Active NPI
Dr K Ravilochan MD LLC
- Neurology Physician
- Littleton, CO
National Provider Identifier
1295953412
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology Physician
- Legal business name
- DR K RAVILOCHAN MD LLC
- Practice address
- 7720 S Broadway Ste 320
Littleton, CO 80122-2624 - Phone
- (303) 730-8277
- Fax
- (303) 730-1868
- NPI assigned
- Apr 23, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Kamasamudram Ravilochan, M.D.
- Title
- Neurologist
- Phone
- (303) 730-8277
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurology Physician | 2084N0400X | Primary | ||
| Physician Assistant | 363A00000X | |||
| Nurse Practitioner | 363L00000X |
Addresses
Primary practice location
7720 S Broadway Ste 320
Littleton, CO 80122-2624
Mailing address
7720 S Broadway Ste 320
Littleton, CO 80122-2624
Phone (303) 730-8277
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 09158561 | Medicaid | CO | |
| C801075 | Other | CO | MEDICARE GROUP |
National Provider Directory
National Provider DirectoryLocations
700 Potomac St
Aurora, CO 80011
Phone (303) 360-3050
6825 S Galena St
Ste 301
Centennial, CO 80112
Phone (303) 730-8277
1001 W Mineral Ave
#K
Littleton, CO 80120
Phone (303) 589-4757
Practitioners & affiliated clinicians
Practitioners 5
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Surgical Physician Assistant
- Centennial, CO
- NPI 1902844269
-
- Medical Physician Assistant
- Lafayette, CO
- NPI 1225100381
-
- Clinical Neuropsychologist
- Littleton, CO
- NPI 1326060534
-
- Surgical Physician Assistant
- Denver, CO
- NPI 1760458145
-
- Medical Physician Assistant
- Evergreen, CO
- NPI 1700147105
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1177286400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1197590400000",
"number": "1295953412",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7720 S BROADWAY STE 320",
"city": "LITTLETON",
"state": "CO",
"postal_code": "801222624",
"telephone_number": "303-730-8277",
"fax_number": "303-730-1868"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7720 S BROADWAY STE 320",
"city": "LITTLETON",
"state": "CO",
"postal_code": "801222624",
"telephone_number": "303-730-8277",
"fax_number": "303-730-1868"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DR K RAVILOCHAN MD LLC",
"organizational_subpart": "NO",
"enumeration_date": "2007-04-23",
"last_updated": "2007-12-14",
"status": "A",
"authorized_official_last_name": "RAVILOCHAN",
"authorized_official_first_name": "KAMASAMUDRAM",
"authorized_official_title_or_position": "NEUROLOGIST",
"authorized_official_telephone_number": "303-730-8277",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "2084N0400X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychiatry & Neurology, Neurology",
"state": null,
"license": null,
"primary": true
},
{
"code": "363A00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Physician Assistant",
"state": null,
"license": null,
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "09158561",
"state": "CO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE GROUP",
"identifier": "C801075",
"state": "CO"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Littleton, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.