Active NPI
Ravali Gummi, MD
- Ophthalmology Physician
- Kansas City, MO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- 93168
- Practice address
- 2301 Holmes St
Kansas City, MO 64108-2677 - Phone
- (816) 404-1000
- NPI assigned
- Apr 4, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Ophthalmology Physician | 207W00000X | 93168 | GA | Primary |
Addresses
Primary practice location
2301 Holmes St
Kansas City, MO 64108-2677
Mailing address
2301 Holmes St
Kansas City, MO 64108-2677
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Ophthalmology
- Education
- Other, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
895 Canton Rd NE
BLDG 100
Marietta, GA 30060-8935
Phone (770) 427-8111
Hospital & facility affiliations
- Wellstar Kennestone Regional Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 93.93 of 100
- Quality
- 82.14
- Promoting interoperability
- 100
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 170 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Marietta Eye Clinic, PA | Ophthalmology | Current | Accepting new patients |
| Marietta Eye Clinic PA | Ophthalmology | Current | Accepting new patients |
| Marietta Eye Clinic PA | Current | Accepting new patients | |
| Marietta Eye Clinic, PA | Past | Accepting new patients | |
| Marietta Eye Clinic, PA | Ophthalmology | Past | Accepting new patients |
Locations
4450 Calibre Xing NW
Ste 1104
Acworth, GA 30101
Phone (678) 279-1141
100 Old Ball Ground Hwy
#A
Canton, GA 30114
100 Old Ball Ground Hwy
Canton, GA 30114
Phone (770) 479-2195
2860 Ronald Reagan Blvd
Ste 210
Cumming, GA 30041
8841 Hospital Dr
Douglasville, GA 30134
Phone (770) 577-2200
47 Highland Pavilion Ct
Ste 101
Hiram, GA 30141
895 Canton Rd NE
Bldg 200
Marietta, GA 30060
Phone (678) 784-0203
3939 Roswell Rd
Ste 100
Marietta, GA 30062
Phone (770) 977-8000
2520 Windy Hill Rd SE
Ste 206
Marietta, GA 30067
Phone (770) 952-6851
2453 Powder Springs Rd SW
Ste 400
Marietta, GA 30064
Phone (770) 801-0700
895 Canton Rd NE
Bldg 100
Marietta, GA 30060
Phone (770) 425-6167
10485 Alpharetta St
Roswell, GA 30075
Phone (678) 439-2443
2990 Eagle Dr
Ste 110
Woodstock, GA 30189
Phone (678) 460-4810
Interoperability endpoints
- rgummi@mariettaeyeclinic.emadirect.md
Organizations & group practices 5
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.
-
- Ophthalmology Physician
- Suwanee, GA
- NPI 1700675568
-
- Ophthalmologic Surgery Clinic/Center
- Suwanee, GA
- NPI 1225836869
-
- Ophthalmology Physician
- Hiram, GA
- NPI 1881088649
-
- Ophthalmologic Surgery Clinic/Center
- Marietta, GA
- NPI 1205857968
-
- Ophthalmology Physician
- Villa Rica, GA
- NPI 1275221608
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Marietta, GA
- NPI 1649248626
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1522800000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1688515200000",
"number": "1033615299",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2301 HOLMES ST",
"city": "KANSAS CITY",
"state": "MO",
"postal_code": "641082677"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2301 HOLMES ST",
"city": "KANSAS CITY",
"state": "MO",
"postal_code": "641082677",
"telephone_number": "816-404-1000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GUMMI",
"first_name": "RAVALI",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-04-04",
"last_updated": "2023-07-05",
"certification_date": "2023-07-05",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "207W00000X",
"taxonomy_group": "",
"desc": "Ophthalmology",
"state": "GA",
"license": "93168",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Kansas City, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 5, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.