Ravi Krishnan MD LLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

RAVI KRISHNAN MD LLC

Doing business as

Ravi Krishnan MD LLC

Practice address

6559 Wilson Mills Rd Ste 106
Mayfield Village, OH 44143-3433

Phone

(855) 449-1540

Fax

(440) 672-5068

NPI assigned

Apr 3, 2023

Organization subpart

No

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

Authorized official

Name

Ravi V Krishnan, MDNPI 1306836150

Title

Authorized Official

Phone

(855) 449-1540

Specialties & licenses 1

Addresses

Other names 1

• RAVI KRISHNAN MD LLC Doing business as

Medicare fee-for-service enrollment

Enrolled in OH

Enrollment records 1

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Ravi Venkata Krishnan, M.D.

  • Internal Medicine Physician
  • Mayfield Village, OH
  • NPI 1306836150
  Medicare reassignment Care Compare group NPD Authorized official
• Marissa Michael Mack, CNP

  • Adult Health Nurse Practitioner
  • Mayfield Heights, OH
  • NPI 1497146195
  Medicare reassignment Care Compare group NPD
• Carolyn Theresa Dixon, CNP

  • Family Nurse Practitioner
  • Willoughby, OH
  • NPI 1003153644
  Medicare reassignment NPD

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

{
    "created_epoch": "1680480000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1756771200000",
    "number": "1043915770",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 952060",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441930051",
            "telephone_number": "855-449-1540",
            "fax_number": "440-672-5058"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6559 WILSON MILLS RD STE 106",
            "city": "MAYFIELD VILLAGE",
            "state": "OH",
            "postal_code": "441433433",
            "telephone_number": "855-449-1540",
            "fax_number": "440-672-5068"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RAVI KRISHNAN MD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-04-03",
        "last_updated": "2025-09-02",
        "certification_date": "2024-12-05",
        "status": "A",
        "authorized_official_last_name": "KRISHNAN",
        "authorized_official_first_name": "RAVI",
        "authorized_official_middle_name": "V",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "855-449-1540",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "RAVI KRISHNAN MD LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Michelle Price, PTA
• Progressive Casualty Insurance Company
• Kenneth Pross
• Dayna Kay Pudil, D.C.
• Samantha Ramos, LPC
• Regional Diagnostics, LLC
• Grace Remindner
• Diane Ricci, M.S.,CCC/SLP
• Katy Rieker, CNP
• River's Edge Chiropractic LLC

• Internal Medicine Physician in Mayfield Village, OH
• Providers in Mayfield Village, OH by specialty
• Internal Medicine Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.