NPIMap

Organization Active NPI

Kumar Ravi MD Facc PC

  • Cardiac Rehabilitation Registered Nurse
  • Sun City, AZ
National Provider Identifier
1508620220
Registry record updated Feb 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiac Rehabilitation Registered NurseTaxonomy code 163WC3500X
Legal business name
KUMAR RAVI MD FACC PC
Practice address
10503 W Thunderbird Blvd Ste 103
Sun City, AZ 85351-3047
Phone
(623) 974-3649
NPI assigned
Feb 13, 2024
Last updated
Feb 13, 2024By the provider in NPPES
Organization subpart
Yes
Parent organization
KUMAR RAVI MD FACC PCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Feb 13, 2024

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

Authorized official

Name
Kumar L Ravi, MDNPI 1487643920
Title
President
Phone
(480) 266-9293

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiac Rehabilitation Registered NurseGroup: 193200000X MULTI-SPECIALTY GROUP 163WC3500X Primary

Addresses

Primary practice location

10503 W Thunderbird Blvd Ste 103
Sun City, AZ 85351-3047

Mailing address

4811 E Pebble Ridge Rd
Paradise Valley, AZ 85253-4079
Phone (480) 266-9293

Other practice location 1

Webb Medical Plaza B
Suite 105
Sun City West, AZ 85375
Phone (623) 974-3649

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240410000511 AZ Part B Supplier - Intensive Cardiac Rehabilitation 1355387663 Receives reassigned benefits from 3 practitioners
Practice locations: Sun City, AZ

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory
Tax ID family
Kumar Ravi MD Facc PC2 organizations share this tax ID, including this one
Part of
Kumar Ravi MD Facc PC

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Member organizations 1

Organizations listed as members of this organization in the National Provider Directory.

Locations

20199 N 67th Ave
Glendale, AZ 85308
Phone (480) 444-7491

14300 W Granite Valley Dr
Ste B5
Sun City West, AZ 85375
Phone (623) 546-4930

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 16

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 16

NPI Registry JSON

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

{
    "created_epoch": "1707782400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1707782400000",
    "number": "1508620220",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4811 E PEBBLE RIDGE RD",
            "city": "PARADISE VALLEY",
            "state": "AZ",
            "postal_code": "852534079",
            "telephone_number": "480-266-9293"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10503 W THUNDERBIRD BLVD STE 103",
            "city": "SUN CITY",
            "state": "AZ",
            "postal_code": "853513047",
            "telephone_number": "623-974-3649"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "Webb Medical Plaza B",
            "address_2": "Suite 105",
            "address_purpose": "LOCATION",
            "city": "Sun City West",
            "state": "AZ",
            "postal_code": "85375",
            "country_code": "US",
            "telephone_number": "623-974-3649",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "KUMAR RAVI MD FACC PC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "KUMAR RAVI MD FACC PC",
        "enumeration_date": "2024-02-13",
        "last_updated": "2024-02-13",
        "certification_date": "2024-02-12",
        "status": "A",
        "authorized_official_last_name": "RAVI",
        "authorized_official_first_name": "KUMAR",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "480-266-9293",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "163WC3500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Registered Nurse, Cardiac Rehabilitation",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sun City, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.