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DR. RAVINDRAN ARCOT PADMANABHAN M.D.
NPI 1730114943
Internal Medicine - Infectious Disease in Rocky Mount, NC

Active since July 12, 2006PECOS Enrolled
84.56/100
CMS Quality Rating
2460 CURTIS ELLIS DR BLDG 300, ROCKY MOUNT, NC 27804(252) 962-4290(252) 962-4291 Get Directions Write a Review

NPPES record last updated: March 15, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Mar 20, 2023, Jan 16, 2023, Nov 4, 2020 and 1 more (4 updates tracked since 2020).

About Dr. Ravindran Arcot Padmanabhan M.d. NPPES

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

DR. RAVINDRAN ARCOT PADMANABHAN M.D. (NPI 1730114943) is an individual infectious disease provider in Rocky Mount, North Carolina, licensed in North Carolina (2010-01390) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS and maintains a secondary practice location in Cary.

NPPES Registry Identity

NPI1730114943
Entity TypeIndividualMale
Primary Taxonomy207RI0200X
Provider Legal NameDR. RAVINDRAN ARCOT PADMANABHANCredential: M.D.
Location Address2460 CURTIS ELLIS DR BLDG 300Rocky Mount, NC 27804-2237
Mailing Address2021 Mill Gate LnCary, NC 27519-7195 · (919) 270-5082
Phone(252) 962-4290
Fax(252) 962-4291
Sole ProprietorNo
Enumeration DateJuly 12, 2006
Last NPPES UpdateMarch 15, 20244 updates tracked since enumeration
NPPES CertifiedMarch 15, 2024
✔ NPI 1730114943 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Infectious DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RI0200X
Licenses✔ Licensed in NC · 2010-01390✔ Licensed in OH · 35086165✔ Licensed in WI · 81513-20
Definition
An internist who deals with infectious diseases of all types and in all organ systems. Conditions requiring selective use of antibiotics call for this special skill. This physician often diagnoses and treats AIDS patients and patients with fevers which have not been explained. Infectious disease specialists may also have expertise in preventive medicine and travel medicine.
2460 CURTIS ELLIS DR BLDG 300, Rocky Mount, NC 27804
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Secondary Practice Location 1

Location 12021 Mill Gate LnCary, NC 27519-7195 · Phone (919) 270-5082

Other Identifiers 1

Medicaid5915761NC

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Ravindran Arcot Padmanabhan 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.

Medicare Billing Reassignments

2

Medicare enrollment records show Ravindran Padmanabhan reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Aspirus Medical Group, Inc.
877 mi
Cardiovascular Disease
500 WIND RIDGE DR
Wausau, WI 54401
  • Reassigned Medicare billing, Michigan enrollment
  • Medicare enrollment name: Aspirus Iron River Hospital & Clinics Inc
  • Also billed through NPI 1457865198 (Michigan)
  • 200 clinicians in this Medicare group
NPI 1033411822 (715) 847-2611
Aspirus Keweenaw
948 mi
Occupational Therapist
1000 CEDAR STREET
Houghton, MI 49931
  • Reassigned Medicare billing, Michigan enrollment
  • Also billed through NPI 1326115569 (Michigan)
  • 210 clinicians in this Medicare group
NPI 1205164555 (906) 482-8201

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 27804 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
$125.01 typical visit price
range $54.12 – $165.09
Typical copayment $31.25 (range $13.53 – $41.27)
Most-billed visit code 99204
Established Patient
$95.94 typical visit price
range $17.21 – $134.61
Typical copayment $23.98 (range $4.30 – $33.65)
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.

84.56/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality89.8
Promoting Interoperability100
Improvement Activities40
Cost58.73

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 Ravindran Padmanabhan's NPI number?

The NPI number for Ravindran Padmanabhan is 1730114943. It was assigned to this individual provider in the NPPES registry on July 12, 2006.

Where is Ravindran Padmanabhan located?

Ravindran Padmanabhan practices at 2460 Curtis Ellis Dr Bldg 300, Rocky Mount, NC 27804. The listed phone number is (252) 962-4290.

What is Ravindran Padmanabhan's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Infectious Disease, with taxonomy code 207RI0200X.

Is Ravindran Padmanabhan enrolled in Medicare?

Yes. Ravindran Padmanabhan is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Ravindran Padmanabhan's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Ravindran Padmanabhan reassigns Medicare benefits to 2 organizations: Aspirus Medical Group, Inc. (Wausau, WI) and Aspirus Keweenaw (Houghton, MI). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Ravindran Padmanabhan's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Ravindran Padmanabhan accept?

Health plans from Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee, Aspirus Health Plan and Blue Care Network of Michigan and 1 other insurer list Ravindran Padmanabhan 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 Ravindran Padmanabhan was last updated on March 15, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.