Ravi Medi, M.D.

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

K0130 Issued in TX

Practice address

2626 John Ben Shepperd Pkwy Ste C129
Odessa, TX 79761-1953

Phone

(432) 333-1333

Fax

(432) 333-1335

NPI assigned

Dec 27, 2005

Last updated

Aug 3, 2021By the provider in NPPES

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

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in TX

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

Specialty

Psychiatry

Education

Other, 1984

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Ravi Medi

  • Psychiatry Physician
  • Odessa, TX
  • NPI 1235286535
  Medicare reassignment NPD

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

{
    "created_epoch": "1135641600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1627948800000",
    "number": "1386621977",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2626 JOHN BEN SHEPPERD PKWY STE C129",
            "city": "ODESSA",
            "state": "TX",
            "postal_code": "797611953",
            "telephone_number": "432-333-1333",
            "fax_number": "432-333-1335"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2626 JOHN BEN SHEPPERD PKWY STE C129",
            "city": "ODESSA",
            "state": "TX",
            "postal_code": "797611953",
            "telephone_number": "432-333-1333",
            "fax_number": "432-333-1335"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2626 JBS PARKWAY STE C 129",
            "address_purpose": "LOCATION",
            "city": "ODESSA",
            "state": "TX",
            "postal_code": "79761",
            "country_code": "US",
            "telephone_number": "432-520-2967",
            "fax_number": "432-333-1335",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MEDI",
        "first_name": "RAVI",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-27",
        "last_updated": "2021-08-03",
        "certification_date": "2021-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "TX",
            "license": "K0130",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036338402",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Angelina Chesson McMurray, CRNA
• Pamela A McQuillin, M.D.
• Meals on Wheels of Odessa, Inc.
• Med-Tech Ambulance
• Med-Trans Corporation
• Krystal Nicole Mediano
• Medical CNTR Hosp Phcy (Medical Center Hospital Pharmacy)
• Mednp Health Family Medicine LLC
• Medseven Prime LLC
• Thomas D Meek, M.D.

• Psychiatry Physician in Odessa, TX
• Providers in Odessa, TX by specialty
• Psychiatry Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 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.