Individual provider Active NPI

Ravi Khapekar, CRNA

  • Certified Registered Nurse Anesthetist
  • Tucson, AZ
National Provider Identifier
1962990309
Registry record updated Sep 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
268561 Issued in AZ
Practice address
2902 E Grant Rd
Tucson, AZ 85716-2742
Phone
(520) 322-8361
NPI assigned
May 1, 2018
Last updated
Sep 20, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 20, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X 041389717 IL
Certified Registered Nurse Anesthetist 367500000X C-APN.0101218-C-CRNA CO
Certified Registered Nurse Anesthetist 367500000X 268561 AZ Primary

Addresses

Primary practice location

2902 E Grant Rd
Tucson, AZ 85716-2742

Mailing address

2158 N Gilbert Rd Ste 101
Mesa, AZ 85203-2109

Other practice location 1

3701 Doty Rd
Woodstock, IL 60098-7509
Phone (153) 343-1708

Other practice location 2

2248 N Alma School Rd Ste 104
Chandler, AZ 85224-2488
Phone (480) 218-1996

Other practice location 3

1625 Medical Center Pt Ste 190
Colorado Springs, CO 80907-8721
Phone (719) 955-6000

Other identifiers 1

IdentifierTypeStateIssuer
041389717OtherILLICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ, CO2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20230929003480 AZ Practitioner - Certified Registered Nurse Anesthetist (Crna) 8022373380 Reassigns benefits to 1 organization
I20231009002033 CO Practitioner - Certified Registered Nurse Anesthetist (Crna) 8022373380

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Anesthesia Partners and Management LLCGroup PAC ID 9931429198, 151 clinicians

Practice addresses (Care Compare)

2248 N Alma School Rd
Suite 104
Chandler, AZ 85224-2488
Phone (480) 218-1996

2902 E Grant Rd
Tucson, AZ 85716-2742
Phone (520) 322-8361

3110 Clearwater Dr
Prescott, AZ 86305-7177
Phone (623) 241-6185

3900 E Camelback Rd
Suite 190
Phoenix, AZ 85018-2657
Phone (480) 420-4027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Registered Nurse

State licenses

LicenseStateTypeSpecialty
268561AZMDCertified Registered Nurse Anesthetist
C-APN.0101218-C-CRNACOMDCertified Registered Nurse Anesthetist
041389717ILMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Anesthesia Partners & Management LLC Nurse Anesthetist, Certified Registered CurrentSince Aug 19, 2023 Accepting new patients

Locations

2248 N Alma School Rd
Ste 104
Chandler, AZ 85224
Phone (480) 218-1996

1020 N San Francisco St
Ste 100
Flagstaff, AZ 86001
Phone (928) 774-2300

103 Medicine Way Rd
Peridot, AZ 85542
Phone (928) 475-1200

3900 E Camelback Rd
Ste 190
Phoenix, AZ 85018
Phone (888) 724-6236

4600 E Washington St
Ste 300
Phoenix, AZ 85034
Phone (602) 638-1872

3110 Clearwater Dr
Prescott, AZ 86305
Phone (623) 241-6185

5430 Distinction Way
Prescott, AZ 86301
Phone (928) 445-1919

1704 W Anklam Rd
Ste 108
Tucson, AZ 85745
Phone (623) 241-6185

2902 E Grant Rd
Tucson, AZ 85716
Phone (520) 322-8361

1030 W 24th St
Ste H
Yuma, AZ 85364
Phone (520) 726-5151

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1525132800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695168000000",
    "number": "1962990309",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2158 N GILBERT RD STE 101",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852032109"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2902 E GRANT RD",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857162742",
            "telephone_number": "520-322-8361"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3701 Doty Rd",
            "address_purpose": "LOCATION",
            "city": "Woodstock",
            "state": "IL",
            "postal_code": "600987509",
            "country_code": "US",
            "telephone_number": "153-343-1708",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2248 N Alma School Rd Ste 104",
            "address_purpose": "LOCATION",
            "city": "Chandler",
            "state": "AZ",
            "postal_code": "852242488",
            "country_code": "US",
            "telephone_number": "480-218-1996",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1625 Medical Center Pt Ste 190",
            "address_purpose": "LOCATION",
            "city": "Colorado Springs",
            "state": "CO",
            "postal_code": "809078721",
            "country_code": "US",
            "telephone_number": "719-955-6000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KHAPEKAR",
        "first_name": "RAVI",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-05-01",
        "last_updated": "2023-09-20",
        "certification_date": "2023-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "IL",
            "license": "041389717",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "CO",
            "license": "C-APN.0101218-C-CRNA",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "AZ",
            "license": "268561",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "041389717",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tucson, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.