602 patients
Imaging of retina 92134
Imaging of the retina is a non-invasive procedure that captures detailed images of your eye's interior. This helps detect conditions like macular degeneration or retinal detachment. It's painless and takes only a few minutes.
1,155 services615 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.
424 services321 patients
Compounded drug, not otherwise classified J7999
A compounded drug is a personalized medication created to meet unique patient needs. If you can't take standard drugs due to allergies or need a specific dosage not commercially available, a pharmacist can mix ingredients to make a drug specifically for you.
400 services143 patients

Hospital Affiliations CMS Care Compare

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

Lovelace Medical Center

Acute Care Hospitals · Albuquerque, NM
3/5 CMS rating
OwnershipProprietary
CMS Certification Number320009
Location601 Dr Martin Luther King Jr Ave NEAlbuquerque, NM 87102 · Bernalillo County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 87109 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
$126.21 typical visit price
range $54.26 – $166.80
Typical copayment $31.55 (range $13.56 – $41.70)
Most-billed visit code 99204
Established Patient
$68.00 typical visit price
range $17.00 – $135.35
Typical copayment $17.00 (range $4.25 – $33.83)
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.

96.75/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality100
Promoting Interoperability87
Improvement Activities40
Cost100

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.

Ophthalmology
5757 HARPER DR NE
ALBUQUERQUE, NM 87109
Ophthalmology
5757 HARPER DR NE
ALBUQUERQUE, NM 87109
Ophthalmology
5757 HARPER DR NE
ALBUQUERQUE, NM 87109
Optometrist
5757 HARPER DR NE
ALBUQUERQUE, NM 87109
Ophthalmology
5757 HARPER DR NE
ALBUQUERQUE, NM 87109
Optometrist
5757 HARPER DR NE
ALBUQUERQUE, NM 87109
Ophthalmology
5757 HARPER DR NE
ALBUQUERQUE, NM 87109
Optometrist
5757 HARPER DR NE
ALBUQUERQUE, NM 87109

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 Kamalesh Ramaiya's NPI number?

The NPI number for Kamalesh Ramaiya is 1467568485. It was assigned to this individual provider in the NPPES registry on August 22, 2006.

Where is Kamalesh Ramaiya located?

Kamalesh Ramaiya practices at 5757 Harper Dr NE, Albuquerque, NM 87109. The listed phone number is (505) 888-5757.

What is Kamalesh Ramaiya's specialty?

The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.

Is Kamalesh Ramaiya enrolled in Medicare?

Yes. Kamalesh Ramaiya 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 Kamalesh Ramaiya accept?

Health plans from Blue Cross Blue Shield of Wyoming, Blue Cross and Blue Shield of Louisiana, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas list Kamalesh Ramaiya 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.

Is Kamalesh Ramaiya affiliated with any hospitals?

According to CMS data, Kamalesh Ramaiya is affiliated with Lovelace Medical Center.

When was this NPI record last updated?

The NPPES record for Kamalesh Ramaiya was last updated on November 28, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.