NPI age
20 years
Enumerated 2005-09-12
● Active
Type 1 · Individual
Ravi Konidala, MD
Konidala is 1 of 14 family medicine providers in Crockett and 1 of 15966 in Texas.
Primary specialty
Family Medicine
Plus 1 subspecialty
Licensed in
TX
1 state
Status
Active
No deactivations on record
Last NPPES update
2011-06-02
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org
How this provider compares
Across 15966 active family medicine providers in Texas.
NPI age
20 years
↑ 3 yr above median (17 yr)
State licenses
1 state
8% of peers hold multiple states
Subspecialties
1
In the 26% of peers with subspecialties
NPI lifetime · 2005 → 2026
2005-09Enumerated in NPPES
2005
2026
Where they practice
Practice location
1050 E Loop 304, Suite 200, Etmc Rural Health Clinic
Crockett, TX 758351814
Mailing address
511 Heath St
Crockett, TX 758352290
Specialties
-
Family Medicine PrimaryFamily 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 MedicineA family medicine physician with special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in...
Identifiers
| Type | Value | Notes |
|---|---|---|
| 05 (PA) | 1010424560001 |
Practice context
Part of a multi-provider practice. 8 other active providers share this practice address in NPPES.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Check the state license is currently active.State licensing boards publish current status; NPPES does not.
- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.