Individual provider Active NPI

Ravi Kumar, MD

  • Neurological Surgery Physician
  • Rochester, MN
National Provider Identifier
1851612972
Registry record updated Nov 9, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurological Surgery PhysicianTaxonomy code 207T00000X
License
MD61104836 Issued in WA
Practice address
200 1St St SW
Rochester, MN 55905-0001
Phone
(507) 284-2511
NPI assigned
Jun 14, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 9, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Neurological Surgery Physician 207T00000X 54167 MN
Neurological Surgery Physician 207T00000X MD61104836 WA Primary

Addresses

Primary practice location

200 1St St SW
Rochester, MN 55905-0001

Mailing address

301 W Poplar St
Ste 50
Walla Walla, WA 99362-2800
Phone (509) 897-8300

Other practice location 1

301 W Poplar St Ste 50
Walla Walla, WA 99362-2800
Phone (509) 897-8300

Other practice location 2

401 W Poplar St
Walla Walla, WA 99362-2846
Phone (509) 525-3320

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address rkumar1710236@wm.providencedirect.org Direct
Direct Messaging Address rkumar1710236@wm.providencedirect.org Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA, FL, TX, ND, NC5 enrollments
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 5

Enrollment IDStateProvider typePAC IDDetails
I20210430000742 WA Practitioner - Neurosurgery 8527231315
I20221215002657 FL Practitioner - Neurosurgery 8527231315 Reassigns benefits to 1 organization
I20240516002117 TX Practitioner - Neurosurgery 8527231315 Reassigns benefits to 2 organizations
I20240521003831 ND Practitioner - Neurology 8527231315 Reassigns benefits to 1 organization
I20241219002031 NC Practitioner - Neurosurgery 8527231315 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Neurosurgery
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Firsthealth of the Carolinas IncGroup PAC ID 8820909377, 138 clinicians

Practice addresses (Care Compare)

10 Aviemore Dr
Pinehurst, NC 28374-9700
Phone (910) 715-8700

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Spinal fusion34
Laminectomy or laminotomy (partial removal of spine bones)1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD61104836WAMDNeurological Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Acute Care Surgical Affiliates of Texas PA CurrentSince May 1, 2024 Accepting new patients
Firsthealth of the Carolinas, Inc. Current Accepting new patients
Acute Care Surgery of South Dakota PC CurrentSince May 1, 2024 Accepting new patients
University of Florida Jacksonville Physicians, Inc. CurrentSince Nov 15, 2022 Accepting new patients
Neurosurgical Affiliates of Texas, PA Neurological Surgery CurrentSince May 1, 2024 Accepting new patients
Firsthealth of the Carolinas Inc Neurological Surgery CurrentSince Dec 1, 2024 Accepting new patients
Central Washington Health Services Association Current Accepting new patients
University of Florida Jacksonville Physicians Inc Neurological Surgery CurrentSince Nov 15, 2022 Accepting new patients
University of Florida Jacksonville Physicians, Inc. Current Accepting new patients
Firsthealth of the Carolinas, Inc Dba Firsthealth Weight Management Clinic CurrentSince Dec 1, 2024 Accepting new patients

Locations

800 Prudential Dr
Jacksonville, FL 32207
Phone (904) 202-2000

10 Aviemore Dr
Pinehurst, NC 28374
Phone (910) 215-5555

1300 S Columbia Rd
Grand Forks, ND 58201
Phone (701) 780-2300

1200 S Columbia Rd
Grand Forks, ND 58201
Phone (701) 780-5243

613 Elizabeth St
Ste 200
Corpus Christi, TX 78404
Phone (361) 434-0966

600 Elizabeth St
Corpus Christi, TX 78404
Phone (361) 325-2511

933 Red Apple Rd
Wenatchee, WA 98801
Phone (509) 655-6125

1201 S Miller St
Wenatchee, WA 98801
Phone (509) 662-2208

Interoperability endpoints

  • Direct secure messaging: rkumar97218@edirect.chehr.org
  • FHIR API: https://epicrp.firsthealth.org/FHIR-PRD/FHMYCHART/api/FHIR/R4

Organizations & group practices 10

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 4

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": "1276473600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1636416000000",
    "number": "1851612972",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 W POPLAR ST",
            "address_2": "STE 50",
            "city": "WALLA WALLA",
            "state": "WA",
            "postal_code": "993622800",
            "telephone_number": "509-897-8300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 1ST ST SW",
            "city": "ROCHESTER",
            "state": "MN",
            "postal_code": "559050001",
            "telephone_number": "507-284-2511"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "301 W Poplar St Ste 50",
            "address_purpose": "LOCATION",
            "city": "Walla Walla",
            "state": "WA",
            "postal_code": "993622800",
            "country_code": "US",
            "telephone_number": "509-897-8300",
            "fax_number": "509-897-6066",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "401 W Poplar St",
            "address_purpose": "LOCATION",
            "city": "Walla Walla",
            "state": "WA",
            "postal_code": "993622846",
            "country_code": "US",
            "telephone_number": "509-525-3320",
            "fax_number": "509-897-5156",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KUMAR",
        "first_name": "RAVI",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-06-14",
        "last_updated": "2021-11-09",
        "certification_date": "2021-11-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "MN",
            "license": "54167",
            "primary": false
        },
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "WA",
            "license": "MD61104836",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "rkumar1710236@wm.providencedirect.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "301 W Poplar St Ste 50",
            "city": "Walla Walla",
            "state": "WA",
            "country_code": "US",
            "postal_code": "993622800",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "rkumar1710236@wm.providencedirect.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "401 W Poplar St",
            "city": "Walla Walla",
            "state": "WA",
            "country_code": "US",
            "postal_code": "993622846",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Rochester, MN

Sources for this page

Verify at the official NPI Registry.