Ravi K Mootha, MD is a medicare enrolled "Urology" physician in Richardson, Texas. He went to Baylor College Of Medicine and graduated in 1997 and has 27 years of diverse experience with area of expertise as Urology. His current practice location is
2821 E President George Bush Hwy, Suite 305, Richardson, Texas. You can reach out to his office (for appointments etc.) via phone at
(972) 235-3248.
Ravi K Mootha is licensed to practice in Texas (license number L7054) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1194820043.
Physician's Profile
| Full Name | Ravi K Mootha |
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| Gender | Male |
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| Speciality | Urology |
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| Experience | 27 Years |
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| Location | 2821 E President George Bush Hwy, Richardson, Texas |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Ravi K Mootha attended and graduated from Baylor College Of Medicine in 1997
NPI Data:
- NPI Number: 1194820043
- Provider Enumeration Date: 09/14/2006
- Last Update Date: 09/20/2009
Medicare PECOS Information:
- PECOS PAC ID: 2466424965
- Enrollment ID: I20040806000154
Medical Identifiers
Medical identifiers for Ravi K Mootha such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1194820043 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 208800000X | Urology | L7054 (Texas) | Primary |
Medical Facilities Affiliation
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. Ravi K Mootha allows following entities to bill medicare on his behalf.
| Entity Name | Ravi K Mootha, Md, Pa |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1063653376
PECOS PAC ID: 9830236413
Enrollment ID: O20091030000427 |
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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. Ravi K Mootha 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 |
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Ravi K Mootha, MD
2821 E President George Bush Hwy, Suite 305,
Richardson, TX 75082-4266
Ph: (972) 235-3248 | Ravi K Mootha, MD
2821 E President George Bush Hwy, Suite 305,
Richardson, TX 75082-4266
Ph: (972) 235-3248 |
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