Individual provider Active NPI

Arnold S. Ravick, D.P.M.

  • Podiatrist
  • Washington, DC
National Provider Identifier
1003870841
Registry record updated Mar 1, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
PO326 Issued in DC
Practice address
1145 19TH Street, N.W.
Suite 409
Washington, DC 20036-3716
Phone
(202) 223-0500
Fax
(202) 296-2531
NPI assigned
Apr 17, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 1, 2017

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X PO326 DC Primary

Addresses

Primary practice location

1145 19TH Street, N.W.
Suite 409
Washington, DC 20036-3716

Mailing address

1145 19TH St NW
Suite #409
Washington, DC 20036-3701
Phone (301) 455-3566

Other identifiers 1

IdentifierTypeStateIssuer
480013906OtherDCRR MEDICARE INDIVIDUAL PROVIDER #

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101027000950 DC Practitioner - Podiatry 6406958743 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Temple University School of Medicine, 1979
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Medical Faculty Associates, IncGroup PAC ID 4082528898, 676 clinicians

Practice addresses (Care Compare)

2150 Pennsylvania Ave NW
Washington, DC 20037-3201
Phone (202) 741-2600

6410 Rockledge Dr
Suite 600
Bethesda, MD 20817-1844

900 23Rd St NW
Washington, DC 20037-2342
Phone (202) 715-4000

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10
Removal of nail tissue1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PO326DCMDPodiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Medical Faculty Associates, Inc CurrentSince Mar 3, 2017 Accepting new patients

Locations

2150 Pennsylvania Ave NW
#6
Washington, DC 20037

900 23rd St NW
Washington, DC 20037
Phone (202) 715-4750

1234 19th St NW
Ste 900
Washington, DC 20036
Phone (202) 296-7455

2021 K St NW
Ste 408
Washington, DC 20006
Phone (202) 223-1024

2150 Pennsylvania Ave NW
Washington, DC 20037
Phone (202) 741-2222

1145 19th St NW
Ste 409
Washington, DC 20036
Phone (202) 223-0500

Interoperability endpoints

  • Direct secure messaging: aravick19858@gwmfa.direct-ci.com

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1145232000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1488326400000",
    "number": "1003870841",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1145 19TH ST NW",
            "address_2": "SUITE #409",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200363701",
            "telephone_number": "301-455-3566",
            "fax_number": "202-296-2531"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1145 19TH STREET, N.W.",
            "address_2": "SUITE 409",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200363716",
            "telephone_number": "202-223-0500",
            "fax_number": "202-296-2531"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAVICK",
        "first_name": "ARNOLD",
        "middle_name": "S.",
        "name_prefix": "Dr.",
        "credential": "D.P.M.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-17",
        "last_updated": "2017-03-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "DC",
            "license": "PO326",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE INDIVIDUAL PROVIDER #",
            "identifier": "480013906",
            "state": "DC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Washington, DC

Sources for this page

Verify at the official NPI Registry.