Provider Type Icon

DR. RAVILLA L MAHIDHAR MD NPI 1134346836


NPI Information

NPI: 1134346836
Provider Name: DR. RAVILLA L MAHIDHAR, MD
Classification: Internal Medicine - 207RI0011X
Entity Type: Individual

Specialization: Interventional Cardiology

Organization: PROVIDENCE HEALTH AND SERVICES - WA

PECOS Registration: Yes

Address:
12728 19TH AVE SE STE 200
EVERETT, WA
ZIP 98208
Phone: (425) 225-2700
Get Directions

DR. Ravilla L Mahidhar, MD is an interventional cardiology internal medicine in Everett, WA with 26 years of experience. The provider is an area of medicine within the subspecialty of cardiology, which uses specialized imaging and other diagnostic techniques to evaluate blood flow and pressure in the coronary arteries and chambers of the heart and uses technical procedures and medications to treat abnormalities that impair the function of the cardiovascular system. DR. Ravilla L Mahidhar, MD NPI is 1134346836. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: MARION SIMS COLLEGE OF MEDICINE - NLG
Graduation Year:1998

The provider's business location address is:

12728 19TH AVE SE STE 200
EVERETT, WA
ZIP 98208-526
Phone: (425) 225-2700

The NPI 1134346836 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA).

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Catheter insertion of stents in major coronary artery or branch, accessed through the skin (HCPCS:92928)
  • Insertion of catheter in left heart for imaging of blood vessels or grafts and left lower heart (HCPCS:93458)

The enumeration date for this NPI number is 4/20/2007 and was last updated on 7/7/2021.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207RI0011XInternal MedicineInterventional CardiologyMD60287555WASHINGTONYes
2207RI0011XInternal MedicineInterventional CardiologyMD450900PENNSYLVANIANo
3207RI0011XInternal MedicineInterventional CardiologyD81014MARYLANDNo

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1AT540010OTHERMARYLANDBCBS
2213409800MEDICAIDMARYLAND
3G8910100OTHERWASHINGTONMEDICARE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.