Kamasamudram Ravilochan, MD

Primary specialty

Neurology PhysicianTaxonomy code 2084N0400X

License

32048 Issued in CO

Practice address

1001 W Mineral Ave
Littleton, CO 80120-4507

Phone

(303) 589-4757

NPI assigned

Feb 17, 2006

Last updated

Apr 7, 2014By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Ravi Ravilochan Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Interoperability endpoints

• Direct secure messaging: kravilochan254421@christushealth.direct-ci.net

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

{
    "created_epoch": "1140134400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1396828800000",
    "number": "1558335273",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 630946",
            "city": "LITTLETON",
            "state": "CO",
            "postal_code": "801630946",
            "telephone_number": "303-589-4757"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 W MINERAL AVE",
            "city": "LITTLETON",
            "state": "CO",
            "postal_code": "801204507",
            "telephone_number": "303-589-4757"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAVILOCHAN",
        "first_name": "KAMASAMUDRAM",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-02-17",
        "last_updated": "2014-04-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "CO",
            "license": "32048",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01320480",
            "state": "CO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "C801076",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "RAVI",
            "last_name": "RAVILOCHAN",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Charity Rauls
• Misty Rauscher, CLD
• Joanne Rauschkolb
• Frank R Rauzi, MD
• Raven Surgical, LLC
• Philip Max Rawlinson, DC
• Melissa Ray
• Neila Powers Ray, FNP-C
• Terrie L Ray, L.P.C.
• Charlene A Rayers, FDNP

• Neurology Physician in Littleton, CO
• Providers in Littleton, CO by specialty
• Neurology Physician in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.