KARTHIK RAJA RAVICHANDRAN MD
NPI 1861230807
Student in an Organized Health Care Education/Training Program in Fort Wayne, IN

Q: What is Karthik Raja Ravichandran's NPI number?

The NPI number for Karthik Raja Ravichandran is 1861230807. It was assigned to this individual provider in the NPPES registry on July 15, 2024.

Q: What is Karthik Raja Ravichandran's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Active since July 15, 2024PECOS Enrolled

2200 RANDALLIA DR, FORT WAYNE, IN 46805(260) 373-7765 Get Directions Write a Review

NPPES record last updated: June 17, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Mar 30, 2026, Dec 6, 2024, Jul 15, 2024 (3 updates tracked since 2024).

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About Karthik Raja Ravichandran Md NPPES

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

KARTHIK RAJA RAVICHANDRAN MD (NPI 1861230807) is an individual student in an organized health care education/training program in Fort Wayne, Indiana and active in the NPI registry since July 2024. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1861230807

Entity TypeIndividualMale

Primary Taxonomy390200000X

Provider Legal NameKARTHIK RAJA RAVICHANDRANCredential: MD

Location Address2200 RANDALLIA DRFort Wayne, IN 46805-4638

Mailing Address2200 Randallia DrFort Wayne, IN 46805-4638

Phone(260) 373-7765

Sole ProprietorNo

Enumeration DateJuly 15, 2024

Last NPPES UpdateJune 17, 20263 updates tracked since enumeration

NPPES CertifiedJune 17, 2026

✔ NPI 1861230807 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

Taxonomy Code390200000X

Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

2200 RANDALLIA DR, Fort Wayne, IN 46805

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Karthik Raja Ravichandran 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.

Other Providers at the Same Location NPPES 20

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

MALLIKA GYAWALI MD

Internal Medicine