Ravi Radhakrishnan, MD

Primary specialty

Pediatric Surgery PhysicianTaxonomy code 2086S0120X

License

M0534 Issued in TX

Practice address

301 University Blvd.
Galveston, TX 77555-0353

Phone

(409) 772-5666

Fax

(409) 772-4253

NPI assigned

Jun 20, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 2

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: rradhakrishnanmd19666@direct.utmb.edu

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.

• Shriners Hospitals for Children

  • Pediatric Surgery Physician
  • Galveston, TX
  • NPI 1851631709
  Medicare reassignment NPD
• Utmb Faculty Group Practice

  • General Practice Physician
  • Galveston, TX
  • NPI 1942241146

  Surgery

  Medicare reassignment NPD
• Shriners Hospitals for Children

  • Anesthesiology Physician
  • Galveston, TX
  • NPI 1316435563
  NPD
• Shriners Hospitals for Children

  • Clinic/Center
  • Aiea, HI
  • NPI 1568299857
  NPD

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

{
    "created_epoch": "1150761600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1333065600000",
    "number": "1003852930",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 UNIVERSITY BLVD.",
            "city": "GALVESTON",
            "state": "TX",
            "postal_code": "775550353",
            "telephone_number": "409-772-5666",
            "fax_number": "409-772-4253"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 UNIVERSITY BLVD.",
            "city": "GALVESTON",
            "state": "TX",
            "postal_code": "775550353",
            "telephone_number": "409-772-5666",
            "fax_number": "409-772-4253"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RADHAKRISHNAN",
        "first_name": "RAVI",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-20",
        "last_updated": "2012-03-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "TX",
            "license": "M0534",
            "primary": false
        },
        {
            "code": "2086S0120X",
            "taxonomy_group": "",
            "desc": "Surgery, Pediatric Surgery",
            "state": "TX",
            "license": "M0534",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "8U9390",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00452855",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Yolanda Quintanilla, LVN
• Sana'a Quran
• Sidra Qureshi, MD
• R B Matocha Optometrist Inc
• Geetha Lakshmi Radhakrishnan, MD
• Mary Janel Radzieski, RN
• Rashmeen Rahman, DO
• Parul Rai
• Shefali Rai, DO
• Sharon Smith Raimer, M.D.

• Pediatric Surgery Physician in Galveston, TX
• Providers in Galveston, TX by specialty
• Pediatric Surgery Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.