Raveen Kaur, M.D.

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

License

00041673 Issued in WA

Practice address

2072 Southbay Road
Sudbury, ON P3E6H7
CA

Phone

(705) 522-4887

Fax

(705) 523-1550

NPI assigned

Nov 7, 2011

Last updated

Mar 7, 2023By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Clinic Medical Services Company LLC

  dba Cleveland Clinic Star Imaging

  • Diagnostic Radiology Physician
  • Cleveland, OH
  • NPI 1528013984
  Medicare reassignment NPD
• Clinic Medical Services Company

  dba Cleveland Clinic Star Imaging

  • Diagnostic Radiology Physician
  • Columbus, OH
  • NPI 1508024209
  NPD
• The Cleveland Clinic Foundation

  • General Acute Care Hospital
  • Cleveland, OH
  • NPI 1679525919
  NPD
• Wooster Clinic, LLC

  • Multi-Specialty Clinic/Center
  • Wooster, OH
  • NPI 1033135009
  NPD
• Advanced Medical Imaging, LLC

  • Diagnostic Radiology Physician
  • Silverdale, WA
  • NPI 1003974460
  NPD (past)
• Olympic Medical Imaging Consultants, PLLC

  • Diagnostic Radiology Physician
  • Silverdale, WA
  • NPI 1750441614
  NPD (past)

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

{
    "created_epoch": "1320624000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1881971786",
    "addresses": [
        {
            "country_code": "CA",
            "country_name": "Canada",
            "address_purpose": "MAILING",
            "address_type": "FGN",
            "address_1": "2072 SOUTHBAY ROAD",
            "city": "SUDBURY",
            "state": "ON",
            "postal_code": "P3E6H7",
            "telephone_number": "705-522-4887",
            "fax_number": "705-523-1550"
        },
        {
            "country_code": "CA",
            "country_name": "Canada",
            "address_purpose": "LOCATION",
            "address_type": "FGN",
            "address_1": "2072 SOUTHBAY ROAD",
            "city": "SUDBURY",
            "state": "ON",
            "postal_code": "P3E6H7",
            "telephone_number": "705-522-4887",
            "fax_number": "705-523-1550"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAUR",
        "first_name": "RAVEEN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-11-07",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "WA",
            "license": "00041673",
            "primary": true
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "AZ",
            "license": "31560",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "ZZ",
            "license": "85755",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.