Active NPI 1285681098 Individual Practitioner Male Practitioner

Dr. Natwarlal V Ramani , MD

Internal Medicine • Dover, DE

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Natwarlal Ramani, MD is a certified Internal Medicine practicing in Dover, DE. With approximately 47 years of clinical experience since completing medical education in 1979, Dr. Ramani delivers high-quality medical care to the local community at 742 S GOVERNORS AVE.

Dr. Ramani is affiliated with Gi Associates Of Delaware Pa and accepts Medicare assignment.

Frequently performed procedures and clinical services include biopsy of large bowel using an endoscope, removal of polyps or growths of large bowel using an endoscope with mechanical snare, biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

742 S Governors Ave
Suite 3

Dover, DE 199044111

Telephone 3026785008

Fax 3026785505

Associated Practice Facility / Clinic

🏢 Advance Endoscopy Center Llc Facility NPI 1124075940

Medicare Profile & Education

Medical School

Other

Graduation Year

1979

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Internal Medicine in Dover, DE

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

47 Yrs +23.1 yrs vs City Avg

City Avg: 23.9 Yrs

State Avg: 25.8 Yrs

Regional Practice Density

47 Specialists

Practicing in Dover, DE (625 Statewide)

Telehealth Adoption Rate

17.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

85.2% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Ramani (47 Years) 47 Yrs

Dover Specialty Average (23.9 Years) 23.9 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
45380 Biopsy of large bowel using an endoscope	404	399	$1044.25	$50.40
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	325	323	$1264.62	$224.84
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	198	186	$897.32	$61.20
99213 Established patient office or other outpatient visit, typically 15 minutes	191	135	$150.00	$86.13
45381 Injection beneath lining of large bowel using a flexible endoscope	96	94	$1144.27	$16.46
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	76	58	$180.00	$122.43
43252 Microscopic examination of esophagus, stomach, and/or upper small bowel using an endoscope	46	45	$1543.48	$127.38
43248 Insertion of guide wire with dilation of esophagus using a flexible endoscope	45	45	$953.33	$115.05
43251 Removal of polyps or growths of esophagus, stomach, and/or upper small bowel using an endoscope with mechanical snare	43	43	$934.88	$161.21
45384 Removal of polyps or growths of large bowel using a flexible endoscope with electrical cautery	33	33	$1259.09	$53.73
45388 Destruction of polyp or growth of large bowel using a flexible endoscope	27	27	$1329.63	$254.66
91065 Measurement of hydrogen in breath to test for stomach and bowel symptoms	20	17	$225.00	$69.77
91110 Imaging of digestive tract done from the inside of the digestive tract	20	18	$3217.50	$682.51
G0121 Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk	17	17	$1125.00	$146.00
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	12	12	$225.00	$96.23
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	11	11	$120.00	$48.78

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	274	192	$150.00	$88.19
45380 Biopsy of large bowel using an endoscope	194	191	$1275.00	$36.37
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	166	163	$1575.00	$199.74
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	120	117	$1125.00	$54.24
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	111	81	$180.00	$122.13
45388 Destruction of polyp or growth of large bowel using a flexible endoscope	43	42	$1400.00	$261.77
43252 Microscopic examination of esophagus, stomach, and/or upper small bowel using an endoscope	39	38	$2000.00	$116.11
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	38	38	$225.00	$109.59
45381 Injection beneath lining of large bowel using a flexible endoscope	38	37	$1350.00	$15.42
45384 Removal of polyps or growths of large bowel using a flexible endoscope with electrical cautery	37	37	$1350.00	$71.69
43251 Removal of polyps or growths of esophagus, stomach, and/or upper small bowel using an endoscope with mechanical snare	30	30	$1200.00	$176.14
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	26	26	$120.00	$56.38
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	26	26	$350.00	$165.56
43248 Insertion of guide wire with dilation of esophagus using a flexible endoscope	21	21	$1200.00	$122.46
99441 Telephone medical discussion with physician, 5-10 minutes	19	19	$75.00	$53.55
91065 Measurement of hydrogen in breath to test for stomach and bowel symptoms	14	13	$225.00	$84.67

