Individual provider Active NPI

Ravi C Ashwath, MD

  • Pediatric Cardiology Physician
  • San Antonio, TX
National Provider Identifier
1164636502
Registry record updated Oct 26, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Cardiology PhysicianTaxonomy code 2080P0202X
License
U6195 Issued in TX
Practice address
333 N Santa Rosa
San Antonio, TX 78207-3108
Phone
(210) 704-8829
NPI assigned
May 9, 2007
Last updated
Oct 26, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 26, 2023

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

Specialties & licenses 11

Specialty (taxonomy)CodeLicenseStatePrimary
Nuclear Medicine Physician 207U00000X 35084551 OH
Pediatrics Physician 208000000X U6195 TX
Pediatrics Physician 208000000X 43728 IA
Pediatric Cardiology Physician 2080P0202X 35084551 OH
Pediatric Cardiology Physician 2080P0202X 43728 IA
Body Imaging Physician 2085B0100X 35084551 OH
Pediatric Radiology Physician 2085P0229X 35084551 OH
Pediatric Radiology Physician 2085P0229X 43728 IA
Diagnostic Radiology Physician 2085R0202X 35084551 OH
Diagnostic Radiology Physician 2085R0202X 43728 IA
Pediatric Cardiology Physician 2080P0202X U6195 TX Primary

Addresses

Primary practice location

333 N Santa Rosa
San Antonio, TX 78207-3108

Mailing address

315 N San Saba Ste 1135
San Antonio, TX 78207-3255
Phone (210) 704-4275

Other practice location 1

200 Hawkins Dr
Department of Pediatrics
Iowa City, IA 52242-1009
Phone (319) 356-3538

Other practice location 2

1434 E Sonterra Blvd Ste 300
San Antonio, TX 78258-4974
Phone (210) 704-8829

Other practice location 3

7430 Barlite Blvd Ste 101
San Antonio, TX 78224-1366
Phone (210) 704-8829

Other practice location 4

15900 La Cantera Pkwy Ste 19240
San Antonio, TX 78256-2468
Phone (210) 704-8829

Other practice location 5

1301 Wonder World Dr
San Marcos, TX 78666-7533
Phone (210) 704-8829

Other identifiers 10

IdentifierTypeStateIssuer
000000527976OtherOHANTHEM
747672OtherOHBUCKEYE
1021951190001OtherPAPA MEDICAID
2730334OtherOHBCMH
7218085OtherOHAETNA
000000221336OtherOHUNISON
363390OtherOHWELLCARE
P00411235OtherOHRAILROAD MEDICARE
200206440AOtherOKOK MEDICAID
2730334MedicaidOH

Other names 1

  • Ravichandra Aswathanarayanappa Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA, TX2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20161212002122 IA Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Pediatric Medicine 8123126687 Reassigns benefits to 1 organization
I20230922001777 TX Practitioner - Pediatric MedicinePractitioner - Cardiovascular Disease (Cardiology) 8123126687 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
43728IAMDPediatric Cardiology Physician
35084551OHMDPediatric Cardiology Physician
U6195TXMDPediatric Cardiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
St Luke's Methodist Hospital Current Accepting new patients
Baylor College of Medicine Pediatrics CurrentSince Aug 25, 2023 Accepting new patients
Iowa Physicians Clinic Medical Foundation Pediatrics CurrentSince Aug 19, 2021 Accepting new patients
Christus Santa Rosa Health Care Corporation Past Accepting new patients

Locations

4480 Utica Ridge Rd
Ste 160
Bettendorf, IA 52722
Phone (563) 742-5950

4480 Utica Ridge Rd
Ste 2230
Bettendorf, IA 52722
Phone (563) 742-5150

855 A Ave NE
Ste 310
Cedar Rapids, IA 52402
Phone (319) 558-4876

2 Greenway Plz
Ste 900
Houston, TX 77046
Phone (713) 798-1835

1434 E Sonterra Blvd
Ste 300
San Antonio, TX 78258
Phone (210) 686-8050

15900 La Cantera Pkwy
Ste 19240
San Antonio, TX 78256
Phone (210) 558-5280

333 N Santa Rosa
San Antonio, TX 78207
Phone (210) 704-2190

7430 Barlite Blvd
Ste 101
San Antonio, TX 78224
Phone (210) 568-1949

1301 Wonder World Dr
San Marcos, TX 78666
Phone (512) 353-8979

Interoperability endpoints

  • Direct secure messaging: rashwath420703@christushealth.direct-ci.net
  • Direct secure messaging: rashwath791901@direct.unitypoint.org
  • Direct secure messaging: rashwath99959@uihcdirect.org

