Revati J Ghatnekar, M.D.

Primary specialty

Cardiovascular Disease PhysicianTaxonomy code 207RC0000X

License

C43133 Issued in CA

Practice address

1180 N Indian Canyon Dr Ste E205
Palm Springs, CA 92262-4876

Phone

(760) 325-1202

Fax

(760) 864-7105

NPI assigned

Jan 23, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CA

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

Cardiovascular Disease (Cardiology)

Education

Other, 1976

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Cardiology Specialists Medical Group IncGroup PAC ID 9830164359, 12 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Desert Regional Medical Center Hospital, Palm Springs, CA, CCN 050243

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: revati.ghatnekar.1@17575.direct.athenahealth.com

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.

• Cardiology Specialists Medical Group, Inc.

  • Specialist
  • Riverside, CA
  • NPI 1467487983
  Medicare reassignment Care Compare group
• Emergency Associates Corporation

  • Emergency Medicine Physician
  • Rancho Mirage, CA
  • NPI 1003866120
  Medicare reassignment NPD
• First Choice Physician Partners

  • Neurological Surgery Physician
  • Modesto, CA
  • NPI 1104183052
  NPD
• First Choice Physician Partners

  • Family Medicine Physician
  • Palm Springs, CA
  • NPI 1558797118

  Cardiovascular Disease

  NPD
• First Choice Physician Partners

  • Ophthalmology Physician
  • El Monte, CA
  • NPI 1912732892
  NPD
• Desert Regional Medical Center, Inc.

  • Inpatient Hospice
  • Palm Springs, CA
  • NPI 1679508774
  NPD (past)
• North Hills Passavant Cardiology Associates PC

  • Cardiovascular Disease Physician
  • Pittsburgh, PA
  • NPI 1538234976
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Desert Regional Medical Center, Inc.

  • General Acute Care Hospital
  • Palm Springs, CA
  • NPI 1104856095
  Care Compare affiliation

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

{
    "created_epoch": "1137974400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1554768000000",
    "number": "1760452965",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 SHERWOOD RD",
            "city": "RANCHO MIRAGE",
            "state": "CA",
            "postal_code": "922701648",
            "telephone_number": "760-625-5876",
            "fax_number": "760-699-5521"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1180 N INDIAN CANYON DR STE E205",
            "city": "PALM SPRINGS",
            "state": "CA",
            "postal_code": "922624876",
            "telephone_number": "760-325-1202",
            "fax_number": "760-864-7105"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "35400 Bob Hope Dr Ste 205",
            "address_purpose": "LOCATION",
            "city": "Rancho Mirage",
            "state": "CA",
            "postal_code": "92270",
            "country_code": "US",
            "telephone_number": "760-428-9672",
            "fax_number": "760-406-5090",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1180 N Indian Canyon Dr",
            "address_2": "Suite E319",
            "address_purpose": "LOCATION",
            "city": "Palm Springs",
            "state": "CA",
            "postal_code": "922624800",
            "country_code": "US",
            "telephone_number": "760-325-1203",
            "fax_number": "760-325-5485",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GHATNEKAR",
        "first_name": "REVATI",
        "middle_name": "J",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-01-23",
        "last_updated": "2019-04-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "IN",
            "license": "01052299",
            "primary": false
        },
        {
            "code": "207UN0901X",
            "taxonomy_group": "",
            "desc": "Nuclear Medicine, Nuclear Cardiology",
            "state": "IN",
            "license": "01052299",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "CA",
            "license": "C43133",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD",
            "identifier": "060062081",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• John Kenneth Gerard, M.D.
• Ralph Agatep Gerard, DO
• Gharagozloo Dental Corporation
• Ghassan Kazmouz Group
• Ghassan Kazmouz MD Inc
• Anthony J. Ghidorzi, D.O.
• Anahita Ghorbani
• Yashar Ghorbani, DDS
• Amy Gile
• Daniel James Gillespie, AGPCNP-BC

• Cardiovascular Disease Physician in Palm Springs, CA
• Providers in Palm Springs, CA by specialty
• Cardiovascular Disease Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2019; 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.