Ravi K. Mootha, M.D., P.a.

Primary specialty

Urology PhysicianTaxonomy code 208800000X

License

L7054 Issued in TX

Legal business name

RAVI K. MOOTHA, M.D., P.A.

Practice address

2821 E President George Bush Hwy
Suite 305
Richardson, TX 75082-4266

Phone

(972) 235-3248

Fax

(972) 235-3984

NPI assigned

Mar 16, 2009

Organization subpart

No

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

Authorized official

Name

Dr. Ravi Kanth Mootha, M.D.NPI 1194820043

Title

President

Phone

(214) 514-8480

Specialties & licenses 1

Addresses

Other names 1

• North Texas Urology Doing business as

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Ravi K Mootha, M.D.

  • Urology Physician
  • Richardson, TX
  • NPI 1194820043
  Medicare reassignment NPD Authorized official
• Supriya Sehgal, M.D.

  • Rheumatology Physician
  • Richardson, TX
  • NPI 1225248156
  Medicare reassignment NPD

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

{
    "created_epoch": "1237161600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1253404800000",
    "number": "1063653376",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2821 E PRESIDENT GEORGE BUSH HWY",
            "address_2": "SUITE 305",
            "city": "RICHARDSON",
            "state": "TX",
            "postal_code": "750824266",
            "telephone_number": "972-235-3248",
            "fax_number": "972-235-3984"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2821 E PRESIDENT GEORGE BUSH HWY",
            "address_2": "SUITE 305",
            "city": "RICHARDSON",
            "state": "TX",
            "postal_code": "750824266",
            "telephone_number": "972-235-3248",
            "fax_number": "972-235-3984"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RAVI K. MOOTHA, M.D., P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-03-16",
        "last_updated": "2009-09-20",
        "status": "A",
        "authorized_official_last_name": "MOOTHA",
        "authorized_official_first_name": "RAVI",
        "authorized_official_middle_name": "KANTH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "214-514-8480",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Urology",
            "state": "TX",
            "license": "L7054",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "North Texas Urology",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Elisabeth Ashley Ransom
• Derek Alexandre Rapp, M.D.
• Haroon Rasheed, MD
• Jeanine Louise Davis Ratliff, M.D.
• Ian Mark Ratner, M.D.
• Dunja Ravlija
• Virginia Anne Rawls, PTA
• Jeniece Ray
• Dennis Scott Rayfield, D.C.
• Joseph Decarlo Raymond Sr., RN

• Urology Physician in Richardson, TX
• Providers in Richardson, TX by specialty
• Urology Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.