Individual provider Active NPI

Barugur S. Ravi, M.D.

  • Anesthesiology Physician
  • Saint Louis, MO
National Provider Identifier
1164493441
Registry record updated Feb 27, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
C53465 Issued in CA
Practice address
3635 Vista at Grand Blvd
St Louis, MO 63110
Phone
(314) 577-8750
NPI assigned
Jan 27, 2006
Last updated
Feb 27, 2015By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 27, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X C53465 CA Primary
Emergency Medicine Physician 207P00000X 35-08-2947-R OH

Addresses

Primary practice location

3635 Vista at Grand Blvd
St Louis, MO 63110

Mailing address

1031 Highlands Plaza Dr W
Apt # 111
Saint Louis, MO 63110-1303
Phone (205) 266-1321

Other identifiers 2

IdentifierTypeStateIssuer
000000305682OtherOHBLUECROSS BLUESHIELD
2439025MedicaidOH

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20090504000064 CA Practitioner - Anesthesiology 1850295007 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
Other, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
White Memorial Medical CenterGroup PAC ID 4486622362, 68 clinicians
Orange Coast Anesthesia IncGroup PAC ID 2466613591, 85 clinicians

Practice addresses (Care Compare)

1500 E Chevy Chase Dr
Suite 201
Glendale, CA 91206-4199
Phone (818) 863-4099

1509 Wilson Ter
Glendale, CA 91206-4007
Phone (818) 409-8000

1720 E Cesar E Chavez Ave
Los Angeles, CA 90033-2414
Phone 323268500034066

3828 Delmas Ter
Culver City, CA 90232-2713
Phone (310) 836-7000

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
85.77 of 100Reported as group
Quality
78.77
Promoting interoperability
92
Improvement activities
40
Cost
48

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
C53465CAMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
White Memorial Medical Center CurrentSince Mar 23, 2024 Accepting new patients
Glendale Adventist Medical Center CurrentSince Oct 16, 2023 Accepting new patients
Allied Anesthesia Medical Group Inc Anesthesiology CurrentSince May 18, 2024 Accepting new patients
Orange Coast Anesthesia Inc Anesthesiology CurrentSince May 20, 2017 Accepting new patients
Glendale Adventist Medical Center CurrentSince Oct 16, 2023 Accepting new patients
Nes Ohio Inc Emergency Medicine Past Accepting new patients
Emcare PastSince Jan 1, 1990 Accepting new patients
Turlock Anesthesia Medical Group Inc Anesthesiology Past Accepting new patients
PHS Indian Hospital PastSince Jan 1, 1990 Accepting new patients
PHS Indian Hospital PastSince Jan 1, 1990 Accepting new patients
Ponemah Clinic PastSince Jan 1, 1990 Accepting new patients
Pharmacy Dept. PHS Indian Hopsital PastSince Jan 1, 1990 Accepting new patients

Locations

1124 S Main St
Ste 101
Corona, CA 92882
Phone (951) 737-6363

3828 Delmas Ter
Culver City, CA 90232
Phone (310) 202-4745

101 E Valencia Mesa Dr
Fullerton, CA 92835
Phone (714) 446-7505

1420 S Central Ave
Glendale, CA 91204
Phone (818) 502-1900

1500 E Chevy Chase Dr
Ste 201
Glendale, CA 91206
Phone (818) 863-4099

1509 Wilson Ter
Glendale, CA 91206
Phone (818) 409-8071

3700 South St
Lakewood, CA 90712
Phone (562) 424-2900

1720 E Cesar E Chavez Ave
Los Angeles, CA 90033
Phone (323) 260-5781

309 W Beverly Blvd
Montebello, CA 90640
Phone (323) 725-4209

2601 E Chapman Ave
Orange, CA 92869
Phone (714) 633-0011

455 S Main St
Orange, CA 92868
Phone (714) 289-4511

255 E Bonita Ave
Pomona, CA 91767
Phone (866) 724-4127

999 San Bernardino Rd
Upland, CA 91786
Phone (909) 920-4841

15248 Eleventh St
Victorville, CA 92395
Phone (760) 245-8691

Organizations & group practices 12

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 5

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": "1138320000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1424995200000",
    "number": "1164493441",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1031 HIGHLANDS PLAZA DR W",
            "address_2": "APT # 111",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631101303",
            "telephone_number": "205-266-1321"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3635 VISTA AT GRAND BLVD",
            "city": "ST LOUIS",
            "state": "MO",
            "postal_code": "63110",
            "telephone_number": "314-577-8750"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAVI",
        "first_name": "BARUGUR",
        "middle_name": "S.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-27",
        "last_updated": "2015-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "CA",
            "license": "C53465",
            "primary": true
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "OH",
            "license": "35-08-2947-R",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUECROSS BLUESHIELD",
            "identifier": "000000305682",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2439025",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Louis, MO

Sources for this page

Verify at the official NPI Registry.