Individual provider Active NPI

Ananth Kumar Ravi, M.D.

  • Diagnostic Radiology Physician
  • La Crosse, WI
National Provider Identifier
1184856478
Registry record updated Mar 31, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
74082 Issued in WI
Practice address
1836 South Ave
La Crosse, WI 54601-5429
Phone
(608) 782-7300
NPI assigned
Aug 20, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 31, 2022

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X MD458034 PA
Diagnostic Radiology Physician 2085R0202X 284688 NY
Diagnostic Radiology Physician 2085R0202X 74082 WI Primary
Diagnostic Radiology Physician 2085R0202X 68124 MN

Addresses

Primary practice location

1836 South Ave
La Crosse, WI 54601-5429

Mailing address

1836 South Ave
La Crosse, WI 54601-5429

Other practice location 1

400 E 3rd St
Duluth, MN 55805-1951
Phone (218) 786-8364

Other practice location 2

1 Guthrie Sq
Sayre, PA 18840-1625
Phone (570) 887-4000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN, IA, WI3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20201104000145 MN Practitioner - Diagnostic Radiology 6608186341 Reassigns benefits to 1 organization
I20220401001661 IA Practitioner - Diagnostic Radiology 6608186341 Reassigns benefits to 3 organizations
I20220408001834 WI Practitioner - Diagnostic Radiology 6608186341 Reassigns benefits to 13 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Gundersen Lutheran Medical Center IncGroup PAC ID 2163331414, 888 clinicians
Saint Elizabeths Hospital of Wabasha IncGroup PAC ID 5092619387, 93 clinicians
Tri-County Memorial Hospital IncGroup PAC ID 4587642418, 75 clinicians
Memorial Hospital of BoscobelGroup PAC ID 8325957673, 33 clinicians
Veterans Memorial Hospital City of Waukon IaGroup PAC ID 1355230293, shared by 6 NPIs, 40 clinicians
Moundview Memorial Hospital and Clinics, Inc.Group PAC ID 1355250432, 50 clinicians
Vernon Memorial Healthcare IncGroup PAC ID 8325958416, 73 clinicians
Black River Health IncGroup PAC ID 3173431178, 62 clinicians

Practice addresses (Care Compare)

1836 S Ave
La Crosse, WI 54601-5429
Phone (608) 783-7300

18601 Lincoln St
Whitehall, WI 54773-8605
Phone (715) 538-4361

1910 S Ave
La Crosse, WI 54601-5467
Phone (608) 782-7300

205 Parker St
Boscobel, WI 53805-1642
Phone (608) 375-4112

2575 S 7TH St
Bethany Riverside
La Crosse, WI 54601-5429
Phone (608) 775-8200

40 1St St SE
Waukon, IA 52172-2022
Phone 5635683411524

402 W Lake St
Friendship, WI 53934-9699
Phone (608) 339-3331

507 S Main St
Viroqua, WI 54665-2059
Phone (608) 637-2101

711 W Adams St
Black River Falls, WI 54615-5052
Phone (715) 284-5361

Hospital & facility affiliations

  • Gundersen Lutheran Medical Center Hospital, La Crosse, WI, CCN 520087
  • St Elizabeth Medical Center Hospital, Wabasha, MN, CCN 241335
  • Gundersen Tri-County Hospital & Clinics Hospital, Whitehall, WI, CCN 521316
  • Vernon Memorial Hospital Hospital, Viroqua, WI, CCN 521348
  • Gundersen St Josephs Hospital and Clinics Hospital, Hillsboro, WI, CCN 521304

