Ravi Kishan Saripalli, MD is a medicare enrolled "Pediatrics" physician in Sullivan, Missouri. His current practice location is
965 Mattox Dr, Sullivan, Missouri. You can reach out to his office (for appointments etc.) via phone at
(573) 860-6000.
Ravi Kishan Saripalli is licensed to practice in Missouri (license number 2012019892) 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 1235372244.
Physician's Profile
Full Name | Ravi Kishan Saripalli |
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Gender | Male |
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Speciality | Pediatrics |
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Location | 965 Mattox Dr, Sullivan, Missouri |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1235372244
- Provider Enumeration Date: 04/07/2009
- Last Update Date: 07/22/2021
Medicare PECOS Information:
- PECOS PAC ID: 3476700634
- Enrollment ID: I20120823000723
Medical Identifiers
Medical identifiers for Ravi Kishan Saripalli such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1235372244 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
208000000X | Pediatrics | 2012019892 (Missouri) | Primary |
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 Kishan Saripalli allows following entities to bill medicare on his behalf.
Entity Name | Missouri Baptist Hospital Of Sullivan |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1396827408 PECOS PAC ID: 2668380148 Enrollment ID: O20050519000401 |
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Entity Name | Missouri Baptist Hospital Of Sullivan |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1295743169 PECOS PAC ID: 2668380148 Enrollment ID: O20060410000616 |
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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 Kishan Saripalli 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 |
Ravi Kishan Saripalli, MD 965 Mattox Dr, Sullivan, MO 63080-2365 Ph: (573) 860-6000 | Ravi Kishan Saripalli, MD 965 Mattox Dr, Sullivan, MO 63080-2365 Ph: (573) 860-6000 |
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