DR. RAVINDRANATH KAMBHAMPATI (NPI# 1295737062) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295737062 |
| Entity Type | Individual |
| Full Name | DR. RAVINDRANATH KAMBHAMPATI |
| Other Name | RAVINDRANATH KAMBHAMPATI |
| Credential | MD |
| Practice Address |
2820 Crooks Rd Suite 200 Rochester Hills MI 48309-3607 |
| Mailing Address |
2840 Crooks Rd Suite 200 Rochester Hills MI 48309-3676 |
| Practice Telephone | 2488529411 |
| Practice Fax Number | 2488524279 |
| Enumeration Date | 2005-08-11 |
| Last Update Date | 2015-02-16 |
| NPI Deactivation Date | 03/22/2006 |
| NPI Reactivation Date | 2006-03-29 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2086S0122X |
Surgery Specialization: Plastic and Reconstructive Surgery |
RK037362 | MI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WELLNESS PLAN | 10034700001 | 01 | |
| MI | BCBS | 2406375861 | 01 |
| 01297 | 10034700001 | 01 | |
| BSFEP | 2406375861 | 01 | |
| BLUECARE NETWORK | 2406375861 | 01 | |
| MI | HEALTH ALLIANCE | A76543 | 01 |
| MEDICARE RAILROAD | P00065339 | 01 | |
| MI | 1432744 | 05 | |
| MCARE | A8999 | 01 | |
| CHAMPUS | M916275 | 01 | |
| BSBSM | 2406375861 | 01 | |
| MEDICARE SECONDARY | OM68780 | 01 | |
| MPSER | 2406375861 | 01 | |
| CARE AMERICA | AD0039 | 01 |
| Street Address |
2820 CROOKS RD SUITE 200 |
| City | ROCHESTER HILLS |
| State | MI |
| Zip Code | 48309-3607 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346241775 | Oakland Surgi-center Inc | Clinic/Center | 2820 Crooks Rd, Suite 200, Rochester Hills, MI 48309-3607 | 2005-08-09 |
| 1568096733 | Kara Nicole Maltese | Nurse Practitioner | 2820 Crooks Rd, Rochester Hills, MI 48309-3620 | 2020-02-26 |
| 1427352806 | Rochester Hills Medical Center, P.C. | Clinic/Center | 2820 Crooks Rd, Suite 400, Rochester Hills, MI 48309-3620 | 2010-12-29 |
| 1639323397 | Arun Ramamoorthy | Physical Therapist | 2820 Crooks Rd, Suite 400, Rochester Hills, MI 48309-3620 | 2008-11-07 |
| 1861667222 | Ravindranath Kambhampati, M.d., P.C. | Plastic Surgery | 2820 Crooks Rd, Suite 200, Rochester Hills, MI 48309-3620 | 2008-04-28 |
| 1689862922 | Manuel S Yapchai | Internal Medicine | 2820 Crooks Rd, Suite 400, Rochester Hills, MI 48309-3620 | 2007-10-11 |
| 1386849115 | Sudha N. Purohit M.d.p.c. | Internal Medicine | 2820 Crooks Rd, Suite 200, Rochester Hills, MI 48309-3607 | 2007-06-20 |
| 1700094687 | Rochester Hills Medical Center P.C. | Internal Medicine | 2820 Crooks Rd, Suite 400, Rochester Hills, MI 48309 | 2007-05-21 |
| 1851379135 | Sudha N. Purohit | Internal Medicine | 2820 Crooks Rd, Suite 200, Rochester Hills, MI 48309-3607 | 2006-01-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255874541 | Tracy Rutherford | Licensed Practical Nurse | 1613 Star Beit Drive, Rochester Hills, MI 48309 | 2016-11-18 |
| 1679016901 | Christian Ojimadu | Registered Nurse | 1613 Star-batt Drive, Rochester Hills, MI 48309 | 2016-11-18 |
| 1841749173 | Julian Alexander Prosser | Social Worker | 1800 Star Batt Drive, Rochester Hills, MI 48309 | 2016-09-28 |
| 1821472861 | Oakland University | Orthopaedic Surgery | 201 Athletics Ctr, Rochester, MI 48309 | 2015-07-18 |
| 1831438704 | Deborah Marie Tierney | Nurse Practitioner | 2200 Squirrel Road Human Health Building, Oakland University School of Nursing Room 2038, Rochester, MI 48309 | 2013-02-12 |
| 1396021242 | Karen Renee Farrar | Social Worker | 1344 Chestnut Cir, Rochester Hills, MI 48309 | 2011-10-24 |
| 1083922389 | Michigan V & P Management, LLC | Specialist | 1886 W. Auburn #300, Rochester Hills, MI 48309 | 2010-09-21 |
| 1689894032 | Steven L. Lipton Dds, PC | Dentist | 111 Rochdale Dr, Rochester Hills, MI 48309 | 2007-04-26 |
| 1083735773 | Jennifer R Haener | Family Medicine | 2940 Crooks Road, Rochester Hills, MI 48309 | 2007-04-02 |
| 1215079645 | Eva Colleen Frances Mondor | Counselor | 155 Rochdale Dr. S, Suite B, Rochester Hills, MI 48309 | 2007-02-13 |
| Find all providers in zip 48309 | ||||
| Taxonomy Code | 2086S0122X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| Specialization | Plastic and Reconstructive Surgery |
| A surgeon who specializes in plastic and reconstructive surgery. |
| Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A General Certificate is issued by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629528765 | Paragon Health, P.C. | Surgery | 8175 Creekside Dr Ste 100, Portage, MI 49024-5370 | 2016-10-13 |
| 1487091989 | Trevor K O'brien | Surgery | 4110 Copper Ridge Dr Ste 242, Traverse City, MI 49684-6721 | 2013-05-24 |
| 1851689525 | Robert Moore Oneal | Surgery | 501 Onondaga St, Ann Arbor, MI 48104-2606 | 2011-07-15 |
| 1902072952 | Michigan Cosmetic & Reconstructive Surgery Pllc | Surgery | 29110 Inkster Rd, Ste 250, Southfield, MI 48034-1098 | 2008-04-30 |
| 1518184175 | Halil Ibrahim Canter | Surgery | 16001 West 9 Mile Rd., 3 Fl Fischer Ctr Providence Hosp. Craniofacial Inst., Southfield, MI 48075 | 2007-04-18 |
| 1285756148 | Andrea Emma Van Pelt | Surgery | 4070 Lake Drive Se, Suite 202, Grand Rapids, MI 49546 | 2007-04-04 |
| 1083741367 | Kenneth Wolf | Surgery | 1990 Union Lake Rd Ste 200, Commerce Township, MI 48382-2200 | 2007-02-27 |
| 1972630259 | Lauran Bryan | Surgery | 26711 Woodward Ave Ste Ll1, Huntington Woods, MI 48070-1370 | 2007-02-27 |
| 1689761439 | John J Iacobucci | Surgery | 221 Michigan St Ne Ste 300, Grand Rapids, MI 49503-2537 | 2006-10-05 |
| 1710996319 | Ewa D Komorowska-timek | Surgery | 3855 Burton St Se Ste A, Grand Rapids, MI 49546-5816 | 2006-08-05 |
| Find all providers with the same taxonomy | ||||
| City | ROCHESTER HILLS |
| Zip Code | 48309 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.