| Dr Ravi Mididoddi, MD | |
|
16010 Park Valley Dr Ste 100, Round Rock, TX 78681-3575 | |
| (512) 320-1500 | |
| (512) 459-1399 |
| Full Name | Dr Ravi Mididoddi |
|---|---|
| Gender | Male |
| Speciality | Nephrology |
| Experience | 28 Years |
| Location | 16010 Park Valley Dr Ste 100, Round Rock, Texas |
| 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 |
|---|---|---|---|
| 1235176710 | NPI | - | NPPES |
| 182797409 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RN0300X | Internal Medicine - Nephrology | M4881 (Texas) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Dialyze Direct Sugarland | Sugar land, TX | Dialysis facility |
| Satellite Health Care, Inc. | Round rock, TX | Dialysis facility |
| Round Rock Medical Center | Round rock, TX | Hospital |
| Seton Medical Center Williamson | Round rock, TX | Hospital |
| North Austin Medical Center | Austin, TX | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Austin Kidney Associates Pa | 1658511217 | 32 |
| Entity Name | Austin Kidney Associates Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1154669331 PECOS PAC ID: 1658511217 Enrollment ID: O20130703000239 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Ravi Mididoddi, MD 408 W 45th St, Austin, TX 78751-3014 Ph: (512) 451-5800 | Dr Ravi Mididoddi, MD 16010 Park Valley Dr Ste 100, Round Rock, TX 78681-3575 Ph: (512) 320-1500 |
Dr. Vivian Cline, MD Nephrology Medicare: Accepting Medicare Assignments Practice Location: 301 Seton Pkwy, Suite 104, Round Rock, TX 78665 Phone: 512-687-2300 Fax: 512-687-2350 | |
Dr. Ahmed Nezar Shobassy, M.D. Nephrology Medicare: Accepting Medicare Assignments Practice Location: 300 University Blvd Bldg A, Round Rock, TX 78665 Phone: 512-509-0200 Fax: 512-509-2229 | |
Vu Nguyen, Nephrology Medicare: Medicare Enrolled Practice Location: 302 University Blvd, Round Rock, TX 78665 Phone: 512-509-0200 | |
Dr. Glenn Robinson, M.D. Nephrology Medicare: Not Enrolled in Medicare Practice Location: 7200 Wyoming Springs Dr Ste 1300, Round Rock, TX 78681 Phone: 512-244-2273 Fax: 512-244-3179 | |
Dr. Rafael Eduardo Gonzalez, M.D. Nephrology Medicare: Accepting Medicare Assignments Practice Location: 302 University Blvd, Round Rock, TX 78665 Phone: 512-509-0200 Fax: 512-218-6330 | |
Dinkar Rupakula, MBBS Nephrology Medicare: Accepting Medicare Assignments Practice Location: 425 University Blvd, Round Rock, TX 78665 Phone: 512-509-0200 Fax: 512-509-0285 | |
Sayf Yassin, M.D. Nephrology Medicare: Accepting Medicare Assignments Practice Location: 201 Seton Pkwy, Round Rock, TX 78665 Phone: 512-324-4170 |