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
284688NYMDDiagnostic Radiology Physician
74082WIMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Moundview Memorial Hospital & Clinics, Inc CurrentSince Apr 20, 2022 Accepting new patients
Black River Health Inc CurrentSince Jun 1, 2022 Accepting new patients
Tomah Memorial Hospital Inc CurrentSince Dec 1, 2025 Accepting new patients
Gundersen Clinic, LTD. CurrentSince Apr 4, 2022 Accepting new patients
Saint Elizabeths Hospital of Wabasha Inc CurrentSince Apr 20, 2022 Accepting new patients
Gundersen Lutheran Medical Center, Inc CurrentSince Apr 4, 2022 Accepting new patients
St. Joseph'S Health Services, Inc. CurrentSince Apr 21, 2022 Accepting new patients
Veterans Memorial Hospital City of Waukon Ia CurrentSince Jan 1, 2026 Accepting new patients
Tomah Memorial Hospital Inc CurrentSince Dec 1, 2023 Accepting new patients
Gundersen Clinic LTD CurrentSince Apr 4, 2022 Accepting new patients
Vernon Memorial Healthcare, Inc. CurrentSince Dec 3, 2022 Accepting new patients
Guthrie Medical Group, P.C. Current Accepting new patients
Guthrie Medical Group, P.C, Diagnostic Radiology CurrentSince Jul 25, 2016 Accepting new patients
St. Joseph'S Health Services, Inc. CurrentSince Apr 21, 2022 Accepting new patients
Saint Elizabeths Hospital of Wabasha Inc CurrentSince Apr 20, 2022 Accepting new patients
Veterans Memorial Hospital City of Waukon Ia CurrentSince Jul 1, 2022 Accepting new patients
Guthrie Medical Group, P.C. Current Accepting new patients
Memorial Hospital of Boscobel CurrentSince Apr 5, 2022 Accepting new patients
Black River Health Inc Current Accepting new patients
Tri-County Memorial Hospital, Inc. CurrentSince Apr 26, 2022 Accepting new patients
Veterans Memorial Hospital City of Waukon Ia CurrentSince Jul 1, 2022 Accepting new patients
Gundersen Lutheran Medical Center Inc Current Accepting new patients
Tomah Memorial Hospital Inc Diagnostic Radiology CurrentSince Dec 1, 2023 Accepting new patients
Black River Health Inc CurrentSince Jun 1, 2022 Accepting new patients
Gundersen Lutheran Express Care, Inc CurrentSince Apr 4, 2022 Accepting new patients
Memorial Hospital of Boscobel CurrentSince Apr 5, 2022 Accepting new patients
St. Joseph'S Health Services, Inc. Current Accepting new patients
Gundersen Lutheran Medical Center, Inc CurrentSince Apr 4, 2022 Accepting new patients
Palmer Lutheran Health Center, Inc. CurrentSince Apr 27, 2022 Accepting new patients
Moundview Memorial Hospital & Clinics, Inc. CurrentSince Apr 20, 2022 Accepting new patients
Tri-County Memorial Hospital, Inc. CurrentSince Apr 26, 2022 Accepting new patients
River City Imaging Centers LLC PastSince May 9, 2021 Accepting new patients

Locations

1830 State Highway 9
Decorah, IA 52101
Phone (563) 382-2639

40 1st St SE
Waukon, IA 52172
Phone (563) 568-3411

112 Jefferson St
West Union, IA 52175
Phone (563) 422-3811

123 5th Ave SE
Spring Grove, MN 55974
Phone (507) 498-3302

1200 Grant Blvd W
Wabasha, MN 55981
Phone (651) 565-4531

1 Guthrie Sq
Sayre, PA 18840
Phone (570) 887-3106

132 Colonial Dr
Towanda, PA 18848
Phone (570) 265-6165

711 W Adams St
Blk River Fls, WI 54615
Phone (715) 284-1302

205 Parker St
Boscobel, WI 53805
Phone (608) 375-4112

402 W Lake St
Friendship, WI 53934
Phone (608) 339-3331

1836 South Ave
La Crosse, WI 54601
Phone (608) 788-8102

1910 South Ave
La Crosse, WI 54601
Phone (608) 775-2287

1600 Main St
Onalaska, WI 54650
Phone (608) 783-4681

610 E Taylor St
Prairie du Chien, WI 53821
Phone (608) 326-6466

501 Gopher Dr
Tomah, WI 54660
Phone (608) 371-2181

507 S Main St
Viroqua, WI 54665
Phone (608) 637-2101

18601 Lincoln St
Whitehall, WI 54773
Phone (715) 538-1712

Interoperability endpoints

  • Direct secure messaging: aravi618326@direct.emplifyhealth.org
  • Direct secure messaging: aravi88668@direct-guthrie.org

Organizations & group practices 32

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.

View all 32

Hospital & facility affiliations 13

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 13

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1250726400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1648684800000",
    "number": "1184856478",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1836 SOUTH AVE",
            "city": "LA CROSSE",
            "state": "WI",
            "postal_code": "546015429"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1836 SOUTH AVE",
            "city": "LA CROSSE",
            "state": "WI",
            "postal_code": "546015429",
            "telephone_number": "608-782-7300"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "400 E 3rd St",
            "address_purpose": "LOCATION",
            "city": "Duluth",
            "state": "MN",
            "postal_code": "558051951",
            "country_code": "US",
            "telephone_number": "218-786-8364",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1 Guthrie Sq",
            "address_purpose": "LOCATION",
            "city": "Sayre",
            "state": "PA",
            "postal_code": "188401625",
            "country_code": "US",
            "telephone_number": "570-887-4000",
            "fax_number": "570-887-5775",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RAVI",
        "first_name": "ANANTH",
        "middle_name": "KUMAR",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-08-20",
        "last_updated": "2022-03-31",
        "certification_date": "2022-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "PA",
            "license": "MD458034",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NY",
            "license": "284688",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "WI",
            "license": "74082",
            "primary": true
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "MN",
            "license": "68124",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in La Crosse, WI

Sources for this page

Verify at the official NPI Registry.