Ravi Kiran Ellandula (NPI# 1356623177, PAC ID# 7517183304) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is INTERNAL MEDICINE.
| Nation Provider ID (NPI) | 1356623177 |
| PAC ID by PECOS | 7517183304 |
| Professional Enrollment ID | I20150605002854 |
| Full Name | Ravi Kiran Ellandula |
| Organization Legal Name | SOUTH SOUND INPATIENT PHYSICIANS PLLC |
| Address |
407 14th Ave Se Puyallup WA 98372-3770 |
| Phone Number | 2536974000 |
| Gender | M |
| Graduation Year | 2007 |
| Primary Specialty | INTERNAL MEDICINE |
| Group Practice PAC ID | 5991618738 |
| Number of Group Practice Members | 285 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 500050 | PEACEHEALTH SOUTHWEST MEDICAL CENTER |
| 380004 | PROVIDENCE ST VINCENT MEDICAL CENTER |
| 381303 | PROVIDENCE SEASIDE HOSPITAL |
| 381320 | COLUMBIA MEMORIAL HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 9205 Sw Barnes Rd 1st Flr, Providence Hopital W, Portland, OR 97725-6603 | 5032162906 | PROVIDENCE HEALTH AND SERVICES OREGON |
| 407 14th Ave Se, Puyallup, WA 98372-3770 | 2536974000 | SOUTH SOUND INPATIENT PHYSICIANS PLLC |
| 725 S Wahanna Rd, Seaside, OR 97138-7735 | 5037177000 | PROVIDENCE HEALTH AND SERVICES OREGON |
| 400 Ne Mother Joseph Pl, Vancouver, WA 98664-3200 | 3605143727 | SOUTH SOUND INPATIENT PHYSICIANS PLLC |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| MIPS_EC_130_overall | Documentation of Current Medications in the Medical Record | 100% |
| Organization Legal Name | SOUTH SOUND INPATIENT PHYSICIANS PLLC |
| Physicians | 279 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Zina Hajduczok | Hospitalist | South Sound Inpatient Physicians Pllc | 101 N Main St, Coupeville, WA 98239-3413 |
| Miao Huang | Internal Medicine | South Sound Inpatient Physicians Pllc | 407 14th Ave Se, Puyallup, WA 98372-3770 |
| Adrienne E Soucy | Hospitalist | South Sound Inpatient Physicians Pllc | 10123 Se Market St, Portland, OR 97216-2532 |
| Robert D Church | Hospitalist | South Sound Inpatient Physicians Pllc | 4800 Cordova St, Anchorage, AK 99503-7218 |
| Stephen W Kormanyos | Hospitalist | South Sound Inpatient Physicians Pllc | 400 Nemother Jos Pl, Vancouver, WA 98664 |
| Rachel Hill May | Nurse Practitioner | South Sound Inpatient Physicians Pllc | 2901 Sqaulicum Pkwy, Bellingham, WA 98225-1851 |
| Suresh R Mereddy | Hospitalist | South Sound Inpatient Physicians Pllc | 407 14th Ave Se, Puyallup, WA 98372-3770 |
| Saurav Poudyal | Hospitalist | South Sound Inpatient Physicians Pllc | 407 14th Ave Se, Puyallup, WA 98372-3770 |
| Dolkar Sherpa | Hospitalist | South Sound Inpatient Physicians Pllc | 2520 Cherry Ave, Bremerton, WA 98310-4229 |
| Stephen J Focht | Hospitalist | South Sound Inpatient Physicians Pllc | 407 14th Ave Se, Puyallup, WA 98372-3770 |
| Street Address |
407 14TH AVE SE |
| City | PUYALLUP |
| State | WA |
| Zip | 98372-3770 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Miao Huang | Internal Medicine | South Sound Inpatient Physicians Pllc | 407 14th Ave Se, Puyallup, WA 98372-3770 |
| Suresh R Mereddy | Hospitalist | South Sound Inpatient Physicians Pllc | 407 14th Ave Se, Puyallup, WA 98372-3770 |
| Adam D Demars | Anesthesiology | Rainier Anesthesia Associates PC | 407 14th Ave Se, Puyallup, WA 98372-3770 |
| Saurav Poudyal | Hospitalist | South Sound Inpatient Physicians Pllc | 407 14th Ave Se, Puyallup, WA 98372-3770 |
| Stephen J Focht | Hospitalist | South Sound Inpatient Physicians Pllc | 407 14th Ave Se, Puyallup, WA 98372-3770 |
| Joshua Scott Meyer | Physician Assistant | Tra-minw, Ps | 407 14th Ave Se, Puyallup, WA 98372-3770 |
| Ajay Venkataram | Hospitalist | South Sound Inpatient Physicians Pllc | 407 14th Ave Se, Puyallup, WA 98372-3770 |
| Janet J Singh | Hospitalist | South Sound Inpatient Physicians Pllc | 407 14th Ave Se, Puyallup, WA 98372-3770 |
| Lyudmila Eduardovna Kruzhkov | Internal Medicine | South Sound Inpatient Physicians Pllc | 407 14th Ave Se, Puyallup, WA 98372-3770 |
| Alexinna C Johns | Family Medicine | Multicare Health System | 407 14th Ave Se, Good Samaritan Palliative Care, Puyallup, WA 98372-3770 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Rebekah E Hagen | Physical Therapy | Pathways Physical Therapy Inc | 6007 119th Ave E, Puyallup, WA 98372-2830 |
| Rockne K Eli | Chiropractic | 1203 E Main Ave, Puyallup, WA 98372-3132 | |
| Joseph D Day | Optometry | 2732 E Main Ave, Suite 200, Puyallup, WA 98372-3164 | |
| Lance A Nethercott | Podiatry | Ankle and Foot Specialists of Puget Sound, Ps | 2728 E Main, Suite A, Puyallup, WA 98372-3198 |
| Tyren J Bratvold | Chiropractic | 628 3rd St Se, Puyallup, WA 98372-3208 | |
| Karen A Witters | Occupational Therapy | 324 E Pioneer, Puyallup, WA 98372-3264 | |
| Tyler A Scheinost | Podiatry | 324 E Pioneer Ave, Puyallup, WA 98372-3264 | |
| Eric J Lundstrom | Clinical Social Worker | Multicare Health System | 325 E Pioneer Ave, Multicare Good Samaritan Outreach Services, Puyallup, WA 98372-3265 |
| Margaret C Patterson | Clinical Social Worker | Multicare Health System | 325 E Pioneer Ave, Multicare Good Samaritan Outreach Services, Puyallup, WA 98372-3265 |
| Sandi M Willden | Clinical Social Worker | Multicare Health System | 325 E Pioneer Ave, Multicare Good Samaritan Outreach Services, Puyallup, WA 98372-3265 |
| Find all physicians in zip 98372 | |||
| City | PUYALLUP |
| Zip Code | 98372 |
| Specialty | INTERNAL MEDICINE |
| City + Specialty | PUYALLUP + INTERNAL MEDICINE |
Please comment or provide details below to improve the information on Ravi Kiran Ellandula.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.