Active NPI
Radhika E. Ravula, MD
- Pain Medicine (Anesthesiology) Physician
- Plano, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pain Medicine (Anesthesiology) Physician
- License
- K8450
- Practice address
- 4708 Alliance Blvd Ste 850
Plano, TX 75093-5343 - Phone
- (469) 814-5960
- NPI assigned
- Dec 23, 2005
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | K8450 | TX | |
| Pain Medicine (Psychiatry & Neurology) Physician | 2084P2900X | K8450 | TX | |
| Pain Medicine (Anesthesiology) Physician | 207LP2900X | K8450 | TX | Primary |
Addresses
Primary practice location
4708 Alliance Blvd Ste 850
Plano, TX 75093-5343
Mailing address
4708 Alliance Blvd
Ste 850
Plano, TX 75093-5343
Phone (469) 814-5960
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 101180103 | Medicaid | TX | |
| 101180104 | Medicaid | TX | |
| 101180105 | Medicaid | TX | |
| 8G2125 | Other | TX | BLUE CROSS BLUE SHIELD |
| 720000337 | Other | TX | RAILROAD |
Medicare participation
Medicare enrollment files- 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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Pain Management
- Education
- Other, 1991
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
4708 Alliance Blvd
Suite 850
Plano, TX 75093-5343
Phone (469) 814-5960
Hospital & facility affiliations
- Baylor Scott & White Medical Center Plano
- Methodist Hospital for Surgery
- Methodist McKinney Hospital
- Baylor Scott & White Institute for Rehabilitation
Merit-based Incentive Payment System (MIPS)
- Final score
- 75 of 100
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| K8450 | TX | MD | Pain Medicine (Psychiatry & Neurology) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sterling Pain Medicine, P.a. | Pain Medicine | Current | Accepting new patients |
| Anesthesia Consultants of Dallas, LLP | Anesthesiology | Past | Accepting new patients |
| Anesthesia Consultants of Dallas LLP | Anesthesiology | Past | Accepting new patients |
Locations
11700 Preston Rd
Ste 660
Dallas, TX 75230
Phone (469) 420-5205
11700 Preston Rd
Ste 660529
Dallas, TX 75230
4708 Alliance Blvd
Ste 810
Plano, TX 75093
Phone (469) 814-5960
4708 Alliance Blvd
Ste 850
Plano, TX 75093
Phone (469) 814-5960
2520 N Central Expy
Ste 400
Richardson, TX 75080
Phone (972) 231-1591
600 Cooper Dr
Ste 100
Wylie, TX 75098
Phone (972) 231-1591
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/AIJFCD/Endpoint/AIJFCD
- dmcrravul@yourcarecommunity.org
Organizations & group practices 3
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.
-
- Pain Medicine (Anesthesiology) Physician
- Plano, TX
- NPI 1871827808
-
- Anesthesiology Physician
- Dallas, TX
- NPI 1225298516
-
- Anesthesiology Physician
- Dallas, TX
- NPI 1578513768
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Baylor Scott & White Medical Center - Plano
- General Acute Care Hospital
- Plano, TX
- NPI 1649273434
-
dba Baylor Institute for Rehabilitation
- Rehabilitation Hospital
- Dallas, TX
- NPI 1538465901
Inpatient rehabilitation facility
-
dba Methodist Hospital for Surgery
- General Acute Care Hospital
- Addison, TX
- NPI 1023338142
-
- General Acute Care Hospital
- McKinney, TX
- NPI 1952538431
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1135296000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1653350400000",
"number": "1750368445",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4708 ALLIANCE BLVD",
"address_2": "STE 850",
"city": "PLANO",
"state": "TX",
"postal_code": "750935343",
"telephone_number": "469-814-5960"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4708 ALLIANCE BLVD STE 850",
"city": "PLANO",
"state": "TX",
"postal_code": "750935343",
"telephone_number": "469-814-5960"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RAVULA",
"first_name": "RADHIKA",
"middle_name": "E.",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-12-23",
"last_updated": "2022-05-24",
"certification_date": "2022-05-24",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "TX",
"license": "K8450",
"primary": false
},
{
"code": "2084P2900X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Pain Medicine",
"state": "TX",
"license": "K8450",
"primary": false
},
{
"code": "207LP2900X",
"taxonomy_group": "",
"desc": "Anesthesiology, Pain Medicine",
"state": "TX",
"license": "K8450",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "101180103",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "101180104",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "101180105",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "8G2125",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD",
"identifier": "720000337",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Plano, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2022; 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.