Ravikumar Kanneganti, M.D.

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

H6867 Issued in TX

Practice address

3250 Medical Center Dr
Beaumont, TX 77701-4627

Phone

(409) 813-1765

Fax

(409) 813-1875

NPI assigned

Nov 9, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in TX

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

Specialty

Psychiatry

Education

Other, 1979

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

75 of 100Reported as individual

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

Credentials

Doctor of Medicine, Physician Assistant

Practice roles

Locations

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.

• Southeast Texas Child Guidance Center, PLLC

  • Mental Health Counselor
  • Beaumont, TX
  • NPI 1861761017
  Medicare reassignment NPD Authorized official
• Ravikumar Kanneganti MD Kanneganti Counseling Services

  • Group Psychotherapy Psychologist
  • Beaumont, TX
  • NPI 1376709170
  NPD (past) Authorized official
• Heritage Metabolic Health PLLC

  • Clinic/Center
  • Silsbee, TX
  • NPI 1275485880
  NPD

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

{
    "created_epoch": "1163030400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1578268800000",
    "number": "1679643191",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 21313",
            "city": "BEAUMONT",
            "state": "TX",
            "postal_code": "777201313",
            "telephone_number": "409-813-1765",
            "fax_number": "409-813-1875"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3250 MEDICAL CENTER DR",
            "city": "BEAUMONT",
            "state": "TX",
            "postal_code": "777014627",
            "telephone_number": "409-813-1765",
            "fax_number": "409-813-1875"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KANNEGANTI",
        "first_name": "RAVIKUMAR",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-09",
        "last_updated": "2020-01-06",
        "certification_date": "2020-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "TX",
            "license": "H6867",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "TX",
            "license": "H6867",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "114668001",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Carmen Rita Kaimann, PH.D.
• Abdul Kalo, DMD
• Alain Kameni
• Kandasami Senthilkumar, MD PA
• Kandaswamy Jayaraj MD PA
• Uma Mahesh Kanojia, M.D.
• Girishkumar Bhikhabhai Kansara, M.D.
• Seema Kansara, M.D.
• Satyanarayana Prasad Kante, MD
• Chelsea Marie Kappel- Landry, OTR

• Psychiatry Physician in Beaumont, TX
• Providers in Beaumont, TX by specialty
• Psychiatry Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.