Dr Ravikumar Hanumanthaiah Edalur, MD - Medicare Family Medicine in Longview, TX

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Dr Ravikumar Hanumanthaiah Edalur, MD is a medicare enrolled "Family Medicine" physician in Longview, Texas. His current practice location is 1005 N Eastman Rd, None, Longview, Texas. You can reach out to his office (for appointments etc.) via phone at (903) 239-1518.

Dr Ravikumar Hanumanthaiah Edalur is licensed to practice in Texas (license number M7245) 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 1023221413.

Contact Information

Dr Ravikumar Hanumanthaiah Edalur, MD
1005 N Eastman Rd, None,
Longview, TX 75601-4231
(903) 239-1518
(903) 247-8273

Map and Direction




Physician's Profile

Full NameDr Ravikumar Hanumanthaiah Edalur
GenderMale
SpecialityFamily Medicine
Location1005 N Eastman Rd, Longview, Texas
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1023221413
  • Provider Enumeration Date: 05/08/2007
  • Last Update Date: 12/09/2014
  Medicare PECOS Information:
  • PECOS PAC ID: 5193809465
  • Enrollment ID: I20080225000770

Medical Identifiers

Medical identifiers for Dr Ravikumar Hanumanthaiah Edalur such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1023221413NPI-NPPES
1492033201MedicaidTX

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine 01063441A (Indiana)Secondary
207Q00000XFamily Medicine M7245 (Texas)Primary
207P00000XEmergency Medicine M7245 (Texas)Secondary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Dr Ravikumar Hanumanthaiah Edalur allows following entities to bill medicare on his behalf.
Entity NameAcs Primary Care Physicians Southwest Pa
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1538101019
PECOS PAC ID: 1850204363
Enrollment ID: O20041206000027
Entity NameTexas Emergency Staffing Solutions Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1811942949
PECOS PAC ID: 0345297610
Enrollment ID: O20050407001290
Entity NameConcord Medical Group Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1083630610
PECOS PAC ID: 0446296818
Enrollment ID: O20050707000531
Entity NamePort Arthur Emergency Physicians
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1255491627
PECOS PAC ID: 6901905736
Enrollment ID: O20070620000245
Entity NameEmergency Services Of Texas Pa
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1174932131
PECOS PAC ID: 7517289291
Enrollment ID: O20141208002099
Entity NameNational Medical Professionals Of Texas Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1912120874
PECOS PAC ID: 3375859408
Enrollment ID: O20150903000965
Entity NameOm Datta Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1952875064
PECOS PAC ID: 9830439769
Enrollment ID: O20190312003346
Entity NameMidland Visiting Doctors Management Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1851934434
PECOS PAC ID: 9739517905
Enrollment ID: O20200323000128
Entity NameHome Visits Usa Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1760040695
PECOS PAC ID: 2062852528
Enrollment ID: O20240501000237

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 Ravikumar Hanumanthaiah Edalur 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 AddressPractice Location Address
Dr Ravikumar Hanumanthaiah Edalur, MD
1005 N Eastman Rd, None,
Longview, TX 75601-4231

Ph: (903) 239-1518		Dr Ravikumar Hanumanthaiah Edalur, MD
1005 N Eastman Rd, None,
Longview, TX 75601-4231

Ph: (903) 239-1518

Reviews and Comments


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Ketki Patel, M.D.
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Phone: 903-247-3400    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.