NPIMap

Individual provider Active NPI

Ramachandran C Ravichandran, MD

  • Internal Medicine Physician
  • Westlake, OH
National Provider Identifier
1164493052
Registry record updated Jan 7, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
35069332 Issued in OH
Practice address
29325 Health Campus Dr Ste 3
Westlake, OH 44145-8201
Phone
(440) 414-9400
Fax
(216) 201-5591
NPI assigned
Jan 30, 2006
Last updated
Jan 7, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 7, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 35069332 OH Primary

Addresses

Primary practice location

29325 Health Campus Dr Ste 3
Westlake, OH 44145-8201

Mailing address

29325 Health Campus Dr Ste 3
Westlake, OH 44145-8201
Phone (440) 414-9400

Other identifiers 7

IdentifierTypeStateIssuer
110194567OtherRAILROAD MEDICARE
000000128708OtherOHANTHEM
9379701OtherOHGROUP MEDICARE PTAN
F69332OtherOHSUMMA
0350043MedicaidOH
P01430000OtherOHMEDICARE RAILROAD INDIVIDUAL PTAN
DO6570OtherOHMEDICARE RAILROAD GROUP PTAN

Other names 1

  • Dr. Ram C. Ravi Other name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address ramravi@nohomg.allscriptsdirect.net Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20060103000131 OH Practitioner - Internal MedicinePractitioner - Other (Physician) 0840212023 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

158 W Main Rd
Conneaut, OH 44030-2039

29325 Health Campus Dr
Westlake, OH 44145-8201

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Varicose vein removal107
Removal of tissue52

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35069332OHMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University Primary Care Practices Inc CurrentSince Oct 1, 2021 Accepting new patients
Fairview Hospital CurrentSince Oct 1, 2016 Accepting new patients
University Primary Care Practices Inc Current Accepting new patients
University Primary Care Practices Inc Internal Medicine CurrentSince Oct 1, 2021 Accepting new patients
Fairview Hospital Internal Medicine CurrentSince Oct 1, 2016 Accepting new patients
North Ohio Heart Center Inc Internal Medicine Past Accepting new patients
University Primary Care Practices Past Accepting new patients

Locations

10654 Lorain Ave
Cleveland, OH 44111
Phone (216) 941-1044

158 W Main Rd
Ste 203
Conneaut, OH 44030
Phone (440) 285-2960

29325 Health Campus Dr
Ste 3
Westlake, OH 44145
Phone (440) 414-9400

Interoperability endpoints

  • Direct secure messaging: rravi@direct.swgeneral.com
  • Direct secure messaging: rravichandran37316@ehrdirect.uhhospitals.org

Organizations & group practices 7

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.

Hospital & facility affiliations 8

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": "1138579200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1609977600000",
    "number": "1164493052",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29325 HEALTH CAMPUS DR STE 3",
            "city": "WESTLAKE",
            "state": "OH",
            "postal_code": "441458201",
            "telephone_number": "440-414-9400",
            "fax_number": "216-201-5591"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29325 HEALTH CAMPUS DR STE 3",
            "city": "WESTLAKE",
            "state": "OH",
            "postal_code": "441458201",
            "telephone_number": "440-414-9400",
            "fax_number": "216-201-5591"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAVICHANDRAN",
        "first_name": "RAMACHANDRAN",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-30",
        "last_updated": "2021-01-07",
        "certification_date": "2021-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OH",
            "license": "35069332",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "110194567",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000128708",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP MEDICARE PTAN",
            "identifier": "9379701",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SUMMA",
            "identifier": "F69332",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0350043",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD INDIVIDUAL PTAN",
            "identifier": "P01430000",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD GROUP PTAN",
            "identifier": "DO6570",
            "state": "OH"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ramravi@nohomg.allscriptsdirect.net",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "29325 Health Campus Dr Ste 3",
            "city": "Westlake",
            "state": "OH",
            "country_code": "US",
            "postal_code": "441458201",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "RAM",
            "last_name": "RAVI",
            "middle_name": "C.",
            "prefix": "DR.",
            "credential": "MD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Westlake, OH

Sources for this page

Verify at the official NPI Registry.