Ravindra R Patil, M.D., PHD

Primary specialty

Medical Oncology PhysicianTaxonomy code 207RX0202X

License

MD21026 Issued in OR

Practice address

727 S Wahanna Rd
Seaside, OR 97138-7735

Phone

(503) 717-7650

Fax

(503) 717-7624

NPI assigned

May 27, 2005

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

Credentials

Doctor of Medicine, Doctor of Philosophy

State licenses

Practice roles

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.

• Mitra Oncology Associates, P.C.

  • Medical Oncology Physician
  • Seaside, OR
  • NPI 1598897027
  NPD (past) Authorized official
• Pacific Oncology PC

  • Hematology & Oncology Physician
  • Beaverton, OR
  • NPI 1043262116
  NPD (past)

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

{
    "created_epoch": "1117152000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1386647923",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16130 SW BRAY LN",
            "city": "TIGARD",
            "state": "OR",
            "postal_code": "972241090",
            "telephone_number": "503-521-8267",
            "fax_number": "503-521-8267"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "727 S WAHANNA RD",
            "city": "SEASIDE",
            "state": "OR",
            "postal_code": "971387735",
            "telephone_number": "503-717-7650",
            "fax_number": "503-717-7624"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATIL",
        "first_name": "RAVINDRA",
        "middle_name": "R",
        "credential": "M.D., PHD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-05-27",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RX0202X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Medical Oncology",
            "state": "OR",
            "license": "MD21026",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "288039",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Oregon Coast Radiology PC
• Arne Dean Otness, DC
• Margo E Pabst, CADC II, NCACII
• Julie A Paquette, MD
• Aydan William Parsons, DPT, PT
• Derk Penrod, PHARMD
• Seth Richard Perkins
• Gregory John Pigeon, CRNA
• Providence Health & Services - Oregon (Providence Seaside Hospital)
• Providence Health & Services Oregon (Providence Seaside Hospital)

• Medical Oncology Physician in Seaside, OR
• Providers in Seaside, OR by specialty
• Medical Oncology Physician in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.