Active NPI
Eric A. Ravitz, D.O.
- Family Medicine Physician
- Missoula, MT
National Provider Identifier
1215034681
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 9607
- Practice address
- 610 N California St
Missoula, MT 59802-3950 - Phone
- (406) 721-1646
- Fax
- (406) 543-9890
- NPI assigned
- Sep 20, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 9607 | MT | Primary |
Addresses
Primary practice location
610 N California St
Missoula, MT 59802-3950
Mailing address
610 N. California
Missoula, MT 59802
Phone (406) 721-1646
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000092351 | Other | MT | BLUE CROSS |
| 0028101 | Medicaid | MT |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | eric.ravitz.1@15229.direct.athenahealth.com |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MT
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Des Moines University of Osteopathic Medicine and Health Sciences, 1978
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
610 N California St
Missoula, MT 59802-3950
Phone (406) 721-1646
Hospital & facility affiliations
- St. Patrick Hospital
- Community Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 98.34 of 100
- Quality
- 100
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 78.56
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of skin lesions | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9607 | MT | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Blue Mountain Clinic, Inc. | Family Medicine | Current | Accepting new patients |
Locations
610 N California St
Missoula, MT 59802
Phone (406) 721-1646
610 N California St
#0
Missoula, MT 59802
Interoperability endpoints
- https://api.platform.athenahealth.com/15229/brand/1/csg/1/fhir/r4
- eric.ravitz.1@15229.direct.athenahealth.com
Organizations & group practices 1
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.
-
- Family Medicine Physician
- Missoula, MT
- NPI 1407987548
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Missoula, MT
- NPI 1023032588
-
- Anatomic Pathology & Clinical Pathology Physician
- Missoula, MT
- NPI 1366185928
Hospital
-
- Psychiatric Hospital Unit
- Missoula, MT
- NPI 1619058302
-
- General Acute Care Hospital
- Missoula, MT
- NPI 1346642899
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158710400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1655337600000",
"number": "1215034681",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "610 N. CALIFORNIA",
"city": "MISSOULA",
"state": "MT",
"postal_code": "59802",
"telephone_number": "406-721-1646",
"fax_number": "406-543-9890"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "610 N CALIFORNIA ST",
"city": "MISSOULA",
"state": "MT",
"postal_code": "598023950",
"telephone_number": "406-721-1646",
"fax_number": "406-543-9890"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RAVITZ",
"first_name": "ERIC",
"middle_name": "A.",
"name_prefix": "Dr.",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-09-20",
"last_updated": "2022-06-16",
"certification_date": "2022-06-16",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "MT",
"license": "9607",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS",
"identifier": "000092351",
"state": "MT"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0028101",
"state": "MT"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "eric.ravitz.1@15229.direct.athenahealth.com",
"affiliation": "N",
"address_1": "610 N California St",
"city": "Missoula",
"state": "MT",
"country_code": "US",
"postal_code": "598023950",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Missoula, MT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.