Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Ravi Botla, MD

Individual provider Gastroenterology Physician · NPI 1366540544

Dr. Ravi Botla, MD is a Gastroenterology in San Antonio, Texas. Qualified in 1983, 43 years ago. Practices with Dignity Health Medical Foundation, a 1,204-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Texas.

Years since qualifying
43
Licensed in
TX
In the registry since
2006
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

621 Camden St Ste 202
San Antonio, TX 78215-1639
Phone: (210) 253-3422
Fax: (210) 227-9833
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Gastroenterology Physician (primary) Taxonomy 207RG0100X · Licence J7912 (TX)

Record details

NPI number1366540544
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedSeptember 20, 2006
Last updated in NPPESFebruary 22, 2017
Mailing addressPo Box 75235, Dallas, TX 75235-0629

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyGASTROENTEROLOGY
Medical schoolOTHER
Graduated 1983 (43 years in practice)
Group practice Dignity Health Medical Foundation — 1204 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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