Ravi K. Mootha, M.D., P.A.
NPI 1063653376ActiveOrganization· Urology· Richardson, TX
Urology in Richardson, Texas, registered in NPPES in March 2009. The authorized official on file is Ravi Kanth Mootha, M.D., President. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1063653376 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Mar 16, 2009 |
| Last updated in NPPES | Sep 20, 2009 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Urology Primary | 208800000X | L7054 | TX |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (TX) |
|---|
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