Individual provider Active NPI

Rajnikanth Ravula, M.D.

  • Internal Medicine Physician
  • Chandler, AZ
National Provider Identifier
1306028303
Registry record updated Aug 26, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
81689 Issued in AZ
Practice address
3800 S Alma School Rd
Suite 112
Chandler, AZ 85248-4499
Phone
(602) 900-9466
Fax
(800) 230-9466
NPI assigned
Nov 30, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 26, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 81689 AZ Primary

Addresses

Primary practice location

3800 S Alma School Rd
Suite 112
Chandler, AZ 85248-4499

Mailing address

3800 S Alma School Rd
Suite 112
Chandler, AZ 85248-4499
Phone (602) 900-9466

Other identifiers 1

IdentifierTypeStateIssuer
352910MedicaidAZ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ, TX, NC3 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 3

Enrollment IDStateProvider typePAC IDDetails
I20080821000583 AZ Practitioner - Internal Medicine 3678648805 Reassigns benefits to 1 organization
I20100706000428 TX Practitioner - Internal Medicine 3678648805 Reassigns benefits to 3 organizations
I20220908000532 NC Practitioner - Internal Medicine 3678648805 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
FHPG LLCGroup PAC ID 9537481569, 195 clinicians
Zion Medical Group PLLCGroup PAC ID 1355566464, 34 clinicians

Practice addresses (Care Compare)

155 Memorial Dr
Pinehurst, NC 28374-8710
Phone (910) 715-2164

2509 N 24TH St
Phoenix, AZ 85008-1805
Phone (602) 273-1347

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
81689AZMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Gila River Health Care CurrentSince May 18, 2020 Accepting new patients
Granville Health System Current Accepting new patients
Granville Health System CurrentSince Oct 1, 2024 Accepting new patients
FHPG, LLC CurrentSince Jul 11, 2022 Accepting new patients
FHPG, LLC CurrentSince Jul 11, 2022 Accepting new patients
Zion Medical Group PLLC Internal Medicine CurrentSince Jan 1, 2015 Accepting new patients
Dhew Ind HLTH SV HLTH SVS & MNTL HLTH Adm CurrentSince Jun 8, 2010 Accepting new patients
Gila River Health Care Corporation Current Accepting new patients
San Carlos Apache Healthcare Corporation CurrentSince Jul 12, 2015 Accepting new patients
Granville Health System CurrentSince Oct 1, 2024 Accepting new patients
FHPG, LLC Current Accepting new patients
San Carlos Apache Healthcare Corporation CurrentSince Jul 12, 2015 Accepting new patients
Dhew Ind HLTH SV HLTH SVS & MNTL HLTH Adm CurrentSince Jun 8, 2010 Accepting new patients

Locations

3800 S Alma School Rd
Ste 112
Chandler, AZ 85248
Phone (480) 907-7707

103 Medicine Way Rd
Peridot, AZ 85542
Phone (928) 475-1200

4212 N 16th St
Phoenix, AZ 85016
Phone (602) 248-4187

2509 N 24th St
Phoenix, AZ 85008
Phone (602) 273-1347

350 W Thomas Rd
Phoenix, AZ 85013
Phone (480) 339-5001

1010 College St
Oxford, NC 27565
Phone (919) 623-5115

46 Memorial Dr
Pinehurst, NC 28374
Phone (910) 295-6782

155 Memorial Dr
Pinehurst, NC 28374
Phone (910) 215-1000

6408 Fayetteville Rd
Raeford, NC 28376
Phone (910) 878-6000

925 S Long Dr
Rockingham, NC 28379
Phone (910) 417-3000

Interoperability endpoints

  • Direct secure messaging: rravula108564@firsthealth.direct-ci.net

Organizations & group practices 14

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.

View all 14

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": "1196380800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1598400000000",
    "number": "1306028303",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3800 S ALMA SCHOOL RD",
            "address_2": "SUITE 112",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852484499",
            "telephone_number": "602-900-9466",
            "fax_number": "800-230-9466"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3800 S ALMA SCHOOL RD",
            "address_2": "SUITE 112",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852484499",
            "telephone_number": "602-900-9466",
            "fax_number": "800-230-9466"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAVULA",
        "first_name": "RAJNIKANTH",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-11-30",
        "last_updated": "2020-08-26",
        "certification_date": "2020-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "AZ",
            "license": "81689",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "352910",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chandler, AZ

Sources for this page

Verify at the official NPI Registry.