DR. KENNETH MICHAEL RALTO M.D. NPI 1770877193

NPI Information

NPI: 1770877193
Provider Name: DR. KENNETH MICHAEL RALTO, M.D.
Classification: Internal Medicine - 207RN0300X
Entity Type: Individual

Specialization: Nephrology

Organization: UMASS MEMORIAL MEDICAL GROUP INC

PECOS Registration: Yes

Address:
55 LAKE AVE N
WORCESTER, MA
ZIP 01655
Phone: (508) 856-3155
Get Directions

DR. Kenneth Michael Ralto, M.D. is a nephrology internal medicine in Worcester, MA with 13 years of experience. The provider is an internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation. DR. Kenneth Michael Ralto, M.D. NPI is 1770877193. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: TUFTS UNIVERSITY SCHOOL OF MEDICINE
Graduation Year:2011

The provider's business location address is:

55 LAKE AVE N
WORCESTER, MA
ZIP 01655
Phone: (508) 856-3155
Fax: (508) 856-3111

The NPI 1770877193 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 6/2/2011 and was last updated on 7/28/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207R00000X	Internal Medicine		265176	MASSACHUSETTS	No
2	207RC0200X	Internal Medicine	Critical Care Medicine	265176	MASSACHUSETTS	No
3	207RN0300X	Internal Medicine	Nephrology	265176	MASSACHUSETTS	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	110124521A	MEDICAID	MASSACHUSETTS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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