Organization Active NPI

Ravindranath Kambhampati, M.D., P.C.

  • Plastic Surgery Physician
  • Rochester Hills, MI
National Provider Identifier
1861667222
Registry record updated Apr 28, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic Surgery PhysicianTaxonomy code 208200000X
License
4301037362 Issued in MI
Legal business name
RAVINDRANATH KAMBHAMPATI, M.D., P.C.
Practice address
2820 Crooks Rd
Suite 200
Rochester Hills, MI 48309-3620
Phone
(248) 852-9411
Fax
(248) 852-4279
NPI assigned
Apr 28, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 28, 2008

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

Authorized official

Name
Dr. Ravindranath Kambhampati, M.D.
Title
Owner
Phone
(248) 852-9411

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208200000X 4301037362 MI Primary
Surgery of the Hand (Plastic Surgery) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2082S0105X 4301037362 MI

Addresses

Primary practice location

2820 Crooks Rd
Suite 200
Rochester Hills, MI 48309-3620

Mailing address

2820 Crooks Rd
Suite 200
Rochester Hills, MI 48309-3620
Phone (248) 852-9411

Other identifiers 4

IdentifierTypeStateIssuer
0637586OtherMIBLUE CARE NETWORK
136004500OtherMIOWCP
4331587OtherMIAETNA
2406375861OtherMIBLUE CROSS BLUE SHIELD OF MICHIGAN

National Provider Directory

National Provider Directory

Locations

2820 Crooks Rd
Ste 200
Rochester Hills, MI 48309
Phone (248) 852-7484

NPI Registry JSON

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

{
    "created_epoch": "1209340800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1209340800000",
    "number": "1861667222",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2820 CROOKS RD",
            "address_2": "SUITE 200",
            "city": "ROCHESTER HILLS",
            "state": "MI",
            "postal_code": "483093620",
            "telephone_number": "248-852-9411",
            "fax_number": "248-852-4279"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2820 CROOKS RD",
            "address_2": "SUITE 200",
            "city": "ROCHESTER HILLS",
            "state": "MI",
            "postal_code": "483093620",
            "telephone_number": "248-852-9411",
            "fax_number": "248-852-4279"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RAVINDRANATH KAMBHAMPATI, M.D., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-28",
        "last_updated": "2008-04-28",
        "status": "A",
        "authorized_official_last_name": "KAMBHAMPATI",
        "authorized_official_first_name": "RAVINDRANATH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "248-852-9411",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Plastic Surgery",
            "state": "MI",
            "license": "4301037362",
            "primary": true
        },
        {
            "code": "2082S0105X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Plastic Surgery, Surgery of the Hand",
            "state": "MI",
            "license": "4301037362",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CARE NETWORK",
            "identifier": "0637586",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OWCP",
            "identifier": "136004500",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "4331587",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD OF MICHIGAN",
            "identifier": "2406375861",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rochester Hills, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.