Individual provider Active NPI

Ravi Shankar, M.D.

  • Pulmonary Disease Physician
  • Lancaster, CA
National Provider Identifier
1093806754
Registry record updated May 20, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
A64181 Issued in CA
Practice address
44215 15TH St W Ste 105
Lancaster, CA 93534-5503
Phone
(661) 948-8000
Fax
(661) 948-8029
NPI assigned
Sep 27, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 20, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pulmonary Disease Physician 207RP1001X A64181 CA Primary

Addresses

Primary practice location

44215 15TH St W Ste 105
Lancaster, CA 93534-5503

Mailing address

44215 15TH St W Ste 105
Lancaster, CA 93534-5503
Phone (661) 948-8000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20070131000552 CA Practitioner - Pulmonary DiseasePractitioner - Internal MedicinePractitioner - Critical Care (Intensivists) 2062414261 Reassigns benefits to 2 organizations
I20180510001325 CA Practitioner - Internal MedicinePractitioner - Critical Care (Intensivists) 2062414261 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Critical Care (Intensivists)
Education
Other, 1980
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Av Critical Care IncGroup PAC ID 2365706702, 12 clinicians

Practice addresses (Care Compare)

44215 15TH St W
Lancaster, CA 93534-5503
Phone (661) 948-8000

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as individual
Quality
87.3
Promoting interoperability
98
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A64181CAMDPulmonary Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Av Critical Care Inc CurrentSince Mar 18, 2018 Accepting new patients
Ravi S Shankar MD Professional Corp Pulmonary Disease CurrentSince Oct 1, 2006 Accepting new patients

Locations

1600 W Avenue J
Lancaster, CA 93534
Phone (661) 726-6254

44215 15th St W
Ste 115
Lancaster, CA 93534
Phone (661) 948-8000

44215 15th St W
Ste 105
Lancaster, CA 93534
Phone (661) 948-8000

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

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 2

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": "1159315200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1621468800000",
    "number": "1093806754",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "44215 15TH ST W STE 105",
            "city": "LANCASTER",
            "state": "CA",
            "postal_code": "935345503",
            "telephone_number": "661-948-8000",
            "fax_number": "661-948-8029"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "44215 15TH ST W STE 105",
            "city": "LANCASTER",
            "state": "CA",
            "postal_code": "935345503",
            "telephone_number": "661-948-8000",
            "fax_number": "661-948-8029"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHANKAR",
        "first_name": "RAVI",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-27",
        "last_updated": "2021-05-20",
        "certification_date": "2021-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "CA",
            "license": "A64181",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lancaster, CA

Sources for this page

Verify at the official NPI Registry.