Individual provider Active NPI

Ravindra Mullapudi, MD

  • Family Medicine Physician
  • Huber Heights, OH
National Provider Identifier
1811943822
Registry record updated Mar 14, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
35-062501 Issued in OH
Practice address
6251 Good Samaritan Way
Suite 210a
Huber Heights, OH 45424-1051
Phone
(937) 235-1020
Fax
(937) 235-1250
NPI assigned
May 25, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 14, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 35-062501 OH Primary

Addresses

Primary practice location

6251 Good Samaritan Way
Suite 210a
Huber Heights, OH 45424-1051

Mailing address

6251 Good Samaritan Way
Suite 210a
Huber Heights, OH 45424-1051
Phone (937) 235-1020

Other identifiers 1

IdentifierTypeStateIssuer
0929080MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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

Enrollment IDStateProvider typePAC IDDetails
I20071031000031 OH Practitioner - Family Practice 3072600550 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1979
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Samaritan Family Care IncGroup PAC ID 5092608372, 58 clinicians

Practice addresses (Care Compare)

6251 Miami Valley Way
Suite 210a
Huber Heights, OH 45424-5464
Phone (937) 233-2009

Hospital & facility affiliations

  • Fidelity Health Care Home health agency, Moraine, OH, CCN 367160
  • Queen City Skilled Care LLC Home health agency, Cincinnati, OH, CCN 369173
  • Miami Valley Hospital Hospital, Dayton, OH, CCN 360051

Merit-based Incentive Payment System (MIPS)

Final score
87.94 of 100Reported as group
Quality
80.85
Promoting interoperability
99
Improvement activities
40
Cost
79.78

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
35-062501OHMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mvhe Inc CurrentSince Apr 1, 2011 Accepting new patients
Samaritan Family Care Inc CurrentSince Feb 14, 2011 Accepting new patients
Mvhe Inc Family Medicine CurrentSince Apr 1, 2011 Accepting new patients
Samaritan Family Care Inc Family Medicine CurrentSince Feb 14, 2011 Accepting new patients
Samaritan Family Care, Inc. Family Medicine Past Accepting new patients
Samaritan Family Care Inc Family Medicine Past Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients

Locations

2451 Wayne Ave
Dayton, OH 45420
Phone (937) 252-1831

1530 Needmore Rd
Ste 200
Dayton, OH 45414
Phone (937) 278-5854

562 E Dayton Yellow Springs Rd
Fairborn, OH 45324
Phone (937) 318-3400

8638 Troy Pike
Ste 102
Huber Heights, OH 45424
Phone (937) 233-3915

6251 Miami Valley Way
Ste 210A
Huber Heights, OH 45424
Phone (937) 233-2009

3170 Kettering Blvd
Bldg B
Moraine, OH 45439
Phone (937) 991-3187

Organizations & group practices 7

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.

Hospital & facility affiliations 3

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

NPI Registry JSON

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

{
    "created_epoch": "1148515200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1363219200000",
    "number": "1811943822",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6251 GOOD SAMARITAN WAY",
            "address_2": "SUITE 210A",
            "city": "HUBER HEIGHTS",
            "state": "OH",
            "postal_code": "454241051",
            "telephone_number": "937-235-1020",
            "fax_number": "937-235-1250"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6251 GOOD SAMARITAN WAY",
            "address_2": "SUITE 210A",
            "city": "HUBER HEIGHTS",
            "state": "OH",
            "postal_code": "454241051",
            "telephone_number": "937-235-1020",
            "fax_number": "937-235-1250"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MULLAPUDI",
        "first_name": "RAVINDRA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-25",
        "last_updated": "2013-03-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OH",
            "license": "35-062501",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0929080",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Huber Heights, OH

Sources for this page

Verify at the official NPI Registry.