Ravinder R. Kadevari, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

A52443 Issued in CA

Practice address

5192 Hospital Rd
Mariposa, CA 95338-9524

Phone

(209) 742-6144

Fax

(209) 754-6274

NPI assigned

Jun 27, 2006

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

Medicare fee-for-service enrollment

Enrolled in CA, TX2 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 2

Specialty

General PracticeAlso: Family Practice

Education

Other, 1981

Medicare assignment

May accept Medicare assignment

Group practices

M a C T Health Board IncorporatedGroup PAC ID 8325936974, 21 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Compassionate Care Home Health Agency, LLC Home health agency, Fresno, CA, CCN 058233
• John C Fremont Healthcare District Hospital, Mariposa, CA, CCN 051304

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Interoperability endpoints

• Direct secure messaging: ravinder.kadevari.p1@direct.macthealth.nextgenshare.com

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.

• M a C T Health Board Incorporated

  • Federally Qualified Health Center (FQHC)
  • San Andreas, CA
  • NPI 1366519431

  TX

  Medicare reassignment Care Compare group
• County of Santa Clara

  • General Acute Care Hospital
  • San Jose, CA
  • NPI 1063406551
  NPD (past)
• Eden Medical Center/San Leandro Hospital Campus

  • Rehabilitation Hospital Unit
  • San Leandro, CA
  • NPI 1679523633
  NPD (past)
• Good Samaritan Hospital Ca LTD PTP

  • General Acute Care Hospital
  • Bakersfield, CA
  • NPI 1205852209
  NPD (past)
• Good Samaritan Hospital, L.P.

  • General Acute Care Hospital
  • San Jose, CA
  • NPI 1376595777
  NPD (past)
• Hayward Sisters Hospital

  • General Acute Care Hospital
  • Hayward, CA
  • NPI 1942298153
  NPD (past)
• M a C T Health Board Incorporated

  • Federally Qualified Health Center (FQHC)
  • Sonora, CA
  • NPI 1467444364
  NPD (past)
• Seton Medical Center Coatside

  • Institutional Pharmacy
  • Moss Beach, CA
  • NPI 1740374008
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Compassionate Care Home Health

  • Home Health Agency
  • Fresno, CA
  • NPI 1609826387
  Care Compare affiliation
• John C Fremont Healthcare District

  • Critical Access Hospital
  • Mariposa, CA
  • NPI 1184662652
  Care Compare affiliation

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

{
    "created_epoch": "1151366400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1634083200000",
    "number": "1306873922",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 939",
            "city": "ANGELS CAMP",
            "state": "CA",
            "postal_code": "952220939",
            "telephone_number": "209-754-6251",
            "fax_number": "209-754-6274"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5192 HOSPITAL RD",
            "city": "MARIPOSA",
            "state": "CA",
            "postal_code": "953389524",
            "telephone_number": "209-742-6144",
            "fax_number": "209-754-6274"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KADEVARI",
        "first_name": "RAVINDER",
        "middle_name": "R.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-27",
        "last_updated": "2021-10-13",
        "certification_date": "2021-10-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A52443",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bryce R Johnson
• Carol Jean Johnson, MSW, ASW
• Christine A Johnson
• Jerry D Johnson
• Angela Elizabeth Joji
• Manpal Kaur
• Kelly a. Sharrar, M.D.
• Karleen Y Kentile
• Protiva Shooprova Khan, OD
• Bethany E Kindiger Evans

• Family Medicine Physician in Mariposa, CA
• Providers in Mariposa, CA by specialty
• Family Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2021; 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.