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
45380 Biopsy of large bowel using an endoscope	290	287	$1275.43	$57.04
99213 Established patient office or other outpatient visit, typically 15 minutes	260	198	$150.00	$91.31
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	229	228	$1575.33	$225.92
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	180	167	$1125.00	$59.22
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	86	66	$180.52	$125.71
43252 Microscopic examination of esophagus, stomach, and/or upper small bowel using an endoscope	83	80	$2000.00	$132.90
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	61	47	$94.16	$71.14
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	59	55	$250.00	$135.03
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	44	42	$120.00	$55.88
45381 Injection beneath lining of large bowel using a flexible endoscope	40	40	$1350.00	$15.95
45384 Removal of polyps or growths of large bowel using a flexible endoscope with electrical cautery	38	38	$1350.00	$63.84
45388 Destruction of polyp or growth of large bowel using a flexible endoscope	33	32	$1400.00	$255.95
99441 Telephone medical discussion with physician, 5-10 minutes	31	28	$75.00	$57.16
43251 Removal of polyps or growths of esophagus, stomach, and/or upper small bowel using an endoscope with mechanical snare	25	25	$1200.00	$188.97
99442 Telephone medical discussion with physician, 11-20 minutes	24	22	$100.00	$91.83
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	24	24	$225.00	$107.45
45378 Diagnostic exam of large bowel using a flexible endoscope	18	18	$1125.00	$181.33
87426 Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus	18	18	$50.00	$42.90
99231 Follow-up hospital inpatient care per day, typically 15 minutes	16	13	$60.57	$38.60
91065 Measurement of hydrogen in breath to test for stomach and bowel symptoms	14	14	$225.00	$95.14
43248 Insertion of guide wire with dilation of esophagus using a flexible endoscope	14	14	$1200.00	$118.51
99443 Telephone medical discussion with physician, 21-30 minutes	14	12	$80.00	$79.59
99202 New patient office or other outpatient visit, typically 20 minutes	13	13	$150.00	$74.42

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
45380 Biopsy of large bowel using an endoscope	378	374	$1275.00	$54.62
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	303	300	$1575.00	$255.56
99213 Established patient office or other outpatient visit, typically 15 minutes	301	213	$150.00	$91.99
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	210	189	$1125.00	$90.24
99441 Telephone medical discussion with physician, 5-10 minutes	178	146	$75.00	$57.43
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	128	115	$120.00	$56.81
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	76	67	$180.00	$132.48
99442 Telephone medical discussion with physician, 11-20 minutes	64	58	$100.00	$93.72
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	59	36	$94.16	$72.31
45381 Injection beneath lining of large bowel using a flexible endoscope	46	45	$1350.00	$15.83
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	42	38	$250.00	$136.83
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	30	30	$225.00	$112.32
43251 Removal of polyps or growths of esophagus, stomach, and/or upper small bowel using an endoscope with mechanical snare	30	28	$1200.00	$163.27
99231 Follow-up hospital inpatient care per day, typically 15 minutes	28	21	$60.57	$38.61
87426 Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus	27	27	$50.00	$45.23
45378 Diagnostic exam of large bowel using a flexible endoscope	22	22	$1125.00	$172.03
43252 Microscopic examination of esophagus, stomach, and/or upper small bowel using an endoscope	22	22	$2000.00	$121.41
43248 Insertion of guide wire with dilation of esophagus using a flexible endoscope	19	17	$1200.00	$88.80

