Individual provider Active NPI

Ravi C Borra, M.D.

  • Endocrinology, Diabetes & Metabolism Physician
  • Midland, TX
National Provider Identifier
1003075664
Registry record updated May 14, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X
License
P5937 Issued in TX
Practice address
4712 Northbrook Lane
Suite B1
Midland, TX 79707
Phone
(432) 262-3880
NPI assigned
Jun 8, 2008
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 14, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Endocrinology, Diabetes & Metabolism Physician 207RE0101X P5937 TX Primary

Addresses

Primary practice location

4712 Northbrook Lane
Suite B1
Midland, TX 79707

Mailing address

4712 Northbrook Lane
Midland, TX 79707
Phone (432) 262-3880

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140909000261 TX Practitioner - EndocrinologyPractitioner - Internal Medicine 4880813716 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
EndocrinologyAlso: Internal Medicine
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

4712 Northbrook LN
Midland, TX 79707-3234
Phone (432) 262-3880

Hospital & facility affiliations

  • Midland Memorial Hospital Hospital, Midland, TX, CCN 450133
  • Reeves Regional Health Hospital, Pecos, TX, CCN 451377
  • Permian Regional Medical Center Andrews County Ho Hospital, Andrews, TX, CCN 450144

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
P5937TXMDEndocrinology, Diabetes & Metabolism Physician

Practice roles

OrganizationSpecialtyStatusNew patients
West Texas Endocrinology & Diabetes PA Endocrinology, Diabetes & Metabolism CurrentSince May 24, 2014 Accepting new patients
Midland Gastroenterology and Hepatology, P.a. PastSince Nov 1, 2017 Accepting new patients

Locations

4712 Northbrook Ln
Midland, TX 79707
Phone (432) 262-3880

4712 Northbrook Ln
Ste B1
Midland, TX 79707
Phone (432) 262-3880

3305 Andrews Hwy
Ste B1
Midland, TX 79703
Phone (432) 262-1948

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/17241/brand/1/csg/1/fhir/r4
  • FHIR API: https://fhir-myrecord.cerner.com/r4/ce473a90-8f1a-4986-bfd2-44af80062115/

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1212883200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1620950400000",
    "number": "1003075664",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4712 NORTHBROOK LANE",
            "city": "MIDLAND",
            "state": "TX",
            "postal_code": "79707",
            "telephone_number": "432-262-3880"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4712 NORTHBROOK LANE",
            "address_2": "SUITE B1",
            "city": "MIDLAND",
            "state": "TX",
            "postal_code": "79707",
            "telephone_number": "432-262-3880"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BORRA",
        "first_name": "RAVI",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-06-08",
        "last_updated": "2021-05-14",
        "certification_date": "2021-04-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RE0101X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "TX",
            "license": "P5937",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Midland, TX

Sources for this page

Verify at the official NPI Registry.