Individual provider Active NPI

Ravikumar Singh, MD

  • Emergency Medicine Physician
  • Aberdeen, WA
National Provider Identifier
1497877377
Registry record updated May 31, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
MD61030731 Issued in WA
Practice address
Grays Harbor Community Hospital
915 Anderson Drive
Aberdeen, WA 98520
Phone
(360) 532-8330
NPI assigned
Apr 4, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 31, 2023

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X E-5283 AR
Student in an Organized Health Care Education/Training Program 390200000X AR
Family Medicine Physician 207Q00000X MD43771 TN
Family Medicine Physician 207Q00000X E5283 AR
Emergency Medicine Physician 207P00000X MD61030731 WA Primary

Addresses

Primary practice location

Grays Harbor Community Hospital
915 Anderson Drive
Aberdeen, WA 98520

Mailing address

245 St Helens Ave # 108
Tacoma, WA 98402-2594
Phone (901) 218-3035

Other identifiers 1

IdentifierTypeStateIssuer
1506376MedicaidTN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN, AR, WA3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20080805000597 TN Practitioner - Family PracticePractitioner - Obstetrics/GynecologyPractitioner - Emergency Medicine 6204900525 Reassigns benefits to 2 organizations
I20161205002425 AR Practitioner - Family PracticePractitioner - Emergency Medicine 6204900525 Reassigns benefits to 1 organization
I20200303002322 WA Practitioner - Emergency Medicine 6204900525 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Northwest Emergency Physicians LLCGroup PAC ID 3476462334, 267 clinicians

Practice addresses (Care Compare)

915 Anderson Dr
Aberdeen, WA 98520-1006
Phone (360) 532-8330

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
E-5283ARMDEmergency Medicine Physician
MD61030731WAMDEmergency Medicine Physician
MD43771TNMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Northwest Emergency Physicians LLC Emergency Medicine CurrentSince Mar 1, 2020 Accepting new patients
Emergency Coverage, LLC Emergency Medicine CurrentSince Jan 15, 2015 Accepting new patients
Grays Harbor County Public Hospital District No. 1 Family Medicine CurrentSince Feb 19, 2021 Accepting new patients
Southeastern Emergency Physicians LLC Emergency Medicine CurrentSince Jan 1, 2015 Accepting new patients
Grays Harbor County Public Hospital District No 1 Current Accepting new patients
Grays Harbor County Public Hospital District No 1 CurrentSince Feb 19, 2021 Accepting new patients

Locations

4800 E Johnson Ave
Jonesboro, AR 72405
Phone (870) 732-2100

9352 Park West Blvd
Knoxville, TN 37923
Phone (865) 373-1000

1607 S Locust Ave
Lawrenceburg, TN 38464
Phone (731) 287-2244

5959 Park Ave
Memphis, TN 38119
Phone (901) 765-1000

915 Anderson Dr
Aberdeen, WA 98520
Phone (360) 532-8330

600 E Main St
Elma, WA 98541
Phone (360) 346-2222

610 E Main St
Elma, WA 98541
Phone (360) 346-2222

34515 9th Ave S
Federal Way, WA 98003
Phone (253) 835-8100

888 Swift Blvd
Richland, WA 99352
Phone (509) 942-2115

1717 S J St
Tacoma, WA 98405
Phone (253) 426-4101

Organizations & group practices 6

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 2

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": "1175644800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1685491200000",
    "number": "1497877377",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "245 ST HELENS AVE # 108",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984022594",
            "telephone_number": "901-218-3035",
            "fax_number": "855-292-0966"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "GRAYS HARBOR COMMUNITY HOSPITAL",
            "address_2": "915 ANDERSON DRIVE",
            "city": "ABERDEEN",
            "state": "WA",
            "postal_code": "98520",
            "telephone_number": "360-532-8330"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SINGH",
        "first_name": "RAVIKUMAR",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-04",
        "last_updated": "2023-05-31",
        "certification_date": "2023-05-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "AR",
            "license": "E-5283",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "AR",
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TN",
            "license": "MD43771",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AR",
            "license": "E5283",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "WA",
            "license": "MD61030731",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1506376",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Aberdeen, WA

Sources for this page

Verify at the official NPI Registry.