Active NPI
Rajnikanth Ravula, M.D.
- Internal Medicine Physician
- Chandler, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 81689
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 352910 | Medicaid | AZ |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ, TX, NC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 3
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 81689 | AZ | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Gila River Health Care | Current | Accepting new patients | |
| Granville Health System | Current | Accepting new patients | |
| Granville Health System | Current | Accepting new patients | |
| FHPG, LLC | Current | Accepting new patients | |
| FHPG, LLC | Current | Accepting new patients | |
| Zion Medical Group PLLC | Internal Medicine | Current | Accepting new patients |
| Dhew Ind HLTH SV HLTH SVS & MNTL HLTH Adm | Current | Accepting new patients | |
| Gila River Health Care Corporation | Current | Accepting new patients | |
| San Carlos Apache Healthcare Corporation | Current | Accepting new patients | |
| Granville Health System | Current | Accepting new patients | |
| FHPG, LLC | Current | Accepting new patients | |
| San Carlos Apache Healthcare Corporation | Current | Accepting new patients | |
| Dhew Ind HLTH SV HLTH SVS & MNTL HLTH Adm | Current | 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
- 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.
-
- Family Medicine Physician
- Lillington, NC
- NPI 1760329486
-
dba Phoenix Indian Medical Center
- Public Health or Welfare Agency
- Phoenix, AZ
- NPI 1083643738
TX
-
dba Komatke Health Center
- Critical Access Hospital
- Laveen, AZ
- NPI 1376538231
TX
-
- Critical Access Hospital Clinic/Center
- Peridot, AZ
- NPI 1265813075
TX
-
dba Granville CRNA Group
- Certified Registered Nurse Anesthetist
- Oxford, NC
- NPI 1275638512
-
dba Ak-Chin Clinic
- Public Health or Welfare Agency
- Maricopa, AZ
- NPI 1538043443
-
dba Thwajik Ke Outpatient Behavioral Health Services
- Community/Behavioral Health Agency
- Laveen, AZ
- NPI 1598021495
-
dba Clarence Wesley Health Center
- Clinic/Center
- Bylas, AZ
- NPI 1417330713
-
dba FirstHealth Family Medicine-Ellerbe
- Family Medicine Physician
- Ellerbe, NC
- NPI 1336154129
-
dba FirstHealth Moore Regional Hospital Professional Services
- Specialist
- Pinehurst, NC
- NPI 1770512865
-
dba FirstHealth Primary Care - Tramway
- Family Medicine Physician
- Sanford, NC
- NPI 1942196035
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Firsthealth Bariatric Center
- Obesity Medicine (Internal Medicine) Physician
- Pinehurst, NC
- NPI 1740463967
Hospital
-
dba FirstHealth Home Care
- Home Health Agency
- West End, NC
- NPI 1770574766
-
dba Firsthealth Regional EMS System
- Land Ambulance
- Pinehurst, NC
- NPI 1871610378
Hospital
-
dba FirstHealth Cancer Center
- Oncology Clinic/Center
- Pinehurst, NC
- NPI 1417010422
Hospital
-
dba FH Moore Regional Hospital (Acute)
- General Acute Care Hospital
- Pinehurst, NC
- NPI 1740208081
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2020; 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.