Organization Active NPI

Ravi Krishnan MD PA

  • Ophthalmology Physician
  • Corpus Christi, TX
National Provider Identifier
1710086368
Registry record updated Dec 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
K3598 Issued in TX
Legal business name
RAVI KRISHNAN MD PA
Practice address
5729 Esplanade Dr
Corpus Christi, TX 78414-4138
Phone
(361) 991-3800
Fax
(361) 991-6510
NPI assigned
Sep 21, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 7, 2023

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

Authorized official

Name
Dr. Ravi Krishnan, MD
Title
MD PA
Phone
(361) 991-3800

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207W00000X K3598 TX Primary

Addresses

Primary practice location

5729 Esplanade Dr
Corpus Christi, TX 78414-4138

Mailing address

5729 Esplanade Dr
Corpus Christi, TX 78414-4138
Phone (361) 991-3800

Other identifiers 2

IdentifierTypeStateIssuer
20CPOtherTXBCBS
080060901MedicaidTX

Other names 1

  • Eye Institute of Corpus Christi Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20041207000363 TX Part B Supplier - Clinic/Group Practice 8921064437 Receives reassigned benefits from 4 practitioners
Practice locations: Corpus Christi, TX

National Provider Directory

National Provider Directory

Locations

5721 Esplanade Dr
#B
Corpus Christi, TX 78414
Phone (361) 991-3800

5729 Esplanade Dr
Corpus Christi, TX 78414
Phone (361) 991-3800

5920 Saratoga Blvd
Ste 520A
Corpus Christi, TX 78414
Phone (361) 991-3800

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1158796800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1701907200000",
    "number": "1710086368",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5729 ESPLANADE DR",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784144138",
            "telephone_number": "361-991-3800",
            "fax_number": "361-991-6510"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5729 ESPLANADE DR",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784144138",
            "telephone_number": "361-991-3800",
            "fax_number": "361-991-6510"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RAVI KRISHNAN MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-21",
        "last_updated": "2023-12-07",
        "certification_date": "2023-12-07",
        "status": "A",
        "authorized_official_last_name": "KRISHNAN",
        "authorized_official_first_name": "RAVI",
        "authorized_official_title_or_position": "MD PA",
        "authorized_official_telephone_number": "361-991-3800",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": "TX",
            "license": "K3598",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "20CP",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "080060901",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Eye Institute of Corpus Christi",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Eye Institute of Corpus Christi",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Corpus Christi, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2023; 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.