Individual provider Active NPI

Revathi Jyothindran, M.D.

  • Emergency Medicine Physician
  • Charlotte, NC
National Provider Identifier
1982964896
Registry record updated May 24, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
182994 Issued in NC
Practice address
1000 Blythe Blvd
Meb 3
Charlotte, NC 28203-5812
Phone
(704) 355-3658
NPI assigned
May 24, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 24, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 182994 NC Primary

Addresses

Primary practice location

1000 Blythe Blvd
Meb 3
Charlotte, NC 28203-5812

Mailing address

1000 Blythe Blvd
Meb 3
Charlotte, NC 28203-5812

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, DC, MD, VA, 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
I20150709000423 TX Practitioner - Emergency Medicine 2163734831 Reassigns benefits to 2 organizations
I20211223000655 DC Practitioner - Emergency Medicine 2163734831 Reassigns benefits to 1 organization
I20221011001815 MD Practitioner - Emergency Medicine 2163734831 Reassigns benefits to 3 organizations
I20250829004686 VA Practitioner - Emergency Medicine 2163734831 Reassigns benefits to 1 organization
I20260107000476 NC Practitioner - Emergency Medicine 2163734831 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Baylor College of Medicine, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Emergency Medicine Associates P.a., P.C.Group PAC ID 8022914522, 706 clinicians
Emergency Medicine Physicians of Mecklenburg County PLLCGroup PAC ID 3870635584, 8 clinicians
Mep Observation Services LLCGroup PAC ID 2365611845, 42 clinicians

Practice addresses (Care Compare)

200 Memorial Ave
Westminster, MD 21157-5726
Phone (410) 871-6700

3050 Halstead Blvd Ext
Room 2 147
Elizabeth City, NC 27909-4994
Phone (330) 492-4443

5401 Old Court Rd
Randallstown, MD 21133-5103
Phone (410) 521-2200

Hospital & facility affiliations

  • Northwest Hospital Center Hospital, Randallstown, MD, CCN 210040
  • Sentara RMH Medical Center Hospital, Harrisonburg, VA, CCN 490004
  • Sentara Albemarle Medical Center Hospital, Elizabeth City, NC, CCN 340109
  • Sentara Careplex Hospital Hospital, Hampton, VA, CCN 490093

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
182994NCMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Emergency Medicine Associates P.a., P.C. Emergency Medicine CurrentSince Dec 5, 2021 Accepting new patients
Mep Observation Services LLC CurrentSince Jun 15, 2023 Accepting new patients
Emergency Medicine Associates P.a., P.C. CurrentSince Dec 5, 2021 Accepting new patients
Century Integrated Partners, Inc Emergency Medicine CurrentSince Jan 1, 2016 Accepting new patients
Emergency Medicine Physicians of Mecklenburg County, PLLC Emergency Medicine CurrentSince Dec 1, 2025 Accepting new patients
Integrative Emergency Services Physician Group PA Emergency Medicine CurrentSince May 1, 2020 Accepting new patients
Emergency Medicine Associates, P.a.,P.C. Current Accepting new patients
Mep Observation Services LLC Emergency Medicine CurrentSince Jun 15, 2023 Accepting new patients
Mep Health, LLC Emergency Medicine CurrentSince Sep 1, 2022 Accepting new patients
Arnot Medical Services PLLC Emergency Medicine Past Accepting new patients
Dallas Anesthesiology Associates, PA Past Accepting new patients
Texas Em-I Medical Services, P.a. Emergency Medicine Past Accepting new patients

Locations

12500 Willowbrook Rd
Cumberland, MD 21502
Phone (240) 964-1255

8118 Good Luck Rd
Lanham Seabrook, MD 20706
Phone (301) 552-8608

5401 Old Court Rd
Randallstown, MD 21133
Phone (301) 337-2727

200 Memorial Ave
Westminster, MD 21157
Phone (410) 848-3000

2001 Vail Ave
Charlotte, NC 28207
Phone (704) 304-5000

3050 Halstead Blvd Ext
Rm 2147
Elizabeth City, NC 27909
Phone (330) 492-4443

3500 Gaston Ave
Dallas, TX 75246

4835 Lyndon B Johnson Fwy
Ste 900
Dallas, TX 75244
Phone (469) 340-1366

1400 8th Ave
Ft Worth, TX 76104
Phone (817) 922-1559

1500 S Main St
Fl 1
Ft Worth, TX 76104
Phone (817) 702-1451

1500 S Main St
Ft Worth, TX 76104
Phone (817) 921-3431

1575 S Main St
Ft Worth, TX 76104
Phone (817) 702-8828

2300 Marie Curie Dr
Garland, TX 75042
Phone (972) 487-5000

4700 Alliance Blvd
#P
Plano, TX 75093
Phone (469) 814-2000

1701 N George Mason Dr
Arlington, VA 22205
Phone (703) 558-5000

100 Fairview Dr
Franklin, VA 23851
Phone (757) 516-1153

15225 Heathcote Blvd
Haymarket, VA 20169
Phone (571) 284-1000

Organizations & group practices 12

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": "1337817600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1337817600000",
    "number": "1982964896",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 BLYTHE BLVD",
            "address_2": "MEB 3",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282035812"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 BLYTHE BLVD",
            "address_2": "MEB 3",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282035812",
            "telephone_number": "704-355-3658"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JYOTHINDRAN",
        "first_name": "REVATHI",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-05-24",
        "last_updated": "2012-05-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "NC",
            "license": "182994",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Charlotte, NC

Sources for this page

Verify at the official NPI Registry.