DR. RAVINDRA KUMAR VEGUNTA MBBS. FRCSED. NPI 1346280203

NPI Information

NPI: 1346280203
Provider Name: DR. RAVINDRA KUMAR VEGUNTA, MBBS., FRCSED.
Classification: Surgery - 2086S0120X
Entity Type: Individual

Specialization: Pediatric Surgery

PECOS Registration: Yes

Address:
1432 S DOBSON RD
SUITE 301
MESA, AZ
ZIP 85202
Phone: (480) 412-9400
Get Directions

DR. Ravindra Kumar Vegunta, MBBS., FRCSED. is a pediatric surgery surgery in Mesa, AZ. The provider is a surgeon with expertise in the management of surgical conditions in premature and newborn infants, children and adolescents. DR. Ravindra Kumar Vegunta, MBBS., FRCSED. NPI is 1346280203. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1432 S DOBSON RD
SUITE 301
MESA, AZ
ZIP 85202-768
Phone: (480) 412-9400
Fax: (480) 412-9401

The NPI 1346280203 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), Power Mobility Devices.

The enumeration date for this NPI number is 6/8/2006 and was last updated on 11/9/2010.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	2086S0120X	Surgery	Pediatric Surgery	036103187	ILLINOIS	No
2	2086S0120X	Surgery	Pediatric Surgery	42746	ARIZONA	Yes

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 Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	809840	OTHER	ILLINOIS	GROUP
2	036103187	MEDICAID	ILLINOIS
3	G97857	MEDICARE UPIN	ILLINOIS
4	Z137415	MEDICARE PIN	ARIZONA
5	K33862	OTHER	ILLINOIS	INDIVIDUAL
6	L97841	MEDICARE ID-TYPE UNSPECIFIED	ILLINOIS

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: 4/28/2024

NPI Synchronization or Removal

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