Individual provider Active NPI

Ravi Vaela, M.D.

  • Pulmonary Disease Physician
  • Waconia, MN
National Provider Identifier
1184691826
Registry record updated May 14, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
01051926 Issued in IN
Practice address
490 S Maple St
Suite 216
Waconia, MN 55387-1760
Phone
(952) 442-2191
Fax
(952) 442-8081
NPI assigned
Mar 1, 2006
Last updated
May 14, 2008By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 14, 2008

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 01051926 IN Primary

Addresses

Primary practice location

490 S Maple St
Suite 216
Waconia, MN 55387-1760

Mailing address

490 S Maple St
Suite 216
Waconia, MN 55387-1760
Phone (952) 442-2191

Other identifiers 1

IdentifierTypeStateIssuer
492478100MedicaidMN

Other names 1

  • Ravi Ramakrishna Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN
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
I20070424000679 MN Practitioner - Pulmonary DiseasePractitioner - Internal MedicinePractitioner - Critical Care (Intensivists) 4880646694 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pulmonary DiseaseAlso: Critical Care (Intensivists), Internal Medicine
Education
University of Texas Medical School at Houston, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Ridgeview Medical CenterGroup PAC ID 9234041997, 407 clinicians

Practice addresses (Care Compare)

500 S Maple St
Waconia, MN 55387-1752
Phone (952) 442-2191

560 S Maple St
Waconia, MN 55387-1757

7907 Powers Blvd
Chanhassen, MN 55317-9502
Phone (952) 934-0570

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Ridgeview Medical Center Current Accepting new patients
Ridgeview Medical Center CurrentSince Feb 1, 2010 Accepting new patients
Carlson Chiropractic Health and Healing Inc. PastSince Jun 7, 2018 Accepting new patients
Ridgeview Clinics Past Accepting new patients

Locations

165 W Commerce Dr
Belle Plaine, MN 56011
Phone (952) 777-5661

7907 Powers Blvd
Chanhassen, MN 55317
Phone (952) 934-0570

111 Hundertmark Rd
Ste 115N
Chaska, MN 55318
Phone (952) 361-2450

916 Saint Peter Ave E
Delano, MN 55328
Phone (763) 972-9172

4695 Shoreline Dr
Spring Park, MN 55384
Phone (952) 442-7890

490 S Maple St
Ste 216
Waconia, MN 55387
Phone 95244221915420

500 S Maple St
Waconia, MN 55387
Phone (612) 442-2191

500 S Maple St
Ofc
Waconia, MN 55387

560 S Maple St
Ste 220
Waconia, MN 55387
Phone (952) 442-8011

560 S Maple St
Ste 400
Waconia, MN 55387
Phone (952) 442-3188

Organizations & group practices 4

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 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": "1141171200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1210723200000",
    "number": "1184691826",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "490 S MAPLE ST",
            "address_2": "SUITE 216",
            "city": "WACONIA",
            "state": "MN",
            "postal_code": "553871760",
            "telephone_number": "952-442-2191",
            "fax_number": "952-442-8081"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "490 S MAPLE ST",
            "address_2": "SUITE 216",
            "city": "WACONIA",
            "state": "MN",
            "postal_code": "553871760",
            "telephone_number": "952-442-2191",
            "fax_number": "952-442-8081"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAELA",
        "first_name": "RAVI",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-01",
        "last_updated": "2008-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "IN",
            "license": "01051926",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "492478100",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "RAVI",
            "last_name": "RAMAKRISHNA",
            "credential": "M.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Waconia, MN

Sources for this page

Verify at the official NPI Registry.