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99441 Telephone medical discussion with physician, 5-10 minutes	315	237	$75.00	$42.93
45380 Biopsy of large bowel using an endoscope	271	266	$1275.00	$68.95
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	206	204	$1575.00	$255.02
99213 Established patient office or other outpatient visit, typically 15 minutes	169	133	$150.00	$76.58
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	167	157	$1125.00	$93.48
88305 Pathology examination of tissue using a microscope, intermediate complexity	128	24	$170.00	$68.81
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	119	114	$120.00	$46.30
88312 Special stained specimen slides to identify organisms including interpretation and report	35	15	$150.00	$103.09
45381 Injection beneath lining of large bowel using a flexible endoscope	32	32	$1350.00	$15.98
43248 Insertion of guide wire with dilation of esophagus using a flexible endoscope	29	29	$1200.00	$145.54
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	24	13	$122.43	$73.94
45378 Diagnostic exam of large bowel using a flexible endoscope	23	23	$1125.00	$190.16
99442 Telephone medical discussion with physician, 11-20 minutes	20	19	$100.00	$77.25
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	18	17	$180.00	$111.44
43251 Removal of polyps or growths of esophagus, stomach, and/or upper small bowel using an endoscope with mechanical snare	13	13	$1200.00	$166.23
91110 Imaging of digestive tract done from the inside of the digestive tract	12	12	$3300.00	$894.46
99202 New patient office or other outpatient visit, typically 20 minutes	12	12	$150.00	$68.27

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
45380 Biopsy of large bowel using an endoscope	431	422	$1275.17	$72.37
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	295	271	$1125.00	$116.11
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	252	251	$1575.00	$230.27
99213 Established patient office or other outpatient visit, typically 15 minutes	159	136	$150.00	$71.57
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	155	73	$180.00	$73.90
88305 Pathology examination of tissue using a microscope, intermediate complexity	140	24	$170.00	$66.18
45388 Destruction of polyp or growth of large bowel using a flexible endoscope	105	103	$1400.00	$286.76
99231 Follow-up hospital inpatient care per day, typically 15 minutes	64	38	$150.00	$40.03
45381 Injection beneath lining of large bowel using a flexible endoscope	45	44	$1350.00	$16.54
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	40	37	$300.00	$139.23
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	31	30	$375.00	$205.51
45378 Diagnostic exam of large bowel using a flexible endoscope	29	29	$1125.00	$175.60
43251 Removal of polyps or growths of esophagus, stomach, and/or upper small bowel using an endoscope with mechanical snare	28	28	$1200.00	$169.73
88312 Special stained specimen slides to identify organisms including interpretation and report	27	11	$150.00	$83.27
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	25	25	$116.65	$45.57
99202 New patient office or other outpatient visit, typically 20 minutes	23	23	$150.00	$75.05
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	22	22	$180.00	$104.07
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	18	18	$225.00	$101.83
91110 Imaging of digestive tract done from the inside of the digestive tract	17	17	$3300.00	$879.05
91065 Measurement of hydrogen in breath to test for stomach and bowel symptoms	14	14	$225.00	$77.05
43248 Insertion of guide wire with dilation of esophagus using a flexible endoscope	11	11	$1200.00	$135.90

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	475	341	$150.00	$72.10
45380 Biopsy of large bowel using an endoscope	389	373	$1275.00	$79.29
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	339	292	$1125.00	$115.27
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	215	211	$1575.00	$261.82
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	126	71	$180.00	$74.13
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	103	88	$180.00	$102.99
99202 New patient office or other outpatient visit, typically 20 minutes	72	72	$150.00	$75.92
45381 Injection beneath lining of large bowel using a flexible endoscope	63	60	$1350.00	$16.88
99231 Follow-up hospital inpatient care per day, typically 15 minutes	61	41	$150.00	$39.96
45388 Destruction of polyp or growth of large bowel using a flexible endoscope	56	53	$1400.00	$287.70
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	48	43	$296.88	$137.77
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	43	42	$375.00	$206.58
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	39	39	$225.00	$110.02
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	26	25	$120.00	$44.72
45378 Diagnostic exam of large bowel using a flexible endoscope	21	21	$1125.00	$159.19
43251 Removal of polyps or growths of esophagus, stomach, and/or upper small bowel using an endoscope with mechanical snare	21	21	$1200.00	$173.24
91065 Measurement of hydrogen in breath to test for stomach and bowel symptoms	20	19	$225.00	$73.99
91110 Imaging of digestive tract done from the inside of the digestive tract	18	18	$3300.00	$877.96
43248 Insertion of guide wire with dilation of esophagus using a flexible endoscope	17	17	$1200.00	$160.67
43235 Diagnostic exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope	14	13	$975.00	$116.47
45382 Control of bleeding of upper large bowel using a flexible endoscope	14	13	$1350.00	$261.16
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	11	11	$375.00	$167.59

