Kempsagar C Ravishankar, MD

Primary specialty

Sports Medicine (Neuromusculoskeletal Medicine) PhysicianTaxonomy code 204C00000X

License

35-068631 Issued in OH

Practice address

7215 Old Oak Blvd Ste A411
Cleveland, OH 44130-3334

Phone

(440) 826-9221

Fax

(440) 816-5399

NPI assigned

Oct 11, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 8

Medicare fee-for-service enrollment

Enrolled in OH

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

Specialty

NephrologyAlso: Neuropsychiatry

Education

Other, 1979

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Mercy Health Physicians North Specialty Care LLCGroup PAC ID 1951707884, 345 clinicians

Mercy Health Physicians-North LLCGroup PAC ID 2668522400, 131 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Mercy Health - Tiffin Hospital Hospital, Tiffin, OH, CCN 360089
• Mercy Health - Willard Hospital Hospital, Willard, OH, CCN 361310
• Mercy St Vincent Medical Center Hospital, Toledo, OH, CCN 360112

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: kravishankar386482@direct.bsmhealth.org
• Direct secure messaging: kravishankar@direct.swgeneral.com

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.

• Mercy Health Physicians North Specialty Care LLC

  • Surgery Physician
  • Toledo, OH
  • NPI 1306468418
  Medicare reassignment Care Compare group NPD
• Mercy Health Physicians-North LLC

  • Family Medicine Physician
  • Toledo, OH
  • NPI 1609000769
  Medicare reassignment Care Compare group NPD
• Southwest Neurology Inc

  • Sports Medicine (Neuromusculoskeletal Medicine) Physician
  • Cleveland, OH
  • NPI 1467641977

  Neuromusculoskeletal Medicine, Sports Medicine

  Medicare reassignment NPD
• Mercy Health Physicians - North, LLC

  • Customized Equipment (DME)
  • Perrysburg, OH
  • NPI 1992358766
  NPD
• Mercy Health Physicians North Specialty Care LLC

  • Customized Equipment (DME)
  • Toledo, OH
  • NPI 1235891672
  NPD

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

• Mercy Health - St Vincent Medical Center LLC

  • General Acute Care Hospital
  • Toledo, OH
  • NPI 1467493551
  Care Compare affiliation
• Mercy Health - Tiffin Hospital LLC

  • General Acute Care Hospital
  • Tiffin, OH
  • NPI 1316994734
  Care Compare affiliation
• Mercy Health - Willard Hospital LLC

  • Critical Access Hospital
  • Willard, OH
  • NPI 1790731016
  Care Compare affiliation

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

{
    "created_epoch": "1160524800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1598572800000",
    "number": "1275622128",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7215 OLD OAK BLVD STE A411",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441303334",
            "telephone_number": "440-826-9221",
            "fax_number": "440-816-5399"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7215 OLD OAK BLVD STE A411",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441303334",
            "telephone_number": "440-826-9221",
            "fax_number": "440-816-5399"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAVISHANKAR",
        "first_name": "KEMPSAGAR",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-11",
        "last_updated": "2020-08-28",
        "certification_date": "2020-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "204C00000X",
            "taxonomy_group": "",
            "desc": "Neuromusculoskeletal Medicine, Sports Medicine",
            "state": "OH",
            "license": "35-068631",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0946169",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "1579165",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "P00036566",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTH CARE INS",
            "identifier": "0500150",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KAISER INS",
            "identifier": "108691",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA INS",
            "identifier": "7543555",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "QUAL CHOICE INS",
            "identifier": "53284",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "203918",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Keyvan Ravakhah, M.D.
• Rebecca Lynn Ravas, LPT
• Marta Ravasi
• Marie Elaine Rave
• Michael Raven
• Sanjita Ravishankar, MD
• Kimbely Ravizee, LPN
• Raw Transportation LLC
• Omaima Rawabdeh, MD
• Taylor Rawley, QMHS

• Sports Medicine (Neuromusculoskeletal Medicine) Physician in Cleveland, OH
• Providers in Cleveland, OH by specialty
• Sports Medicine (Neuromusculoskeletal Medicine) Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2020; 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.

Verify at the official NPI Registry.