NPIMap

Individual provider Active NPI

Srihari Ravi, MD

  • Cardiovascular Disease Physician
  • Roseville, MI
National Provider Identifier
1184626731
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
4301058818 Issued in MI
Practice address
25195 Kelly Rd
Suite a
Roseville, MI 48066-4909
Phone
(586) 775-4594
Fax
(586) 775-4506
NPI assigned
Aug 12, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 4301058818 MI Primary
Interventional Cardiology Physician 207RI0011X 4301058818 MI
Nuclear Cardiology Physician 207UN0901X 4301058818 MI

Addresses

Primary practice location

25195 Kelly Rd
Suite a
Roseville, MI 48066-4909

Mailing address

25195 Kelly Rd
Suite a
Roseville, MI 48066-4909
Phone (586) 775-4594

Other identifiers 2

IdentifierTypeStateIssuer
060-500-7971OtherMIBLUECROSS BLUE SHIELD
OH-26467009OtherMIMEDICARE ID

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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
I20080430000394 MI Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Interventional Cardiology 0345329421 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)Also: Interventional Cardiology
Education
Other, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

25195 Kelly Rd
Suite a
Roseville, MI 48066-5084
Phone (586) 775-4594

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as apm

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4301058818MIMDNuclear Cardiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Henry Ford Health St. John Hospital Current Accepting new patients
Henry Ford Health Providence Hospital CurrentSince Jan 11, 2026 Accepting new patients
Henry Ford Health St. John Hospital CurrentSince Nov 9, 2011 Accepting new patients
Henry Ford Health Providence Hospital Cardiovascular Disease CurrentSince Jan 11, 2026 Accepting new patients
Henry Ford Health Macomb Oakland Hospital Cardiovascular Disease CurrentSince Nov 2, 2007 Accepting new patients
Eastside Cardiovascular Medicine Interventional Cardiology Current Accepting new patients
Henry Ford Health St. John Hospital CurrentSince Nov 9, 2011 Accepting new patients
Schoenherr Diagnostic Center, PLLC Past Accepting new patients
St. John Hospital Past Accepting new patients

Locations

22101 Moross Rd
Detroit, MI 48236
Phone (313) 343-3248

22201 Moross Rd
Ste 70
Grosse Pointe, MI 48236
Phone (313) 343-3700

22201 Moross Rd
Grosse Pointe Woods, MI 48236
Phone (313) 343-3481

17900 23 Mile Rd
Ste 404
Macomb, MI 48044
Phone (586) 286-7800

27351 Dequindre Rd
Madison Hts, MI 48071
Phone (248) 967-7000

1101 W University Dr
Rochester Hls, MI 48307
Phone (248) 601-4805

1135 W University Dr
Ste 210
Rochester Hls, MI 48307
Phone (248) 650-4660

25195 Kelly Rd
Ste A
Roseville, MI 48066
Phone (586) 775-4594

28000 Dequindre Rd
Warren, MI 48092
Phone (586) 743-0944

11800 E 12 Mile Rd
Warren, MI 48093
Phone (586) 573-5000

Interoperability endpoints

  • Direct secure messaging: sravi252989@direct.hfhs.org
  • Direct secure messaging: srihari.ravi.2@8209.direct.athenahealth.com

Organizations & group practices 10

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 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": "1123804800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1184626731",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25195 KELLY RD",
            "address_2": "SUITE A",
            "city": "ROSEVILLE",
            "state": "MI",
            "postal_code": "480664909",
            "telephone_number": "586-775-4594",
            "fax_number": "586-775-4506"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25195 KELLY RD",
            "address_2": "SUITE A",
            "city": "ROSEVILLE",
            "state": "MI",
            "postal_code": "480664909",
            "telephone_number": "586-775-4594",
            "fax_number": "586-775-4506"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAVI",
        "first_name": "SRIHARI",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-12",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "MI",
            "license": "4301058818",
            "primary": true
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "MI",
            "license": "4301058818",
            "primary": false
        },
        {
            "code": "207UN0901X",
            "taxonomy_group": "",
            "desc": "Nuclear Medicine, Nuclear Cardiology",
            "state": "MI",
            "license": "4301058818",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUECROSS BLUE SHIELD",
            "identifier": "060-500-7971",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE ID",
            "identifier": "OH-26467009",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Roseville, MI

Sources for this page

Verify at the official NPI Registry.