Kaushik Jitendra Raval, M.D.

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

4301055632 Issued in MI

Practice address

3340 Hospital Rd
Saginaw, MI 48603-9622

Phone

(989) 790-7742

Fax

(989) 790-7749

NPI assigned

Sep 21, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

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

PsychiatryAlso: Addiction Medicine

Education

Other, 1984

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Tuscola County Community Mental Health Services BoardGroup PAC ID 0941193619, 11 clinicians

Child and Family Service of Saginaw CountyGroup PAC ID 3173627833, 10 clinicians

Healthsource Saginaw IncGroup PAC ID 2961475876, 16 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir-usa.unify.chbase.com/org/saginaw-e4d72067

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.

• Healthsource Saginaw Inc

  • Skilled Nursing Facility
  • Saginaw, MI
  • NPI 1265426704
  Medicare reassignment Care Compare group NPD
• Tuscola County Community Mental Health Services Board

  dba Tuscola Behavioral Health Systems

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Caro, MI
  • NPI 1275644775
  Medicare reassignment Care Compare group NPD
• Child and Family Service of Saginaw County

  • Clinical Social Worker
  • Saginaw, MI
  • NPI 1720069602
  Medicare reassignment Care Compare group
• Delta Psychological & Neurobehavioral Services, LLC

  • Mental Health Counselor
  • Bay City, MI
  • NPI 1356376487
  Medicare reassignment NPD
• Child and Family Service of Saginaw County

  • Addiction (Substance Use Disorder) Counselor
  • Saginaw, MI
  • NPI 1124763495
  NPD

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

{
    "created_epoch": "1158796800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1801995576",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17 LUMBERMEN WAY",
            "city": "SAGINAW",
            "state": "MI",
            "postal_code": "486038627",
            "telephone_number": "989-791-2242",
            "fax_number": "989-791-2416"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3340 HOSPITAL RD",
            "city": "SAGINAW",
            "state": "MI",
            "postal_code": "486039622",
            "telephone_number": "989-790-7742",
            "fax_number": "989-790-7749"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAVAL",
        "first_name": "KAUSHIK",
        "middle_name": "JITENDRA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-21",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "MI",
            "license": "4301055632",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brianna Ratza
• Courtney Robert Rau, LLBSW
• Melissa Marie Rau, MPT
• Rebecca Ann Raube, M.S. ATC
• Mercedes Rausch
• Karthik Ravindran, M.D.
• Kondaramvalappil K Ravindran, MD
• Ray Peter Mangulabnan MD PC
• Demetrea Michell Ray
• Elizabeth Ray

• Psychiatry Physician in Saginaw, MI
• Providers in Saginaw, MI by specialty
• Psychiatry Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.