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	670	454	$150.00	$73.43
45380 Biopsy of large bowel using an endoscope	382	376	$1275.00	$81.35
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	358	315	$1125.00	$116.24
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	249	246	$1575.00	$264.45
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	132	116	$180.00	$107.35
99202 New patient office or other outpatient visit, typically 20 minutes	119	119	$150.00	$75.96
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	82	55	$180.00	$73.35
45381 Injection beneath lining of large bowel using a flexible endoscope	52	51	$1350.00	$16.49
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	50	50	$225.00	$108.44
88305 Pathology examination of tissue using a microscope, intermediate complexity	47	11	$170.00	$43.92
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	46	46	$375.00	$164.29
99231 Follow-up hospital inpatient care per day, typically 15 minutes	44	35	$150.00	$39.94
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	40	37	$375.00	$206.15
91065 Measurement of hydrogen in breath to test for stomach and bowel symptoms	32	32	$225.00	$76.41
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	30	29	$300.00	$139.27
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	26	25	$240.00	$146.97
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	25	25	$120.00	$44.50
43248 Insertion of guide wire with dilation of esophagus using a flexible endoscope	24	21	$1200.00	$159.69
43235 Diagnostic exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope	19	18	$975.00	$130.34
43251 Removal of polyps or growths of esophagus, stomach, and/or upper small bowel using an endoscope with mechanical snare	19	17	$1200.00	$191.48
91110 Imaging of digestive tract done from the inside of the digestive tract	19	19	$3300.00	$838.54
45378 Diagnostic exam of large bowel using a flexible endoscope	19	18	$1125.00	$155.33
45382 Control of bleeding of upper large bowel using a flexible endoscope	11	11	$1350.00	$257.11
45388 Destruction of polyp or growth of large bowel using a flexible endoscope	11	11	$1400.00	$287.40

Medical Specialties & State Licenses

Internal Medicine Primary Specialty

NUCC Taxonomy Code: 207R00000X

State License DE C10004217

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.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

0000845502 (DE)

Medicaid State Provider ID

0000564501 (DE)

Commercial Insurance / Payer ID Coventry

110072 (DE)

Commercial Insurance / Payer ID Blue Cross Blue Shield

522078909 (DE)

Commercial Insurance / Payer ID Tricare

522078909 (DE)

Hospital & Practice Group Affiliations

Gi Associates Of Delaware Pa

742 S Governors Ave, Dover, DE 199044111

Phone: 3026785008

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

2 Associated Practitioners

Maryann Coyle , CRNA

Nurse Anesthetist, Certified Registered

NPI 1053345454

Certified Registered Nurse Anesthetist

Jatan Raythatha , PA-C

Physician Assistant - Medical

NPI 1144771866

Physician Assistant (Certified)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events

✅

NPI Profile Active January 25, 2012

NPI status registered as active in NPPES database

📍

Updated Practice Location January 25, 2012

Registered at 742 S GOVERNORS AVE, SUITE 3, DOVER, DE 199044111 (Tel: 3026785008)

📍

Updated Business Mailing Address January 25, 2012

Registered at 742 S GOVERNORS AVE, SUITE 3, DOVER, DE 199044111 (Tel: 3026785008)

👤

Provider Name / Credentials Updated January 25, 2012

Recorded as NATWARLAL RAMANI, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) January 25, 2012

Internal Medicine (License #C10004217 in DE)

🟢

Initial NPI Registration & Enumeration May 27, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1285681098

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: May 27, 2006

Last Update: January 25, 2012

Sole Proprietor: No

Update or Correct Profile

Mailing Address

742 S Governors Ave, Suite 3

Dover, DE 199044111

Phone: 3026785008

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.