Active NPI
Ravi Kavasery, M.D.
- Internal Medicine Physician
- Hyde Park, MA
National Provider Identifier
1306166277
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 252445
- Practice address
- 912 River St
Suite 201
Hyde Park, MA 02136-3715 - Phone
- (617) 453-2303
- Fax
- (617) 329-4726
- NPI assigned
- Jun 2, 2010
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 244879 | MA | |
| Internal Medicine Physician | 207R00000X | 252445 | MA | Primary |
Addresses
Primary practice location
912 River St
Suite 201
Hyde Park, MA 02136-3715
Mailing address
101 Tremont St FL 6
Boston, MA 02108-5004
Phone (617) 804-5981
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 244879 | MA | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Iora Health, LLC | Internal Medicine | Past | Accepting new patients |
| Iora Health Massachusetts, P.C. | Internal Medicine | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Internal Medicine Physician
- Hyannis, MA
- NPI 1851858666
-
- Internal Medicine Physician
- Hanover, NH
- NPI 1700285616
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1275436800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1471996800000",
"number": "1306166277",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "101 TREMONT ST FL 6",
"city": "BOSTON",
"state": "MA",
"postal_code": "021085004",
"telephone_number": "617-804-5981",
"fax_number": "617-701-7740"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "912 RIVER ST",
"address_2": "SUITE 201",
"city": "HYDE PARK",
"state": "MA",
"postal_code": "021363715",
"telephone_number": "617-453-2303",
"fax_number": "617-329-4726"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KAVASERY",
"first_name": "RAVI",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-06-02",
"last_updated": "2016-08-24",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "MA",
"license": "244879",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "MA",
"license": "252445",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Hyde Park, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.