Shahram F Ravan, M.D.

Primary specialty

SpecialistTaxonomy code 174400000X

License

A40168 Issued in CA

Practice address

436 N Bedford Dr
Suite 214
Beverly Hills, CA 90210-4310

Phone

(310) 858-9200

Fax

(310) 271-3793

NPI assigned

Jul 5, 2006

Last updated

Feb 1, 2012By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Cardiovascular Disease (Cardiology)Also: Internal Medicine

Education

Other, 1982

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Hospital & facility affiliations

• Cedars-Sinai Medical Center Hospital, Los Angeles, CA, CCN 050625

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Networks

• BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/7842/brand/1/csg/1/fhir/r4

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

• Shahram F. Ravan, M.D., Inc.

  dba Life Well Institute

  • Physical Therapist
  • Beverly Hills, CA
  • NPI 1255486866
  Medicare reassignment NPD Authorized official
• Omni Medical Services, Inc.

  • Radiology Clinic/Center
  • Beverly Hills, CA
  • NPI 1023233830
  NPD (past) Authorized official
• Shahram F. Ravan, M.D. Inc.

  • Specialist
  • Beverly Hills, CA
  • NPI 1689869190
  NPD (past) Authorized official
• Shahram F. Ravan,M.D., Inc.

  • Cardiovascular Disease Physician
  • Beverly Hills, CA
  • NPI 1790041770
  NPD (past) Authorized official
• Susan Azad MD Inc

  • Internal Medicine Physician
  • Beverly Hills, CA
  • NPI 1649499724
  NPD
• Olympia Health Care LLC

  dba Olympia Medical Center

  • General Acute Care Hospital
  • Los Angeles, CA
  • NPI 1245371343
  NPD (past)

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

• Cedars-Sinai Medical Center

  • General Acute Care Hospital
  • Los Angeles, CA
  • NPI 1639172372
  Care Compare affiliation
• Cedars-Sinai Medical Center

  • General Acute Care Hospital
  • West Hollywood, CA
  • NPI 1891940326
  Care Compare affiliation

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

{
    "created_epoch": "1152057600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1328054400000",
    "number": "1073544417",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "436 N BEDFORD DR",
            "address_2": "SUITE 214",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902104310",
            "telephone_number": "310-858-9200",
            "fax_number": "310-271-3793"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "436 N BEDFORD DR",
            "address_2": "SUITE 214",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902104310",
            "telephone_number": "310-858-9200",
            "fax_number": "310-271-3793"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAVAN",
        "first_name": "SHAHRAM",
        "middle_name": "F",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-05",
        "last_updated": "2012-02-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "CA",
            "license": "A40168",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAX ID",
            "identifier": "954235735",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A401680",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Veronica Ratevosian, PA
• Peter Rath, PSY.D.
• Alexandra Ravaei, DDS
• Sean S. Ravaei, DPM
• Hamid H Ravan, M.D.
• Paula C Ravets, PHD
• Ross R Ravin, MD
• Ravon & Bashawaty Dental Partnership
• Rizza P Ray, PA
• Nadine Recker Rayburn, PH.D.

• Specialist in Beverly Hills, CA
• Providers in Beverly Hills, CA by specialty
• Specialist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2012; 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.

Verify at the official NPI Registry.