NPIMap

Individual provider Active NPI

Ravi Vishram Purushuttam, M.D.

  • Family Medicine Physician
  • Fayetteville, NC
National Provider Identifier
1043717838
Registry record updated Aug 5, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
311963 Issued in NY
Practice address
6387 Ramsey St Unit 210
Fayetteville, NC 28311-9442
Phone
(910) 615-3920
Fax
(910) 321-6221
NPI assigned
Apr 9, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 5, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 311963 NY Primary

Addresses

Primary practice location

6387 Ramsey St Unit 210
Fayetteville, NC 28311-9442

Mailing address

135 N.Union St.
Olean, NY 14760
Phone (716) 375-7500

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250321000871 NC Practitioner - Family Practice 0840537254 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Heritage Family PhysiciansGroup PAC ID 5193784494, 3 clinicians

Practice addresses (Care Compare)

6387 Ramsey St
Unit 210
Fayetteville, NC 28311-9442
Phone (910) 615-3920

Hospital & facility affiliations

  • Cape Fear Valley Medical Center Hospital, Fayetteville, NC, CCN 340028
  • Cape Fear Valley Hoke Hospital Hospital, Raeford, NC, CCN 340188
  • Betsy Johnson Regional Hospital Hospital, Dunn, NC, CCN 340071
  • Highsmith Rainey Memorial Hospital Long-term care hospital, Fayetteville, NC, CCN 342014

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Interoperability endpoints

  • Direct secure messaging: rpurushuttam132840@capefearvalley.direct-ci.com

Organizations & group practices 1

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 17

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

View all 17

NPI Registry JSON

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

{
    "created_epoch": "1523232000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785888000000",
    "number": "1043717838",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "135 N.UNION ST.",
            "city": "OLEAN",
            "state": "NY",
            "postal_code": "14760",
            "telephone_number": "716-375-7500",
            "fax_number": "716-701-6854"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6387 RAMSEY ST UNIT 210",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283119442",
            "telephone_number": "910-615-3920",
            "fax_number": "910-321-6221"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PURUSHUTTAM",
        "first_name": "RAVI",
        "middle_name": "VISHRAM",
        "name_prefix": "Mr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-04-09",
        "last_updated": "2026-08-05",
        "certification_date": "2026-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "311963",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fayetteville, NC

Sources for this page

Verify at the official NPI Registry.