Individual provider Active NPI

Ravi Bhushan Galhotra, M.D

  • Internal Medicine Physician
  • Avondale, AZ
National Provider Identifier
1336186543
Registry record updated Mar 7, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
29150 Issued in AZ
Practice address
10450 W McDowell Rd
Suite 101
Avondale, AZ 85392-4802
Phone
(623) 935-1000
Fax
(623) 935-1022
NPI assigned
May 31, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2016

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 29150 AZ Primary

Addresses

Primary practice location

10450 W McDowell Rd
Suite 101
Avondale, AZ 85392-4802

Mailing address

10450 W McDowell Rd
Suite 101
Avondale, AZ 85392-4802
Phone (623) 935-1000

Other identifiers 1

IdentifierTypeStateIssuer
699928MedicaidAZ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
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 1

Enrollment IDStateProvider typePAC IDDetails
I20050414001279 AZ Practitioner - Internal Medicine 3678557451 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
G and K Medical Associates, P.C.Group PAC ID 4789668559, 7 clinicians

Practice addresses (Care Compare)

10450 W McDowell Rd
Suite 101
Avondale, AZ 85392-4802
Phone (623) 935-1000

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
G & K Medical Associates, P.C. CurrentSince Jun 13, 2003 Accepting new patients
Ipn of Arizona, PLC Internal Medicine Past Accepting new patients
Tbird Hospitalist Group, LLC Internal Medicine Past Accepting new patients

Locations

13065 W McDowell Rd
Ste C101
Avondale, AZ 85392
Phone (623) 535-5629

10450 W McDowell Rd
Ste 101
Avondale, AZ 85392
Phone (623) 337-8811

Interoperability endpoints

  • Direct secure messaging: ravi.galhotra@gandkmed.directbygreenway.com

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1149033600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1457308800000",
    "number": "1336186543",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10450 W MCDOWELL RD",
            "address_2": "SUITE 101",
            "city": "AVONDALE",
            "state": "AZ",
            "postal_code": "853924802",
            "telephone_number": "623-935-1000",
            "fax_number": "623-935-1022"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10450 W MCDOWELL RD",
            "address_2": "SUITE 101",
            "city": "AVONDALE",
            "state": "AZ",
            "postal_code": "853924802",
            "telephone_number": "623-935-1000",
            "fax_number": "623-935-1022"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GALHOTRA",
        "first_name": "RAVI",
        "middle_name": "BHUSHAN",
        "name_prefix": "Dr.",
        "credential": "M.D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-31",
        "last_updated": "2016-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "AZ",
            "license": "29150",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "699928",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Avondale, AZ

Sources for this page

Verify at the official NPI Registry.