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RAVI KONIDALA MD
NPI 1124013552
Family Medicine in Crockett, TX

Active since September 12, 2005PECOS Enrolled
1050 E LOOP 304, SUITE 200, ETMC RURAL HEALTH CLINIC, CROCKETT, TX 75835(936) 544-5132(936) 544-8029 Get Directions Write a Review

NPPES record last updated: June 2, 2011. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Ravi Konidala Md NPPES

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

RAVI KONIDALA MD (NPI 1124013552) is an individual family medicine provider in Crockett, Texas, licensed in Texas (M6981) and active in the NPI registry since September 2005. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1124013552
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameRAVI KONIDALACredential: MD
Location Address1050 E LOOP 304, SUITE 200, ETMC RURAL HEALTH CLINICCrockett, TX 75835-1814
Mailing Address511 Heath StCrockett, TX 75835-2290 · (936) 204-0600 · Fax (936) 544-8029
Phone(936) 544-5132
Fax(936) 544-8029
Sole ProprietorNo
Enumeration DateSeptember 12, 2005
Last NPPES UpdateJune 2, 2011
✔ NPI 1124013552 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in TX · M6981
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.
Also ListedFamily Medicine · Geriatric MedicineTaxonomy 207QG0300X · License M6981 (TX)
1050 E LOOP 304, Crockett, TX 75835
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Other Identifiers 3

Medicare ID-Type Unspecified080471PA · Individual Number
Medicare UPINI09028PA
Medicaid1010424560001PA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas.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)

Ravi Konidala Md 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 75835 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 8

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

CHRISTOPHER R HAECKLER MD
Family Medicine
1050 E LOOP 304, STE 200
CROCKETT, TX 75835
Houston County (936) 544-5132
TIMBERLANDS HEALTHCARE, LLC
Clinic/Center (Rural Health)
1050 E LOOP 304, SUITE 200
CROCKETT, TX 75835
Houston County (936) 544-5132
RICHARD JOSEPH KELLY MD
Family Medicine
1050 E LOOP 304, STE 200
CROCKETT, TX 75835
Houston County (936) 544-5132
CROCKETT MEDICAL CENTER, LLC
Family Medicine
1050 E LOOP 304
CROCKETT, TX 75835
Houston County (936) 546-3890
BRYAN SCOTT SHAVER PA
Physician Assistant
1050 E LOOP 304, SUITE 200
CROCKETT, TX 75835
Houston County (936) 544-5132
ROBERT CARLSON MD PLLC
Surgery
1050 E LOOP 304
CROCKETT, TX 75835
Houston County (936) 568-9600
DR. JOSEPH HENDERSON HOLCOMB DDS
Dentist (General Practice)
1050 E LOOP 304, SUITE #120
CROCKETT, TX 75835
Houston County (936) 544-3554
HURLBURT FAMILY PRACTICE PLLC
Family Medicine
1050 E LOOP 304, SUITE 210
CROCKETT, TX 75835
Houston County (936) 544-2236

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 Ravi Konidala's NPI number?

The NPI number for Ravi Konidala is 1124013552. It was assigned to this individual provider in the NPPES registry on September 12, 2005.

Where is Ravi Konidala located?

Ravi Konidala practices at 1050 E Loop 304 Suite 200, Etmc Rural Health Clinic, Crockett, TX 75835. The listed phone number is (936) 544-5132.

What is Ravi Konidala's specialty?

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

Is Ravi Konidala enrolled in Medicare?

Yes. Ravi Konidala is registered in the Medicare PECOS enrollment system.

What insurance does Ravi Konidala accept?

Health plans from Blue Cross and Blue Shield of Texas list Ravi Konidala 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 Ravi Konidala was last updated on June 2, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.