Srikanth Ravindran MD Inc

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

SRIKANTH RAVINDRAN MD INC

Practice address

10380 Sutton PL
Munster, IN 46321-2882

Phone

(630) 863-8575

NPI assigned

Sep 4, 2015

Organization subpart

No

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

Authorized official

Name

Srikanth Ravindran, M.D.NPI 1417209933

Title

President

Phone

(630) 863-8575

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Srikanth Dev Ravindran, M.D.

  • Family Medicine Physician
  • Des Plaines, IL
  • NPI 1417209933
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1441324800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1469577600000",
    "number": "1841668951",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10380 SUTTON PL",
            "city": "MUNSTER",
            "state": "IN",
            "postal_code": "463212882",
            "telephone_number": "630-863-8575"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10380 SUTTON PL",
            "city": "MUNSTER",
            "state": "IN",
            "postal_code": "463212882",
            "telephone_number": "630-863-8575"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SRIKANTH RAVINDRAN MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-09-04",
        "last_updated": "2016-07-27",
        "status": "A",
        "authorized_official_last_name": "RAVINDRAN",
        "authorized_official_first_name": "SRIKANTH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "630-863-8575",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Family Medicine Physician in Munster, IN
• Providers in Munster, IN by specialty
• Family Medicine Physician in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.