Organization Active NPI

Ravi Halaswamy MD PA

  • Anesthesiology Physician
  • Beaumont, TX
National Provider Identifier
1134511470
Registry record updated Feb 24, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
J2592 Issued in TX
Legal business name
RAVI HALASWAMY MD PA
Practice address
2666 Calder St
Beaumont, TX 77702-1958
Phone
(409) 813-1177
Fax
(409) 813-1199
NPI assigned
Feb 24, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 24, 2015

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

Authorized official

Name
Dr. Ravi Halaswamy, MD
Title
President
Phone
(409) 813-1177

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207L00000X J2592 TX Primary

Addresses

Primary practice location

2666 Calder St
Beaumont, TX 77702-1958

Mailing address

2666 Calder St
Beaumont, TX 77702-1958
Phone (409) 813-1177

Other identifiers 1

IdentifierTypeStateIssuer
128442401MedicaidTX

National Provider Directory

National Provider Directory

Locations

2666 Calder St
Beaumont, TX 77702
Phone (409) 813-1177

NPI Registry JSON

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

{
    "created_epoch": "1424736000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1424736000000",
    "number": "1134511470",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2666 CALDER ST",
            "city": "BEAUMONT",
            "state": "TX",
            "postal_code": "777021958",
            "telephone_number": "409-813-1177",
            "fax_number": "409-813-1199"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2666 CALDER ST",
            "city": "BEAUMONT",
            "state": "TX",
            "postal_code": "777021958",
            "telephone_number": "409-813-1177",
            "fax_number": "409-813-1199"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RAVI HALASWAMY MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-02-24",
        "last_updated": "2015-02-24",
        "status": "A",
        "authorized_official_last_name": "HALASWAMY",
        "authorized_official_first_name": "RAVI",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "409-813-1177",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Anesthesiology",
            "state": "TX",
            "license": "J2592",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "128442401",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Beaumont, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 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.

Verify at the official NPI Registry.