Individual provider Active NPI

Dyanesh Bapu G Ravindran, M.D

  • Hematology & Oncology Physician
  • Redding, CA
National Provider Identifier
1659387132
Registry record updated Mar 11, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hematology & Oncology PhysicianTaxonomy code 207RH0003X
License
K4204 Issued in TX
Practice address
310 Hartnell Ave
Redding, CA 96002-1800
Phone
(530) 245-2900
Fax
(530) 221-1583
NPI assigned
Aug 1, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 11, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hematology & Oncology Physician 207RH0003X K4204 TX Primary

Addresses

Primary practice location

310 Hartnell Ave
Redding, CA 96002-1800

Mailing address

310 Hartnell Ave
Redding, CA 96002-1800
Phone (530) 245-2900

Other identifiers 2

IdentifierTypeStateIssuer
8G0570OtherTXBC/BS
152185801MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, CA2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20060508000712 TX Practitioner - Internal MedicinePractitioner - Medical Oncology 2769493543 Reassigns benefits to 1 organization
I20160913001307 CA Practitioner - Hematology/Oncology 2769493543 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Hematology/Oncology
Education
Other, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Solano Hematology - OncologyGroup PAC ID 3870617194, 3 clinicians

Practice addresses (Care Compare)

100 Hospital Dr
Suite 110
Vallejo, CA 94589-2577
Phone (707) 551-3300

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Quality
100
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Medical Experts of Texas, P.a. CurrentSince Jan 29, 2014 Accepting new patients
Dignity Health CurrentSince Jul 1, 2016 Accepting new patients
Solano Hematology - Oncology Hematology & Oncology CurrentSince Jul 1, 2023 Accepting new patients
Dignity Health CurrentSince Jul 1, 2016 Accepting new patients

Locations

3400 Data Dr
Fl 1
Rancho Cordova, CA 95670
Phone (916) 379-2726

310 Hartnell Ave
Ste Ac
Redding, CA 96002
Phone (530) 225-6390

310 Hartnell Ave
Redding, CA 96002
Phone (530) 244-2223

1360 Burton Dr
Ste 170
Vacaville, CA 95687
Phone (707) 551-3300

100 Hospital Dr
Ste 110
Vallejo, CA 94589
Phone (707) 551-3300

2725 Wind River Ln
Denton, TX 76210
Phone (940) 600-2266

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/10780/brand/1/csg/1/fhir/r4
  • Direct secure messaging: dravindran369524@hisp.ehr.sutterhealth.org
  • Direct secure messaging: dyanesh.ravindran@sho.ikm.direct-ci.com

Organizations & group practices 4

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": "1154390400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1489190400000",
    "number": "1659387132",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "310 HARTNELL AVE",
            "city": "REDDING",
            "state": "CA",
            "postal_code": "960021800",
            "telephone_number": "530-245-2900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "310 HARTNELL AVE",
            "city": "REDDING",
            "state": "CA",
            "postal_code": "960021800",
            "telephone_number": "530-245-2900",
            "fax_number": "530-221-1583"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAVINDRAN",
        "first_name": "DYANESH BAPU",
        "middle_name": "G",
        "credential": "M.D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-01",
        "last_updated": "2017-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "TX",
            "license": "K4204",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS",
            "identifier": "8G0570",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "152185801",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Redding, CA

Sources for this page

Verify at the official NPI Registry.