Revathy Ameeruddin, MD is a medicare enrolled "Physical Medicine & Rehabilitation" physician in Dyer, Indiana. Her current practice location is
24 Joliet St Ste 101, Dyer, Indiana. You can reach out to her office (for appointments etc.) via phone at
(219) 864-2059.
Revathy Ameeruddin is licensed to practice in Indiana (license number 01061500A) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1588730063.
Physician's Profile
| Full Name | Revathy Ameeruddin |
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| Gender | Female |
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| Speciality | |
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| Experience | Years |
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| Location | 24 Joliet St Ste 101, Dyer, Indiana |
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| Accepts Medicare Assignments | Yes. She 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:
- Revathy Ameeruddin attended and graduated from in
NPI Data:
- NPI Number: 1588730063
- Provider Enumeration Date: 11/28/2006
- Last Update Date: 02/15/2023
Medicare PECOS Information:
- PECOS PAC ID:
- Enrollment ID:
Medical Identifiers
Medical identifiers for Revathy Ameeruddin such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1588730063 | NPI | - | NPPES |
| 00A844330 | Medicaid | CA | |
| 200943400 | Medicaid | IN | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 208100000X | Physical Medicine & Rehabilitation | 010-81500A (Indiana) | Secondary |
| 208100000X | Physical Medicine & Rehabilitation | A84433 (California) | Secondary |
| 208100000X | Physical Medicine & Rehabilitation | 01061500A (Indiana) | 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. Revathy Ameeruddin 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 |
|---|
Revathy Ameeruddin, MD
Po Box 781076,
Detroit, MI 48278-1076
Ph: (317) 528-4800 | Revathy Ameeruddin, MD
24 Joliet St Ste 101,
Dyer, IN 46311-1705
Ph: (219) 864-2059 |
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