Individual provider Active NPI

Ravi C Vallabhan, MD

  • Interventional Cardiology Physician
  • Dallas, TX
National Provider Identifier
1184672602
Registry record updated Apr 9, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Cardiology PhysicianTaxonomy code 207RI0011X
License
H6673 Issued in TX
Practice address
621 N Hall St
Suite 400
Dallas, TX 75226-1339
Phone
(469) 800-7400
Fax
(469) 800-7440
NPI assigned
May 5, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 9, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Interventional Cardiology Physician 207RI0011X H6673 TX Primary
Cardiovascular Disease Physician 207RC0000X H6673 TX

Addresses

Primary practice location

621 N Hall St
Suite 400
Dallas, TX 75226-1339

Mailing address

621 N Hall St
Suite 400
Dallas, TX 75226-1339
Phone (469) 800-7400

Other identifiers 4

IdentifierTypeStateIssuer
118753601MedicaidTX
118753604MedicaidTX
118753602MedicaidTX
118753605MedicaidTX

Medicare participation

Medicare enrollment files
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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100921000096 TX Practitioner - Interventional CardiologyPractitioner - Cardiovascular Disease (Cardiology)Practitioner - Other (Physician) 4183757917 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Interventional Cardiology
Education
University of Texas Medical School at San Antonio, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Healthtexas Provider NetworkGroup PAC ID 1355254210, 2,535 clinicians

Practice addresses (Care Compare)

1575
Suite 30
Mesquite, TX 75150-6905
Phone (469) 800-2800

200 N Virginia St
Baylor Scott and White Fam Med Ctr Terrell
Terrell, TX 75160-2732
Phone (469) 800-3100

2400 N I
Suite 35
Waxahachie, TX 75165-5240
Phone (817) 922-1770

3500 Gaston Ave
FL 1
Dallas, TX 75246-2017
Phone (972) 817-6100

4001 Worth St
Dallas, TX 75246-1608

4400 Ih 30 W
100 Pca Greenville Family Practice
Greenville, TX 75402-4620
Phone (469) 800-3500

611 N Hall St
400 Baylor Scott and White Cardiology Consult
Dallas, TX 75226-1337
Phone (469) 800-7400

621 N Hall St
Suite 400 Cardiology Consultants of Texas
Dallas, TX 75226-1316
Phone (214) 824-8721

821 N Coleman St
Suite 100
Prosper, TX 75078-2339
Phone (469) 800-5200

9101 N Central Expressway
420 Baylor Pediatric Center
Dallas, TX 75231-5945
Phone (214) 823-2525

9101 N Central Expy
Dallas, TX 75231-5945

Hospital & facility affiliations

  • Baylor Scott & White Heart & Vascular Hospital - Dallas Hospital, Dallas, TX, CCN 450851
  • Baylor University Medical Center Hospital, Dallas, TX, CCN 450021
  • Baylor Scott & White Medical Center- Waxahachie Hospital, Waxahachie, TX, CCN 450372
  • Hunt Regional Medical Center Hospital, Greenville, TX, CCN 450352
  • Texas Health Presbyterian Hospital Dallas Hospital, Dallas, TX, CCN 450462

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary angioplasty and stenting55
Pacemaker insertion or repair1-10
Leg revascularization (restoring blood flow)1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
H6673TXMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Healthtexas Provider Network Cardiovascular Disease Current Accepting new patients
Healthtexas Provider Network CurrentSince Apr 7, 2014 Accepting new patients
Healthtexas Provider Network CurrentSince Apr 7, 2014 Accepting new patients

Locations

4001 Worth St
#A
Dallas, TX 75246
Phone (214) 820-8665

621 N Hall St
Ste 400
Dallas, TX 75226
Phone (214) 824-8721

4001 Worth St
Dallas, TX 75246
Phone (214) 828-1745

8080 N Central Expy
Ste 600
Dallas, TX 75206
Phone (972) 860-8648

9101 N Central Expy
Ste 300C
Dallas, TX 75231
Phone (469) 800-7100

4708 Alliance Blvd
Ste 50
Plano, TX 75093
Phone (972) 941-3100

821 N Coleman St
Ste 100
Prosper, TX 75078
Phone (469) 800-5200

399 W Campbell Rd
Ste 300
Richardson, TX 75080
Phone (972) 665-9100

Interoperability endpoints

  • Direct secure messaging: rvallabhan227396@direct.sw.org

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Texas Health Heart & Vascular HospitalArlington, TX, CCN 670071 Hospital 5% Or Greater Direct Ownership Interest
General Partnership Interest
Jun 6, 2005
Jun 6, 2005

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 3

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.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1146787200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1428537600000",
    "number": "1184672602",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "621 N HALL ST",
            "address_2": "SUITE 400",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752261339",
            "telephone_number": "469-800-7400",
            "fax_number": "469-800-7440"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "621 N HALL ST",
            "address_2": "SUITE 400",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752261339",
            "telephone_number": "469-800-7400",
            "fax_number": "469-800-7440"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VALLABHAN",
        "first_name": "RAVI",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-05",
        "last_updated": "2015-04-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "TX",
            "license": "H6673",
            "primary": true
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "TX",
            "license": "H6673",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "118753601",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "118753604",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "118753602",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "118753605",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

Verify at the official NPI Registry.