Organization Active NPI

Dr K Ravilochan MD LLC

  • Neurology Physician
  • Littleton, CO
National Provider Identifier
1295953412
Registry record updated Dec 14, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
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

Updated by the provider on Dec 14, 2007

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)CodeLicenseStatePrimary
Neurology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2084N0400X Primary
Physician AssistantGroup: 193200000X MULTI-SPECIALTY GROUP 363A00000X
Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 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

IdentifierTypeStateIssuer
09158561MedicaidCO
C801075OtherCOMEDICARE GROUP

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.