NPIMap

Individual provider Active NPI

Ravi S Siripurapu, MD

  • Internal Medicine Physician
  • Fort Worth, TX
National Provider Identifier
1467570895
Registry record updated Oct 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
M 9662 Issued in TX
Practice address
1023 Lipscomb St Ste 200
Fort Worth, TX 76104-3102
Phone
(972) 544-6600
Fax
(972) 544-6604
NPI assigned
Mar 26, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 6, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X M9662 TX
Internal Medicine Physician 207R00000X M 9662 TX Primary

Addresses

Primary practice location

1023 Lipscomb St Ste 200
Fort Worth, TX 76104-3102

Mailing address

PO Box 271600
Flower Mound, TX 75027-1600
Phone (972) 544-6600

Other names 1

  • Dr. Ravi Subrahmanya Siripurapu Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110308000426 TX Practitioner - Internal Medicine 6103902085 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Fort Worth Institute of Medical Sciences LLCGroup PAC ID 4688021306, 17 clinicians

Practice addresses (Care Compare)

1023 Lipscomb St
Suite 200
Fort Worth, TX 76104-3102
Phone (972) 544-6600

1023 Lipscomb St
Suite 201
Fort Worth, TX 76104-3196
Phone (972) 544-6600

Hospital & facility affiliations

  • Accentcare Home Health of Fort Worth Home health agency, Fort Worth, TX, CCN 747526
  • Baylor Scott and White All Saints Medical Center Hospital, Fort Worth, TX, CCN 450137
  • Medical City Fort Worth Hospital, Fort Worth, TX, CCN 450672
  • Palo Pinto General Hospital Hospital, Mineral Wells, TX, CCN 450565
  • Texas Health Harris Methodist Hospital Southwest F Hospital, Fort Worth, TX, CCN 450779

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal or shaving of skin growth1-10
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
M 9662TXMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Healthtexas Provider Network Internal Medicine CurrentSince Dec 28, 2015 Accepting new patients
Healthtexas Provider Network CurrentSince Dec 28, 2015 Accepting new patients
Siripurapu Associates PLLC Medical Associates of North Texas Internal Medicine CurrentSince Feb 12, 2015 Accepting new patients
Healthtexas Provider Network Internal Medicine Current Accepting new patients
Columbia Plaza Medical Center of Fort Worth Subsidiary LP Past Accepting new patients
Suresh Kankanala M.D, P.a. Past Accepting new patients
Baylor All Saints Medical Center Past Accepting new patients

Locations

5408 Colleyville Blvd
Colleyville, TX 76034
Phone (817) 498-9920

4001 Worth St
#A
Dallas, TX 75246
Phone (214) 820-8665

923 College Ave
Ste 103
Fort Worth, TX 76104
Phone (817) 293-3000

1023 Lipscomb St
Ste 200
Fort Worth, TX 76104
Phone (972) 544-6600

1400 8th Ave
Ft Worth, TX 76104
Phone (817) 922-1559

2111 Fort Worth Hwy
Weatherford, TX 76086
Phone (817) 596-3700

2111 Fort Worth Hwy
Ste 100
Weatherford, TX 76086

Interoperability endpoints

  • Direct secure messaging: ravi.siripurapu@mdntx.eclinicaldirectplus.com

Organizations & group practices 8

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.

Hospital & facility affiliations 5

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

NPI Registry JSON

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

{
    "created_epoch": "1174867200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696550400000",
    "number": "1467570895",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 271600",
            "city": "FLOWER MOUND",
            "state": "TX",
            "postal_code": "750271600",
            "telephone_number": "972-544-6600",
            "fax_number": "972-544-6604"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1023 LIPSCOMB ST STE 200",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761043102",
            "telephone_number": "972-544-6600",
            "fax_number": "972-544-6604"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIRIPURAPU",
        "first_name": "RAVI",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-26",
        "last_updated": "2023-10-06",
        "certification_date": "2023-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "M9662",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "M 9662",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "RAVI",
            "last_name": "SIRIPURAPU",
            "middle_name": "SUBRAHMANYA",
            "prefix": "DR.",
            "credential": "MD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Fort Worth, TX

Sources for this page

Verify at the official NPI Registry.