Active NPI
Ravishankar Vedantam, MD
- Orthopaedic Surgery of the Spine Physician
- Richmond, IN
National Provider Identifier
1114992237
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery of the Spine Physician
- License
- 01046839A
- Practice address
- 1050 Reid Parkway, Suite 100
Central Indiana Orthopedics, PC
Richmond, IN 47374-1156 - Phone
- (765) 983-3373
- Fax
- (765) 983-3413
- NPI assigned
- Feb 22, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery of the Spine Physician | 207XS0117X | 01046839A | IN | Primary |
Addresses
Primary practice location
1050 Reid Parkway, Suite 100
Central Indiana Orthopedics, PC
Richmond, IN 47374-1156
Mailing address
PO Box 1643
Central Indiana Orthopedics, PC
Muncie, IN 47308-1643
Phone (765) 284-7738
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2060719 | Medicaid | OH | |
| 200138760 | Medicaid | IN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 01046839A | IN | MD | Orthopaedic Surgery of the Spine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Major Hospital | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- General Acute Care Hospital
- Shelbyville, IN
- NPI 1174555692
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1140566400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1438819200000",
"number": "1114992237",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1643",
"address_2": "CENTRAL INDIANA ORTHOPEDICS, PC",
"city": "MUNCIE",
"state": "IN",
"postal_code": "473081643",
"telephone_number": "765-284-7738",
"fax_number": "765-284-4266"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1050 REID PARKWAY, SUITE 100",
"address_2": "CENTRAL INDIANA ORTHOPEDICS, PC",
"city": "RICHMOND",
"state": "IN",
"postal_code": "473741156",
"telephone_number": "765-983-3373",
"fax_number": "765-983-3413"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VEDANTAM",
"first_name": "RAVISHANKAR",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-02-22",
"last_updated": "2015-08-06",
"status": "A"
},
"taxonomies": [
{
"code": "207XS0117X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery, Orthopaedic Surgery of the Spine",
"state": "IN",
"license": "01046839A",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2060719",
"state": "OH"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200138760",
"state": "IN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Richmond, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.