Organizations & group practices 4

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

NPI Registry JSON

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

{
    "created_epoch": "1178668800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698278400000",
    "number": "1164636502",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "315 N SAN SABA STE 1135",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782073255",
            "telephone_number": "210-704-4275"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "333 N SANTA ROSA",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782073108",
            "telephone_number": "210-704-8829"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "200 Hawkins Dr",
            "address_2": "Department of Pediatrics",
            "address_purpose": "LOCATION",
            "city": "Iowa City",
            "state": "IA",
            "postal_code": "522421009",
            "country_code": "US",
            "telephone_number": "319-356-3538",
            "fax_number": "316-384-6955",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1434 E Sonterra Blvd Ste 300",
            "address_purpose": "LOCATION",
            "city": "San Antonio",
            "state": "TX",
            "postal_code": "782584974",
            "country_code": "US",
            "telephone_number": "210-704-8829",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7430 Barlite Blvd Ste 101",
            "address_purpose": "LOCATION",
            "city": "San Antonio",
            "state": "TX",
            "postal_code": "782241366",
            "country_code": "US",
            "telephone_number": "210-704-8829",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "15900 La Cantera Pkwy Ste 19240",
            "address_purpose": "LOCATION",
            "city": "San Antonio",
            "state": "TX",
            "postal_code": "782562468",
            "country_code": "US",
            "telephone_number": "210-704-8829",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1301 Wonder World Dr",
            "address_purpose": "LOCATION",
            "city": "San Marcos",
            "state": "TX",
            "postal_code": "786667533",
            "country_code": "US",
            "telephone_number": "210-704-8829",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ASHWATH",
        "first_name": "RAVI",
        "middle_name": "C",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-09",
        "last_updated": "2023-10-26",
        "certification_date": "2023-10-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207U00000X",
            "taxonomy_group": "",
            "desc": "Nuclear Medicine",
            "state": "OH",
            "license": "35084551",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "TX",
            "license": "U6195",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "IA",
            "license": "43728",
            "primary": false
        },
        {
            "code": "2080P0202X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Cardiology",
            "state": "OH",
            "license": "35084551",
            "primary": false
        },
        {
            "code": "2080P0202X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Cardiology",
            "state": "IA",
            "license": "43728",
            "primary": false
        },
        {
            "code": "2085B0100X",
            "taxonomy_group": "",
            "desc": "Radiology, Body Imaging",
            "state": "OH",
            "license": "35084551",
            "primary": false
        },
        {
            "code": "2085P0229X",
            "taxonomy_group": "",
            "desc": "Radiology, Pediatric Radiology",
            "state": "OH",
            "license": "35084551",
            "primary": false
        },
        {
            "code": "2085P0229X",
            "taxonomy_group": "",
            "desc": "Radiology, Pediatric Radiology",
            "state": "IA",
            "license": "43728",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "OH",
            "license": "35084551",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "IA",
            "license": "43728",
            "primary": false
        },
        {
            "code": "2080P0202X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Cardiology",
            "state": "TX",
            "license": "U6195",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000527976",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BUCKEYE",
            "identifier": "747672",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PA MEDICAID",
            "identifier": "1021951190001",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCMH",
            "identifier": "2730334",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "7218085",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNISON",
            "identifier": "000000221336",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WELLCARE",
            "identifier": "363390",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00411235",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OK MEDICAID",
            "identifier": "200206440A",
            "state": "OK"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2730334",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "RAVICHANDRA",
            "last_name": "ASWATHANARAYANAPPA",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in San Antonio, TX

Sources for this page

Verify at the official NPI Registry.