Ravi Chopra, MD
Individual provider Active NPI Pulmonary Disease Physician · Placerville, CA
NPI 1801059472 · NPPES record last updated Dec 2, 2020
Key facts
- NPI
- 1801059472
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pulmonary Disease Physician 207RP1001X
- License
- A166852 (CA)
- Practice address
- 1004 Fowler Way Ste 4
Placerville, CA 95667-5746 - Phone
- (530) 626-9488
- NPI assigned
- Jul 3, 2008
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 13
Hospital & facility affiliations 2
Medicare Care Compare profile
- Specialty
- Pulmonary Disease
- Education
- University of Texas Medical School at Houston, 2008
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Marshall Medical Center
Practice addresses (Care Compare)
1004 Fowler Way
Suite 4
Placerville, CA 95667-5746
Phone (530) 626-9488
Hospital & facility affiliations
- Marshall Medical Center
- Sutter Medical Center, Sacramento
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in NM, CA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20150917001575 | NM | Practitioner - Pulmonary Disease | 7214108802 | Reassigns benefits to 1 organization |
| I20200729000206 | CA | Practitioner - Pulmonary Disease |
7214108802 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A166852 | CA | MD | Pulmonary Disease Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| San Juan Regional Medical Center Inc | Current | Accepting new patients | |
| Marshall Medical Center | Current |
Accepting new patients | |
| San Juan Regional Medical Center Inc | Current |
Accepting new patients | |
| San Juan Regional Medical Center Inc | Pulmonary Disease | Current |
Accepting new patients |
| Marshall Medical Center | Internal Medicine | Current |
Accepting new patients |
| Marshall Medical Center | Past | Accepting new patients | |
| Marshall Medical Center | Past | Accepting new patients | |
| Marshall Medical Center | Pulmonary Disease | Past | Accepting new patients |
| San Juan Regional Medical Center, Inc. | Past | Accepting new patients |
Locations
3581 Palmer Dr
Ste 602
Cameron Park, CA 95682
Phone (530) 626-2920
3501 Palmer Dr
Ste 201
Cameron Park, CA 95682
Phone (530) 626-2611
1004 Fowler Way
Ste 4
Placerville, CA 95667
Phone (530) 626-9488
1095 Marshall Way
Ste 201
Placerville, CA 95667
Phone (530) 344-5470
4820 E Main St
Ste 2
Farmington, NM 87402
Phone (505) 609-6610
407 S Schwartz Ave
Farmington, NM 87401
407 S Schwartz Ave
Ste 202
Farmington, NM 87401
Phone (505) 609-6595
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Critical Care Medicine (Internal Medicine) Physician | 207RC0200X | A166852 | CA | |
| Pulmonary Disease Physician | 207RP1001X | MD2015-0556 | NM | |
| Pulmonary Disease Physician | 207RP1001X | A166852 | CA | Yes |
Addresses
Primary practice location
1004 Fowler Way Ste 4
Placerville, CA 95667-5746
Mailing address
PO Box 45680
San Francisco, CA 94145-0680
Phone (530) 626-2618
Other providers in Placerville, CA
- Michele Lynn Cherry
- Luanne (None) Chittenden
- Sung Yong Cho
- Gerald Young Choi
- Nancie Chopp
- Cheryl Lynn Choy
- Kathryn Elizabeth Christensen
- Brett D Christiansen
- Tim Rex Christner
- Danielle Rae Christopherson
All providers in Placerville, CA · Pulmonary Disease Physician in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 2, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.