Active NPI
Chandana Ravikumar, D.O.
- Neonatal-Perinatal Medicine Physician
- Dallas, TX
National Provider Identifier
1366977530
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neonatal-Perinatal Medicine Physician
- License
- S6717
- Practice address
- 7777 Forest Lane
Dallas, TX 75230-1501 - Phone
- (972) 566-4730
- NPI assigned
- Apr 25, 2017
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Neonatal-Perinatal Medicine Physician | 2080N0001X | S6717 | TX | Primary |
Addresses
Primary practice location
7777 Forest Lane
Dallas, TX 75230-1501
Mailing address
3001 E George Bush Hwy. Suite 225
Richardson, TX 75082
Phone (214) 343-6663
Other practice location 1
1441 N. Beckley Ave.
Dalla, TX 75203-1501
Phone (214) 947-3099
Other practice location 2
6200 W Parker Rd
Plano, TX 75093-1501
Phone (972) 981-7611
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| S6717 | TX | MD | Neonatal-Perinatal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pediatrix Medical Group of Texas Billing, Inc. | Neonatal-Perinatal Medicine | Past | Accepting new patients |
| Columbia Hospital at Medical City Dallas Subsidiary LP | Past | Accepting new patients | |
| Methodist Hospitals of Dallas | Past | Accepting new patients | |
| Ut Physicians | Past | Accepting new patients |
Organizations & group practices 4
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.
-
- General Acute Care Hospital
- Dallas, TX
- NPI 1689628984
-
- General Acute Care Hospital
- Dallas, TX
- NPI 1528027786
-
- Neonatal-Perinatal Medicine Physician
- Houston, TX
- NPI 1649377359
-
- Health Educator
- Houston, TX
- NPI 1316534472
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1493078400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1687737600000",
"number": "1366977530",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3001 E GEORGE BUSH HWY. SUITE 225",
"city": "RICHARDSON",
"state": "TX",
"postal_code": "75082",
"telephone_number": "214-343-6663",
"fax_number": "214-343-2814"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7777 FOREST LANE",
"city": "DALLAS",
"state": "TX",
"postal_code": "752301501",
"telephone_number": "972-566-4730"
}
],
"practiceLocations": [
{
"address_1": "1441 N. Beckley Ave.",
"address_purpose": "LOCATION",
"city": "Dalla",
"state": "TX",
"postal_code": "752031501",
"country_code": "US",
"telephone_number": "214-947-3099",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "6200 W Parker Rd",
"address_purpose": "LOCATION",
"city": "Plano",
"state": "TX",
"postal_code": "750931501",
"country_code": "US",
"telephone_number": "972-981-7611",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "RAVIKUMAR",
"first_name": "CHANDANA",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-04-25",
"last_updated": "2023-06-26",
"certification_date": "2023-06-26",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "2080N0001X",
"taxonomy_group": "",
"desc": "Pediatrics, Neonatal-Perinatal Medicine",
"state": "TX",
"license": "S6717",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Dallas, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.