Active NPI
Revathi Jyothindran, M.D.
- Emergency Medicine Physician
- Charlotte, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 182994
- Practice address
- 1000 Blythe Blvd
Meb 3
Charlotte, NC 28203-5812 - Phone
- (704) 355-3658
- NPI assigned
- May 24, 2012
- Last updated
- May 24, 2012
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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, NC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 5
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
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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 182994 | NC | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mep Observation Services LLC | Emergency Medicine | Current | Accepting new patients |
| Emergency Medicine Associates P.a., P.C. | Emergency Medicine | Current | Accepting new patients |
| Mep Health, LLC | Emergency Medicine | Current | Accepting new patients |
| Integrative Emergency Services Physician Group PA | Emergency Medicine | Current | Accepting new patients |
| Emergency Medicine Associates, P.a.,P.C. | Current | Accepting new patients | |
| Century Integrated Partners, Inc | Emergency Medicine | Current | Accepting new patients |
| Mep Observation Services LLC | Current | Accepting new patients | |
| Emergency Medicine Associates P.a., P.C. | Current | Accepting new patients | |
| Emergency Medicine Physicians of Mecklenburg County, PLLC | Emergency Medicine | Current | 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
Ft Worth, TX 76104
Phone (817) 921-3431
1500 S Main St
Fl 1
Ft Worth, TX 76104
Phone (817) 702-1451
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Emergency Medicine Physician
- Charlotte, NC
- NPI 1912232182
-
- Emergency Medicine Physician
- Falls Church, VA
- NPI 1134117393
DC, MD
-
- Emergency Medicine Physician
- Cumberland, MD
- NPI 1093003550
-
- Emergency Medicine Physician
- Dallas, TX
- NPI 1447615711
-
- Internal Medicine Physician
- Dulles, VA
- NPI 1376917070
-
- Emergency Medicine Physician
- Fort Worth, TX
- NPI 1285922542
-
- Emergency Medicine Physician
- Rockville, MD
- NPI 1164483558
-
- Internal Medicine Physician
- Culpeper, VA
- NPI 1881559102
-
- Internal Medicine Physician
- Rockville, MD
- NPI 1740021625
-
- Internal Medicine Physician
- Elmira, NY
- NPI 1427326768
Emergency Medicine
-
- Anesthesiology Physician
- Dallas, TX
- NPI 1497700280
-
- Emergency Medicine Physician
- Garland, TX
- NPI 1669430617
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Sentara Albemarle Medical Center
- General Acute Care Hospital
- Elizabeth City, NC
- NPI 1245211168
-
- General Acute Care Hospital
- Randallstown, MD
- NPI 1487695888
-
dba Sentara Careplex Hospital
- General Acute Care Hospital
- Hampton, VA
- NPI 1336109107
-
- General Acute Care Hospital
- Harrisonburg, VA
- NPI 1780694372
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": []
}
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2012; 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.
- 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.