Individual provider Active NPI

Kumar L Ravi, MD

  • Cardiovascular Disease Physician
  • Sun City, AZ
National Provider Identifier
1487643920
Registry record updated Feb 9, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
32398 Issued in AZ
Practice address
10503 W Thunderbird Blvd
Ste 103
Sun City, AZ 85351-3022
Phone
(623) 974-3649
Fax
(623) 974-8464
NPI assigned
Oct 18, 2005
Last updated
Feb 9, 2012By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 9, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 32398 AZ Primary

Addresses

Primary practice location

10503 W Thunderbird Blvd
Ste 103
Sun City, AZ 85351-3022

Mailing address

10503 W Thunderbird Blvd
Ste 103
Sun City, AZ 85351-3022
Phone (623) 974-3649

Other identifiers 1

IdentifierTypeStateIssuer
847171MedicaidAZ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
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

Enrollment IDStateProvider typePAC IDDetails
I20040412000890 AZ Practitioner - Cardiovascular Disease (Cardiology) 2567456791 Reassigns benefits to 3 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Kumar Ravi MD Facc PC Internal Medicine CurrentSince May 1, 2005 Accepting new patients
Kumar Ravi MD Facc PC CurrentSince May 1, 2005 Accepting new patients
Greatcare and Wellness LLC CurrentSince May 3, 2025 Accepting new patients
Southwest Desert Cardiology PC PastSince Jun 3, 2002 Accepting new patients
Sun Health MRI Center Past Accepting new patients
Banner Sun City Medical Group Past Accepting new patients
Cardiac Care, P.C. Past Accepting new patients

Locations

450 S Willard St
Ste 115
Cottonwood, AZ 86326
Phone (928) 634-3025

1930 E Thomas Rd
Phoenix, AZ 85016
Phone (602) 532-1000

2525 W Beryl Ave
Phoenix, AZ 85021
Phone (602) 424-7967

10401 W Thunderbird Blvd
Sun City, AZ 85351
Phone (623) 815-7690

10503 W Thunderbird Blvd
Sun City, AZ 85351
Phone (623) 832-5349

10503 W Thunderbird Blvd
Ste 103
Sun City, AZ 85351
Phone (623) 547-7654

13041 N Del Webb Blvd
Ste 130
Sun City, AZ 85351

15405 N 99th Ave
Ste A
Sun City, AZ 85351
Phone (623) 584-5626

13830 W Camino del Sol
Ste 240
Sun City West, AZ 85375
Phone (623) 254-7375

14418 W Meeker Blvd
#B105
Sun City West, AZ 85375

12361 W Bola Dr
Ste 112
Surprise, AZ 85378
Phone (602) 698-7325

18715 N Reems Rd
Ste 140
Surprise, AZ 85374
Phone (623) 310-2626

108 N Frontier St
Wickenburg, AZ 85390
Phone (623) 561-1995

1175 W Wickenburg Way
Wickenburg, AZ 85390
Phone (480) 266-9293

Organizations & group practices 10

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.

NPI Registry JSON

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

{
    "created_epoch": "1129593600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1328745600000",
    "number": "1487643920",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10503 W THUNDERBIRD BLVD",
            "address_2": "STE 103",
            "city": "SUN CITY",
            "state": "AZ",
            "postal_code": "853513022",
            "telephone_number": "623-974-3649",
            "fax_number": "623-974-8464"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10503 W THUNDERBIRD BLVD",
            "address_2": "STE 103",
            "city": "SUN CITY",
            "state": "AZ",
            "postal_code": "853513022",
            "telephone_number": "623-974-3649",
            "fax_number": "623-974-8464"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAVI",
        "first_name": "KUMAR",
        "middle_name": "L",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-10-18",
        "last_updated": "2012-02-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "AZ",
            "license": "32398",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "847171",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sun City, AZ

Sources for this page

Verify at the official NPI Registry.