NPIMap

Individual provider Active NPI

Ravi Theethakarai Chandran, M.D.

  • Pulmonary Disease Physician
  • Tucson, AZ
National Provider Identifier
1730133547
Registry record updated Mar 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
72622 Issued in AZ
Practice address
1951 N Wilmot Rd BLDG 4
Tucson, AZ 85712-8001
Phone
(520) 318-1114
NPI assigned
May 19, 2006
Last updated
Mar 19, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 19, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pulmonary Disease Physician 207RP1001X 23128 SC
Sleep Disorder Diagnostic Clinic/Center 261QS1200X 23128 SC
Pulmonary Disease Physician 207RP1001X 72622 AZ Primary

Addresses

Primary practice location

1951 N Wilmot Rd BLDG 4
Tucson, AZ 85712-8001

Mailing address

1951 N Wilmot Rd BLDG 4
Tucson, AZ 85712-8001
Phone (520) 318-1114

Other practice location 1

125 Professional Park Dr
Seneca, SC 29678-2558
Phone (864) 482-3000

Other identifiers 2

IdentifierTypeStateIssuer
231289MedicaidSC
187323MedicaidAZ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC, AZ2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20090624000641 SC Practitioner - Pulmonary DiseasePractitioner - Critical Care (Intensivists)Practitioner - Sleep Medicine 7517943707 Reassigns benefits to 1 organization
I20240717004179 AZ Practitioner - Pulmonary Disease 7517943707 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pulmonary Disease
Education
Other, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
TMC Medical NetworkGroup PAC ID 9638457013, 276 clinicians
TmconeGroup PAC ID 9234604877, 60 clinicians

Practice addresses (Care Compare)

1951 N Wilmot Rd
BLDG 4
Tucson, AZ 85712-8001
Phone (520) 318-1114

210 Freeman Farm Rd
Duncan, SC 29334-9398
Phone (864) 968-5123

298 Memorial Dr
Seneca, SC 29672-9443
Phone (864) 455-2455

5301 E Grant Rd
Tucson, AZ 85712-2805
Phone (520) 324-2308

603 N Wilmot Rd
Suite 151
Tucson, AZ 85711-2701
Phone (520) 420-2560

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
72622AZMDPulmonary Disease Physician
23128SCMDGerontology Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Prisma Health University Medical Group CurrentSince Oct 4, 2021 Accepting new patients
Prisma Health University Medical Group Family Medicine CurrentSince Oct 4, 2021 Accepting new patients
TMC Medical Network CurrentSince Aug 1, 2024 Accepting new patients
Catalina Lung PC Pulmonary Disease Current Accepting new patients
Pulmonary Critical Care & Sleep Associates PA Pulmonary Disease PastSince Jun 1, 2002 Accepting new patients
Pulmonary and Critical Care Associates Past Accepting new patients
Texas Specialty Physicians Family Medicine Past Accepting new patients

Locations

1951 N Wilmot Rd
Tucson, AZ 85712
Phone (520) 546-8920

1951 N Wilmot Rd
Bldg 4
Tucson, AZ 85712
Phone (520) 318-1114

1951 N Wilmot Rd
Ste 1
Tucson, AZ 85712
Phone (520) 722-3210

2380 N Ferguson Ave
Ste 104
Tucson, AZ 85712
Phone (520) 324-1010

5301 E Grant Rd
Tucson, AZ 85712
Phone (520) 324-1344

210 Freeman Farm Rd
Duncan, SC 29334
Phone (864) 968-5123

2A Cleveland Ct
Greenville, SC 29607
Phone (864) 271-7761

300 E McBee Ave
Fl 4
Greenville, SC 29601
Phone (864) 522-8615

107 Omni Dr
#A
Seneca, SC 29672
Phone (864) 482-3000

125 Professional Park Dr
Seneca, SC 29678
Phone (864) 482-3000

Interoperability endpoints

  • Direct secure messaging: rchandran50251@direct.ghs.myhfn.org

Organizations & group practices 8

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 10

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": "1147996800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742342400000",
    "number": "1730133547",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1951 N WILMOT RD BLDG 4",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857128001",
            "telephone_number": "520-318-1114",
            "fax_number": "520-318-4693"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1951 N WILMOT RD BLDG 4",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857128001",
            "telephone_number": "520-318-1114"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "125 Professional Park Dr",
            "address_purpose": "LOCATION",
            "city": "Seneca",
            "state": "SC",
            "postal_code": "296782558",
            "country_code": "US",
            "telephone_number": "864-482-3000",
            "fax_number": "864-482-4000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHANDRAN",
        "first_name": "RAVI",
        "middle_name": "THEETHAKARAI",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-19",
        "last_updated": "2025-03-19",
        "certification_date": "2025-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "SC",
            "license": "23128",
            "primary": false
        },
        {
            "code": "261QS1200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Sleep Disorder Diagnostic",
            "state": "SC",
            "license": "23128",
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "AZ",
            "license": "72622",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "231289",
            "state": "SC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "187323",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tucson, AZ

Sources for this page

Verify at the official NPI Registry.