Dr Ravishankar N Koppada, MD in Riverside, CA

Dr Ravishankar N Koppada, MD is a medicare enrolled "Pediatrics" physician in Riverside, California. His current practice location is 3750 Arlington Ave, Riverside, California. You can reach out to his office (for appointments etc.) via phone at (951) 774-3050.

Dr Ravishankar N Koppada is licensed to practice in California (license number C163504) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1265550602.

Contact Information

	Dr Ravishankar N Koppada, MD
	3750 Arlington Ave, Riverside, CA 92506-2607
	(951) 774-3050
	Not Available

Map and Direction

Physician's Profile

Full Name	Dr Ravishankar N Koppada
Gender	Male
Speciality	Pediatrics
Location	3750 Arlington Ave, Riverside, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1265550602
Provider Enumeration Date: 03/26/2007
Last Update Date: 04/26/2022

Medicare PECOS Information:

PECOS PAC ID: 9133209265
Enrollment ID: I20220503000313

Medical Identifiers

Medical identifiers for Dr Ravishankar N Koppada such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1265550602	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
2080P0203X	Pediatrics - Pediatric Critical Care Medicine	ME96696 (Florida)	Secondary
2080P0203X	Pediatrics - Pediatric Critical Care Medicine	25MA08146800 (New Jersey)	Secondary
208000000X	Pediatrics	C163504 (California)	Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Ravishankar N Koppada is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Dr Ravishankar N Koppada, MD 7871 Mission Grove Pkwy S Apt 6, Riverside, CA 92508-5027 Ph: (484) 433-6818	Dr Ravishankar N Koppada, MD 3750 Arlington Ave, Riverside, CA 92506-2607 Ph: (951) 774-3050

Reviews and Comments

Pediatrics Doctors in Riverside, CA

Iris Figueroa Lois, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 6405 Day St, Riverside, CA 92507 Phone: 951-697-5432 Fax: 951-697-5471
Dr. Stacy Marie Catalon, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 19314 Jesse Ln, Riverside, CA 92508 Phone: 951-782-3640
Dr. Hisham Ahmad Labanieh, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 10800 Magnolia Ave, Riverside, CA 92505 Phone: 951-353-2000
Mohammad Shujauddin Siddiqui, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 10769 Hole Ave, Suite 220, Riverside, CA 92505 Phone: 951-358-5554 Fax: 951-358-5980
Beth L. Drake, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 10800 Magnolia Ave, Riverside, CA 92505 Phone: 909-353-2000
Iduru Seshadri, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 10800 Magnolia Ave, Riverside, CA 92505 Phone: 909-353-2000
Thomas J Chen, M.D. Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 7117 Brockton Ave, Riverside, CA 92506 Phone: 951-782-3849 Fax: 951-784-3271

Dr Ravishankar N Koppada, MD - Medicare Pediatrics in Riverside, CA