| Dr Chaitanya Kumar Ravi, MD | |
|
5401 Old Court Rd, Randallstown, MD 21133-5103 | |
| (410) 521-2200 | |
| Not Available |
| Full Name | Dr Chaitanya Kumar Ravi |
|---|---|
| Gender | Male |
| Speciality | Internal Medicine |
| Experience | 47 Years |
| Location | 5401 Old Court Rd, Randallstown, Maryland |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376504027 | NPI | - | NPPES |
| P00309485 | Other | MD | R/R MEDICARE PROVIDER # |
| CA8374 | Other | MD | R/R MEDICARE GROUP # |
| 110167459 | Other | MD | R/R MEDICARE PROVIDER # |
| 594321300 | Medicaid | MD | |
| CN6601 | Other | MD | R/R MEDICARE GROUP # |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | D37333 (Maryland) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Homecare Maryland, Llc | Owings mills, MD | Home health agency |
| Northwest Hospital Center | Randallstown, MD | Hospital |
| Sinai Hospital Of Baltimore | Baltimore, MD | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Lifebridge Community Physicians Inc | 3678751468 | 175 |
| Entity Name | Sinai Hospital Of Baltimore, Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1043235666 PECOS PAC ID: 0941112346 Enrollment ID: O20031104000353 |
| Entity Name | Northwest Hospital Center Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1508961988 PECOS PAC ID: 6204739352 Enrollment ID: O20040128000328 |
| Entity Name | Lifebridge Community Physicians Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1174815807 PECOS PAC ID: 3678751468 Enrollment ID: O20110627000318 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Chaitanya Kumar Ravi, MD 5401 Old Court Rd, Attn: Credentialing, Randallstown, MD 21133-5103 Ph: (410) 601-5524 | Dr Chaitanya Kumar Ravi, MD 5401 Old Court Rd, Randallstown, MD 21133-5103 Ph: (410) 521-2200 |
Michael B. Rothkin, M.D. Internal Medicine Medicare: Medicare Enrolled Practice Location: 5401 Old Court Rd, Randallstown, MD 21133 Phone: 410-521-5950 | |
Oluwaseun Davies, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 5401 Old Court Rd, Randallstown, MD 21133 Phone: 410-521-5973 Fax: 410-521-7669 | |
Dr. Ambalavanan Balasubramanian, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 5311 Old Court Rd, Randallstown, MD 21133 Phone: 410-922-7382 Fax: 410-922-7384 | |
Dr. Joseph A Nkwanyuo, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 8930 Liberty Rd, Randallstown, MD 21133 Phone: 410-265-7742 Fax: 410-298-3964 | |
Qasim Raza, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 5401 Old Court Rd, Randallstown, MD 21133 Phone: 410-521-2200 | |
Dr. Anthony Dell Thomas, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 5401 Old Court Rd, Randallstown, MD 21133 Phone: 410-521-2200 | |
Dr. Ihuoma Gloria Emenuga, MD/MPH Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 3510 Brenbrook Dr, Randallstown, MD 21133 Phone: 410-837-2050 Fax: 866-629-0091 |