RAVISHANKAR S KONCHADA (MD) – Diagnostic Radiology Physician, NPI 1053365437

RAVISHANKAR S KONCHADA (MD) is a healthcare provider. based in Bemidji, Minnesota. specializing in DIAGNOSTIC RADIOLOGY, INTERVENTIONAL RADIOLOGY, NUCLEAR MEDICINE. They hold the professional credentials MD. They hold a License No. 48477 (MN). The NPI Number for RAVISHANKAR S KONCHADA (MD) is 1053365437

Main info

Male
33 Years Of Experience
Accepts Medicare Assignment
Name
RAVISHANKAR S KONCHADA (MD)
NPI
1053365437
Phone
(218) 333-5000
Address
1233 34th St NW
Enumeration Date
20 May 2006
Last Update Date
20 October 2017

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7022934111
Graduation Year
1993 (33 years ago)
PAC ID
7113938234
Group Practice PAC ID
4880679976
Professional Enrollment ID
I20140906000041
Address ID
NV890052213BO901XXBLVD300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience63
Completeness75
Years active:20State licenses:2Digital endpointsOther names

1,801 DIAGNOSTIC RADIOLOGY in MN

Provider Addresses for RAVISHANKAR S KONCHADA (MD)

  • 1233 34th St NW

    Bemidji, MN 566015112

    Phone: (218) 333-5000

    Fax: (218) 333-5360

    Type: Location

  • PO BOX 30077

    SALT LAKE CITY, UT 841300077

    Phone: (702) 477-0772

    Fax: (702) 477-0486

    Type: Mailing

  • South Rainbow Boulevard, Charleston Heights, Las Vegas, Clark County, Nevada, 89146-1126, United States

    LAS VEGAS, NV 891181872

    Phone: (702) 477-0772

    Fax: (702) 477-0486

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 34 Open Payments records for all available years, with a total value of $1,882.

Total Amount is formed as General ($1,882) + Research ($0) + Ownership ($0) = $1,882.

Last reported payment date: 2024-11-08 • Largest payer in this snapshot: Inari Medical, Inc. ($739).

Total Amount

$1,882

General + Research + Ownership

Payments

34

Total payment records

General Amount

$1,882

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-08

Latest reported date

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2014-09-06

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20140906000041IDiagnostic RadiologyNVTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
Q9967Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml1,70016$0
71045X-ray of chest, 1 view1,3841,173$0
70450Ct scan head or brain without contrast500476$0
70551Mri scan of brain without contrast305295$0
71046X-ray of chest, 2 views282272$0
View full utilization report →

Insurance plans in this area (ZIP 56601)

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Provider's Procedures

RAVISHANKAR S KONCHADA (MD) performs procedures in DIAGNOSTIC RADIOLOGY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
DIAGNOSTIC RADIOLOGYNV78452Nuclear medicine study of vessels of heart using drugs or exercise multiple studies5757
DIAGNOSTIC RADIOLOGYNV93971Ultrasound scan of veins of one arm or leg or limited including assessment of compression and functional maneuvers3131

Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 4880679976View full group profile
NameSpecialtyState
Diagnostic Radiology, Interventional RadiologyNV
-UT
Diagnostic Radiology, Nuclear MedicineUT
Diagnostic Radiology, Nuclear MedicineUT
-UT
Diagnostic Radiology, Nuclear MedicineUT
Diagnostic RadiologyPA
-UT
Diagnostic Radiology, Nuclear MedicineUT
Diagnostic RadiologyIL

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Frequently asked questions

How is RAVISHANKAR S KONCHADA (MD) identified in CMS data?
CMS-hosted NPPES data lists RAVISHANKAR S KONCHADA (MD) with NPI 1053365437.
Can I rely on RAVISHANKAR S KONCHADA (MD) being an active provider?
As of the registry snapshot, RAVISHANKAR S KONCHADA (MD) is marked active.
What is RAVISHANKAR S KONCHADA (MD)'s specialty?
The listing groups RAVISHANKAR S KONCHADA (MD) with Diagnostic Radiology Physician. Clinical services aligned with this taxonomy classification.
Does RAVISHANKAR S KONCHADA (MD) list a practice location?
Patients near Bemidji, Minnesota may find RAVISHANKAR S KONCHADA (MD) in results; validate coverage separately.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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