Kathy Ravanbakhsh, D.O.

Primary specialty

Urology PhysicianTaxonomy code 208800000X

License

M8941 Issued in TX

Practice address

2700 E 29TH St Ste 100
Bryan, TX 77802-2507

Phone

(979) 774-3041

Fax

(979) 774-3053

NPI assigned

May 20, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

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

Urology

Education

Other, 1998

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

St Joseph Regional Health CenterGroup PAC ID 5294727921, 141 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• CHI St Joseph Health Regional Hospital Hospital, Bryan, TX, CCN 450011
• Baylor Scott & White Medical Center- College Stati Hospital, College Station, TX, CCN 670088
• Madison St Joseph Health Center Hospital, Madisonville, TX, CCN 451316

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: kathy.ravanbakhsh@sjrhc.eclinicaldirectplus.com
• Direct secure messaging: kravanbakhsh458098@direct.stlukeshealth.org

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.

• St. Joseph Regional Health Center

  • Family Medicine Physician
  • Bryan, TX
  • NPI 1669557179

  Urology

  Medicare reassignment Care Compare group NPD
• St Joseph Regional Health Center

  • Rural Health Clinic/Center
  • Franklin, TX
  • NPI 1780768911
  NPD
• College Station Hospital LP

  • Rehabilitation Hospital Unit
  • College Station, TX
  • NPI 1548286297
  NPD (past)
• Jonathan a. Friedman, M.D., PLLC

  • Physician Assistant
  • Bryan, TX
  • NPI 1629127212
  NPD (past)
• St Joseph Physician Associates

  • Neurological Surgery Physician
  • Bryan, TX
  • NPI 1851405039

  Urology

  NPD (past)

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

• Madison St Joseph Health Center

  • Medicare Defined Swing Bed Hospital Unit
  • Madisonville, TX
  • NPI 1033272398
  Care Compare affiliation
• Madison St Joseph Health Center

  • Critical Access Hospital
  • Madisonville, TX
  • NPI 1780731737
  Care Compare affiliation
• Scott & White Hospital - College Station

  • General Acute Care Hospital
  • College Station, TX
  • NPI 1265772362
  Care Compare affiliation
• St Joseph Regional Health Center

  • General Acute Care Hospital
  • Bryan, TX
  • NPI 1942294939
  Care Compare affiliation
• St. Joseph Regional Health Center

  • General Acute Care Hospital
  • College Station, TX
  • NPI 1053963009
  Care Compare affiliation

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

{
    "created_epoch": "1148083200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1354492800000",
    "number": "1790739167",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2700 E 29TH ST STE 100",
            "city": "BRYAN",
            "state": "TX",
            "postal_code": "778022507",
            "telephone_number": "979-774-3041",
            "fax_number": "979-774-3053"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2700 E 29TH ST STE 100",
            "city": "BRYAN",
            "state": "TX",
            "postal_code": "778022507",
            "telephone_number": "979-774-3041",
            "fax_number": "979-774-3053"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAVANBAKHSH",
        "first_name": "KATHY",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-05-20",
        "last_updated": "2012-12-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "IL",
            "license": "036-110986",
            "primary": false
        },
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "TX",
            "license": "M8941",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jessica Ramirez
• Laurin Marchbanks Ramirez, LPC
• Teresa Dejesus Ramirez, FNP-C
• Leonard Raphael, M.D.
• Sarah Rapp, M.D.
• Michele Ann Ray
• Patricia J Ray
• Rebekah Ray
• Chanda Reburiano
• Michael Keith Reece, D.D.S.

• Urology Physician in Bryan, TX
• Providers in Bryan, TX by specialty
• Urology Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2012; 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.