RAVI NISTALA


Address: 1101 Hospital Drive, Columbia, MO 65212
Phone: 5738828788

RAVI NISTALA (NPI# 1558464776) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1558464776
Entity Type Individual
Full Name RAVI NISTALA
Credential MD
Practice Address 1101 Hospital Drive
Columbia
MO 65212
Mailing Address Po Box 7687
Columbia
MO 65205-7687
Practice Telephone 5738828788
Practice Fax Number 5738823131
Mailing Telephone 5738822259
Enumeration Date 2006-09-06
Last Update Date 2012-08-21
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 207R00000X Internal Medicine 2009007875 MO Allopathic & Osteopathic Physicians
Y 207RN0300X Internal Medicine
Specialization: Nephrology
2009007875 MO Allopathic & Osteopathic Physicians

Office Location

Street Address 1101 HOSPITAL DRIVE
City COLUMBIA
State MO
Zip Code 65212

Providers in the same location

NPI Name Taxonomy Address Enumeration
1215986187 Darcy D Folzenlogen Internal Medicine 1101 Hospital Drive, Columbia, MO 65212-0001 2006-05-09
1184911174 Nandhakumar Radhakrishnan Speech-Language Pathologist 1101 Hospital Drive, Columbia, MO 65205-7687 2011-06-29
1083811335 Kari Lyn Martin Dermatology 1101 Hospital Drive, Columbia, MO 65212-0001 2007-06-29
1992912968 Jeffrey Paul North Dermatology 1101 Hospital Drive, Columbia, MO 65212-0001 2007-05-17
1003984048 Elisa M Amspacher Nurse Practitioner 1101 Hospital Drive, Columbia, MO 65212-0001 2006-11-30
1730254327 Ronald G Wheeland Dermatology 1101 Hospital Drive, Columbia, MO 65212-0001 2006-11-21
1255388740 Bert E Bachrach Pediatrics 1101 Hospital Drive, Columbia, MO 65212-0001 2006-05-28
1962459065 Nasrollah Hakami Pediatrics 1101 Hospital Drive, Columbia, MO 65212-0001 2006-05-27
1417909466 Stevan P Whitt Internal Medicine 1101 Hospital Drive, Columbia, MO 65212-0001 2006-05-17
1497707996 Hunter V Hofmann Internal Medicine 1101 Hospital Drive, Columbia, MO 65212-0001 2006-05-16
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1225594112 Hee Young Lee Student in an Organized Health Care Education/Training Program 1100 Virginia Avenue, University of Missouri Health Car, Columbia, MO 65212 2019-02-15
1093200966 Alexander John Lubinski Radiology 1 Hospital Drive Dco6910, Columbia, MO 65212 2018-06-24
1235638156 Jami Bates Physician Assistant University of Missouri Hospital 1 Hospital Drive, Columbia, MO 65212 2018-02-06
1124554589 John Wuennenberg Student in an Organized Health Care Education/Training Program 1020 Hitt St 2nd Floor, Columbia, MO 65212 2017-05-04
1336672005 William Paul Christensen Physical Medicine & Rehabilitation One Hospital Dr Dc046.00, Dc046.00, Columbia, MO 65212 2017-04-09
1881127108 Kelli Danielle Bryant Student in an Organized Health Care Education/Training Program 1020 Hitt St 2nd Florr, Columbia, MO 65212 2017-04-04
1952832859 Juhi Koolwal Radiology 1 Hospital Dirve Ddc06910, Columbia, MO 65212 2017-03-22
1518319136 Joseph Patrick Herbert Neurological Surgery One Hospital Drive, Dc048.00, Mc314 Mchaney Hall, Columbia, MO 65212 2016-07-07
1407207319 Jesse Schmid Otolaryngology One Hosital Dr Ma314, Columbia, MO 65212 2016-06-22
1508216920 David Koch Radiology 1 Hospital Drive, Dc06910, Columbia, MO 65212 2016-06-16
Find all providers in zip 65212

Taxonomy Information

Taxonomy Code 207RN0300X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine
Specialization Nephrology

Taxonomy Definition

An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source]
- Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1811549389 Sana Hasan Internal Medicine Ce 422, One Hospital Drive University of Missouri, Columbia, MO 65212-0001 2019-07-15
1295291409 Zeeshan Azeem Internal Medicine 1 Hospital Drive University Hospital, Columbia, MO 65212-0001 2019-02-12
1932614153 Mohammad Walid Abuzeineh Internal Medicine 1 Hospital Drive Department of Nephrology, Columbia, MO 65211-0001 2017-12-11
1982924304 Walter Garland Edwards Jr. Internal Medicine 6447 Eastshore Rd, Columbia, SC 29206-3305 2010-06-08
1215269568 Zbylut Jozef Twardowski Internal Medicine 304 Devine Ct, Columbia, MO 65203-0218 2010-02-10
1578728283 Cesar Yamil Cardona Internal Medicine 854 W. James Campbell Blvd., Ste. 101a, Columbia, TN 38401 2008-07-22
1639337835 Muhammad Amir Rafiq Internal Medicine 1655 Bernardin Ave Ste 200, Columbia, SC 29204-2044 2008-05-26
1629235700 Abdul Basit Usmani Internal Medicine 1655 Bernadin Ave, Suite 200, Columbia, SC 29204 2008-05-17
1134391733 Renee Ann Ellis Internal Medicine 121 Park Central Drive Suite 200, Columbia Nephrology, Columbia, SC 29203 2008-03-24
1619156957 Asha Lenora Bailey Internal Medicine 121 Park Central Drive, Suite 200, Columbia, SC 29203 2007-11-02
Find all providers in COLUMBIA

Competitor

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City COLUMBIA
Zip Code 65212

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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