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RAVI KOTHA MD
NPI 1770526584
Emergency Medicine in Crystal City, MO

Active since June 13, 2006
HWY 61 SOUTH, CRYSTAL CITY, MO 63019(904) 805-1300(904) 805-1302 Get Directions Write a Review

NPPES record last updated: January 28, 2011. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Ravi Kotha Md NPPES

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

RAVI KOTHA MD (NPI 1770526584) is an individual emergency medicine provider in Crystal City, Missouri, licensed in Missouri (2003021689) and active in the NPI registry since June 2006.

NPPES Registry Identity

NPI1770526584
Entity TypeIndividualMale
Primary Taxonomy207P00000X
Provider Legal NameRAVI KOTHACredential: MD
Location AddressHWY 61 SOUTHCrystal City, MO 63019
Mailing AddressPo Box 827431Philadelphia, PA 19182-7431 · (904) 805-1300 · Fax (904) 805-1302
Phone(904) 805-1300
Fax(904) 805-1302
Sole ProprietorNo
Enumeration DateJune 13, 2006
Last NPPES UpdateJanuary 28, 2011
✔ NPI 1770526584 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
License✔ Licensed in MO · 2003021689
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
HWY 61 SOUTH, Crystal City, MO 63019
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Other Identifiers 16

Medicare UPING40101MO
Medicare PIN906384740MO
Medicare PIN151980008MO
Medicare PIN906383209MO
Medicaid208824110MO
Other124884MO · Blue Cross
Medicare PIN906384748MO
Medicare PIN906385005MO
Other222382593MO · Champus
Medicare PIN906383212MO
Other426403MO · Healthlink
OtherP00066451MO · Railroad Medicare
Medicare ID-Type Unspecified906381631MO
Medicare PIN150050027MO
Other947071631MO · Mercy Health
Medicare PIN906385198MO

Other Providers at the Same Location NPPES 3

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

ROBERT EVENS MD
Emergency Medicine
HWY 61 SOUTH
CRYSTAL CITY, MO 63019
Jefferson County (904) 805-1300
EARL SCOTT MD
Emergency Medicine
HWY 61 SOUTH
CRYSTAL CITY, MO 63019
Jefferson County (904) 805-1300
PETER MCCARTHY MD
Emergency Medicine
HWY 61 SOUTH
CRYSTAL CITY, MO 63019
Jefferson County (904) 805-1300

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 Kotha's NPI number?

The NPI number for Ravi Kotha is 1770526584. It was assigned to this individual provider in the NPPES registry on June 13, 2006.

Where is Ravi Kotha located?

Ravi Kotha practices at Hwy 61 South, Crystal City, MO 63019. The listed phone number is (904) 805-1300.

What is Ravi Kotha's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

When was this NPI record last updated?

The NPPES record for Ravi Kotha was last updated on January 28, 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.