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DR. RAVIKUMAR HANUMANTHAIAH EDALUR M.D
NPI 1023221413
Family Medicine in Longview, TX

Active since May 08, 2007PECOS Enrolled
1005 N EASTMAN RD, NONE, LONGVIEW, TX 75601(903) 239-1518(903) 247-8273 Get Directions Write a Review

NPPES record last updated: August 29, 2014. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Ravikumar Hanumanthaiah Edalur M.d NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. RAVIKUMAR HANUMANTHAIAH EDALUR M.D (NPI 1023221413) is an individual family medicine provider in Longview, Texas, licensed in Texas (M7245) and active in the NPI registry since May 2007. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1023221413
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. RAVIKUMAR HANUMANTHAIAH EDALURCredential: M.D
Location Address1005 N EASTMAN RD, NONELongview, TX 75601-4231
Mailing Address1005 N Eastman Rd, NoneLongview, TX 75601-4231 · (903) 239-1518 · Fax (903) 247-8273
Phone(903) 239-1518
Fax(903) 247-8273
Sole ProprietorNo
Enumeration DateMay 8, 2007
Last NPPES UpdateAugust 29, 2014
✔ NPI 1023221413 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Licenses✔ Licensed in TX · M7245✔ Licensed in IN · 01063441A
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
1005 N EASTMAN RD, Longview, TX 75601
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Other Identifiers 1

Medicaid1492033201TX

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas, Imperial Insurance Companies, Inc..Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Ravikumar Hanumanthaiah Edalur M.d is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer– Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 75601 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$84.92 typical visit price
range $54.84 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$97.05 typical visit price
range $17.52 – $136.11
Typical copayment $24.26 (range $4.38 – $34.02)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 12

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. SANGITA BISTA
Internal Medicine
1005 N EASTMAN RD
LONGVIEW, TX 75601
Gregg County (903) 248-3450
RICHARD PAUL DELK AU.D.
Audiologist
1005 N EASTMAN RD
LONGVIEW, TX 75601
Gregg County (903) 248-3430
MS. BETTY JANE WITHERSPOON LMSW
Social Worker
1005 N EASTMAN RD, VA CBOC
LONGVIEW, TX 75601
Gregg County (903) 247-8262
DR. JOSHUA JAMES OBHOLZ M.D.
Family Medicine
1005 N EASTMAN RD
LONGVIEW, TX 75601
Gregg County (903) 247-8262
SHREVEPORT VAMC
Clinic/Center (VA)
1005 N EASTMAN RD
LONGVIEW, TX 75601
Gregg County (615) 355-3451
MR. JAMES LEE NP
Nurse Practitioner (Acute Care)
1005 N EASTMAN RD
LONGVIEW, TX 75601
Gregg County (903) 247-8262
MRS. ROZINA PARVEEN MD
Internal Medicine
1005 N EASTMAN RD
LONGVIEW, TX 75601
Gregg County (903) 247-8262
SUSAN HUGHES MS, RD, LD
Dietitian, Registered
1005 N EASTMAN RD
LONGVIEW, TX 75601
Gregg County (903) 247-8262

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Ravikumar Edalur's NPI number?

The NPI number for Ravikumar Edalur is 1023221413. It was assigned to this individual provider in the NPPES registry on May 8, 2007.

Where is Ravikumar Edalur located?

Ravikumar Edalur practices at 1005 N Eastman Rd None, Longview, TX 75601. The listed phone number is (903) 239-1518.

What is Ravikumar Edalur's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Ravikumar Edalur enrolled in Medicare?

Yes. Ravikumar Edalur is registered in the Medicare PECOS enrollment system.

What insurance does Ravikumar Edalur accept?

Health plans from Blue Cross and Blue Shield of Texas and Imperial Insurance Companies, Inc. list Ravikumar Edalur as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Ravikumar Edalur was last updated on August 29, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.