Active NPI
Ravi S Johar, M.D.
- Obstetrics & Gynecology Physician
- Hazelwood, MO
National Provider Identifier
1144294604
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- 102938
- Practice address
- 755 Dunn Rd
Suite 150
Hazelwood, MO 63042-1751 - Phone
- (314) 801-5300
- Fax
- (314) 801-5320
- NPI assigned
- Feb 13, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | 102938 | MO | Primary |
Addresses
Primary practice location
755 Dunn Rd
Suite 150
Hazelwood, MO 63042-1751
Mailing address
755 Dunn Rd
Suite 150
Hazelwood, MO 63042-1751
Phone (314) 801-5300
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P00033609 | Other | MO | RAILROAD MEDICARE |
| P01137606 | Other | MO | RAILROAD MEDICARE |
| 1144294604 | Medicaid | MO |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| SSM Depaul Medical Group, Inc. | Past | Accepting new patients |
Interoperability endpoints
- rjohar244388@direct.carenet.org
- rjohar99463@directc.mercy.net
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.
-
- Family Medicine Physician
- Florissant, MO
- NPI 1952312951
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1139788800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1421798400000",
"number": "1144294604",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "755 DUNN RD",
"address_2": "SUITE 150",
"city": "HAZELWOOD",
"state": "MO",
"postal_code": "630421751",
"telephone_number": "314-801-5300",
"fax_number": "314-801-5320"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "755 DUNN RD",
"address_2": "SUITE 150",
"city": "HAZELWOOD",
"state": "MO",
"postal_code": "630421751",
"telephone_number": "314-801-5300",
"fax_number": "314-801-5320"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JOHAR",
"first_name": "RAVI",
"middle_name": "S",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-02-13",
"last_updated": "2015-01-21",
"status": "A"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "MO",
"license": "102938",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "P00033609",
"state": "MO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "P01137606",
"state": "MO"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1144294604",
"state": "MO"
}
],
"endpoints": [],
"other_names": []
}Other providers in Hazelwood, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.