Active NPI
Vamshi Raman Revuri, MD
- Pediatric Critical Care Medicine Physician
- Mobile, AL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Critical Care Medicine Physician
- License
- MD.46185
- Practice address
- 1700 Center St
Mobile, AL 36604-3301 - Phone
- (251) 415-1546
- Fax
- (251) 415-1026
- NPI assigned
- Jul 27, 2017
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Pediatric Critical Care Medicine Physician | 2080P0203X | MD.46185 | AL | Primary |
| Pediatric Critical Care Medicine Physician | 2080P0203X | W4190 | TX |
Addresses
Primary practice location
1700 Center St
Mobile, AL 36604-3301
Mailing address
PO Box 746450
Atlanta, GA 30374-6450
Phone (866) 401-3057
Other practice location 1
300 2nd Ave
Long Branch, NJ 07740-6303
Phone (732) 923-7251
Other practice location 2
800 E Dawson St
Tyler, TX 75701-2036
Phone (903) 606-5956
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Pediatric Medicine
- Education
- Other, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1700 Ctr St
Mobile, AL 36604-3301
Phone (251) 415-1000
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| USA Health Physician Billing Services LLC | Current | Accepting new patients | |
| USA Health Physician Billing Services LLC | Current | Accepting new patients | |
| University of South Alabama | Past | Accepting new patients |
Locations
75 S University Blvd
Unit 6500
Mobile, AL 36608
Phone (251) 445-8282
75 S University Blvd
Unit 6000
Mobile, AL 36608
Phone (251) 660-5555
1700 Center St
Mobile, AL 36604
Phone (251) 415-1000
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.
-
- Internal Medicine Physician
- Mobile, AL
- NPI 1720645468
-
- Diagnostic Radiology Physician
- Mobile, AL
- NPI 1609434067
-
- Children's Hospital
- Mobile, AL
- NPI 1023055191
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1501113600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1782086400000",
"number": "1477077899",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 746450",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303746450",
"telephone_number": "866-401-3057",
"fax_number": "318-868-6430"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1700 CENTER ST",
"city": "MOBILE",
"state": "AL",
"postal_code": "366043301",
"telephone_number": "251-415-1546",
"fax_number": "251-415-1026"
}
],
"practiceLocations": [
{
"address_1": "300 2nd Ave",
"address_purpose": "LOCATION",
"city": "Long Branch",
"state": "NJ",
"postal_code": "077406303",
"country_code": "US",
"telephone_number": "732-923-7251",
"fax_number": "732-923-7255",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "800 E Dawson St",
"address_purpose": "LOCATION",
"city": "Tyler",
"state": "TX",
"postal_code": "757012036",
"country_code": "US",
"telephone_number": "903-606-5956",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "REVURI",
"first_name": "VAMSHI RAMAN",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2017-07-27",
"last_updated": "2026-06-22",
"certification_date": "2026-06-22",
"status": "A"
},
"taxonomies": [
{
"code": "2080P0203X",
"taxonomy_group": "",
"desc": "Pediatrics, Pediatric Critical Care Medicine",
"state": "AL",
"license": "MD.46185",
"primary": true
},
{
"code": "2080P0203X",
"taxonomy_group": "",
"desc": "Pediatrics, Pediatric Critical Care Medicine",
"state": "TX",
"license": "W4190",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Mobile, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2026; 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.