Individual provider

Ravi Konidala, MD

Family Medicine Physician Geriatric Medicine (Family Medicine) Physician Medicare enrolled

Ravi Konidala, MD is a Family Medicine Physician in Crockett, TX, registered under NPI 1124013552. This provider registers 2 separate taxonomy codes, which usually means they practise across more than one recognised specialty.

Getting there

The practice address on file is 1050 E LOOP 304 SUITE 200, ETMC RURAL HEALTH CLINIC, Crockett, TX 75835. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.

1050 E LOOP 304 SUITE 200, ETMC RURAL HEALTH CLINIC, Crockett, TX 75835 Open in Google Maps →

Credentials and Medicare

State licence
LicenceStateSpecialty
M6981 TX Family Medicine Physician primary
M6981 TX Geriatric Medicine (Family Medicine)…

This provider holds licence M6981 issued in TX. A licence number in NPPES reflects what was filed at registration — it does not confirm the licence is still active today.

Medicare (PECOS)
Status
Approved
Provider type
Practitioner - Family Practice
PAC ID
1557331758

Medicare enrolment is recorded as approved under the provider type Practitioner - Family Practice. This means the provider is enrolled to bill Medicare, though it does not tell you whether they are currently accepting new Medicare patients. Call the office to confirm.

What Family Medicine covers

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. NUCC Health Care Provider Taxonomy, code 207Q00000X
Allopathic & Osteopathic Physicians Family Medicine

All registered taxonomy codes

This provider registers 2 taxonomy codes. The primary code is what appears on most claims; the others record additional recognised specialties.

CodeSpecialtyLicenceState
207Q00000X Family Medicine Physician M6981 TX primary
207QG0300X Geriatric Medicine (Family Medicine) Physician Geriatric Medicine M6981 TX

The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.

Full NPPES record

An NPI-1 identifies a single person. It stays with the clinician for life, even if they move practice or change state, which is why the address on file can lag behind where they actually work today.

NPI1124013552 valid check digit
Entity typeIndividual (NPI-1)
Enumeration dateSep 12, 2005
Last updatedJun 2, 2011
StatusActive
Sole proprietorNo
CredentialMD
Practice address 1050 E LOOP 304
SUITE 200, ETMC RURAL HEALTH CLINIC
Crockett, TX 75835
(936) 544-5132
Fax (936) 544-8029
Mailing address 511 HEATH ST
Crockett, TX 75835
Other identifiers 1010424560001 (PA)
This record was last updated on Jun 2, 2011, roughly 15 years ago. Address and phone details that old are frequently out of date. Verify by phone before travelling to the address shown.

Number check

1124013552 passes the NPI check digit test The final digit 2 matches the value computed from the first nine digits, so this is a well-formed NPI.
How the check works, step by step

Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.

Digit 8 0 8 4 0 1 1 2 4 0 1 3 5 5
Doubled? ×2 ×2 ×2 ×2 ×2 ×2 ×2
Value 8 0 8 8 0 2 1 4 4 0 1 6 5 1

Sum = 48 · next multiple of 10 = 50 · check digit = 2 · actual last digit = 2

A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.

Common questions

What is NPI number 1124013552?
NPI 1124013552 is the National Provider Identifier assigned to Ravi Konidala, MD in Crockett, TX. It is a 10-digit number issued by the Centers for Medicare & Medicaid Services and used on claims, referrals, and prescriptions to identify the provider.
What does Family Medicine Physician cover?
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.
How do I contact Ravi Konidala, MD?
The phone number on file with NPPES is (936) 544-5132, last updated Jun 2, 2011. Because NPPES is only updated when a provider files a change, call ahead to confirm the number and the current practice address before visiting.
Does Ravi Konidala, MD accept Medicare?
This NPI has an approved Medicare enrolment in PECOS, which means the provider is enrolled to bill Medicare. Enrolment does not guarantee they are accepting new Medicare patients — verify directly with the office.
Is NPI 1124013552 a valid number?
Yes. 1124013552 passes the Luhn check digit validation that CMS uses for NPI numbers, and it resolves to an active record in the registry.
How to use this page. Everything here comes from public federal records. Tips Health does not verify quality of care, confirm that a licence is currently active, or check malpractice history, and accepts no fees for placement. A listing is not a recommendation. Verify independently before seeking care.