Ravi Kumar Kalidindi, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

MD126136 Issued in OR

Practice address

320 NW Medical Loop
Roseburg, OR 97471-1645

Phone

(541) 673-0968

Fax

(541) 673-0080

NPI assigned

Oct 2, 2009

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Family Practice

Education

Other, 2009

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Lifeline Urgent Care LLCGroup PAC ID 6305110917, 7 clinicians

Tower Medical Center of Nederland PAGroup PAC ID 8224484654, 3 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Lifeline Urgent Care LLC

  • Urgent Care Clinic/Center
  • Houston, TX
  • NPI 1508391962
  Medicare reassignment Care Compare group NPD Authorized official
• Tower Medical Center of Nederland PA

  • Urgent Care Clinic/Center
  • Nederland, TX
  • NPI 1033294004
  Medicare reassignment Care Compare group NPD Authorized official
• Hybrid Primary Care PC

  • Family Medicine Physician
  • Houston, TX
  • NPI 1477340065
  Medicare reassignment NPD Authorized official
• Advanced Surgeons & Physicians Network, Inc.

  • Family Medicine Physician
  • Houston, TX
  • NPI 1508030917
  Medicare reassignment NPD
• Urgent Health Solutions PLLC- Greater Houston Series

  • Urgent Care Clinic/Center
  • New Caney, TX
  • NPI 1932537826
  Medicare reassignment NPD
• Arlan G. Zastrow, MD, LLC

  • Clinic/Center
  • Roseburg, OR
  • NPI 1225352032
  NPD (past)
• Douglas Medical Group, LLC

  • Family Medicine Physician
  • Roseburg, OR
  • NPI 1346578861
  NPD (past)
• Umpqua Health - Harvard, LLC

  • Rural Health Clinic/Center
  • Roseburg, OR
  • NPI 1659519171

  Family Medicine

  NPD (past)
• Mind Vibe PC

  • Psychiatry Physician
  • Houston, TX
  • NPI 1538933080
  NPD (past)

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

{
    "created_epoch": "1254441600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1317859200000",
    "number": "1285969618",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2346",
            "city": "ROSEBURG",
            "state": "OR",
            "postal_code": "974700462",
            "telephone_number": "541-673-0968",
            "fax_number": "541-673-0080"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "320 NW MEDICAL LOOP",
            "city": "ROSEBURG",
            "state": "OR",
            "postal_code": "974711645",
            "telephone_number": "541-673-0968",
            "fax_number": "541-673-0080"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KALIDINDI",
        "first_name": "RAVI",
        "middle_name": "KUMAR",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-10-02",
        "last_updated": "2011-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OR",
            "license": "MD126136",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OREGON MEDICAL BOARD",
            "identifier": "MD126136",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Susan Ann Julian, M.S., CCC, SLP
• Misty Jungling
• Juniper Tree Counseling, LLC
• Gerilynn Jutson, RN
• Hollis Holly Kadesh, LPC
• Dayna Kaney, REGISTERED NURSE
• Norbert Kanteyineza, RPH
• Taher M. Kashuba, LCSW
• Crystal Marie Kathol
• Kaul Family Chiropractic and Massage DC PC

• Family Medicine Physician in Roseburg, OR
• Providers in Roseburg, OR by specialty
• Family Medicine Physician in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.