NPIMap

Individual provider Active NPI

Ravi Venkata Krishnan, M.D.

  • Internal Medicine Physician
  • Mayfield Village, OH
National Provider Identifier
1306836150
Registry record updated Aug 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
35067533 Issued in OH
Practice address
6559 Wilson Mills Rd
Suite106
Mayfield Village, OH 44143-6402
Phone
(855) 449-1540
Fax
(440) 672-5058
NPI assigned
Oct 24, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 25, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 35067533 OH Primary

Addresses

Primary practice location

6559 Wilson Mills Rd
Suite106
Mayfield Village, OH 44143-6402

Mailing address

PO Box 952060
Cleveland, OH 44193-0051
Phone (855) 449-1540

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20091214000089 OH Practitioner - Internal Medicine 1254471808 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Ravi Krishnan MD LLCGroup PAC ID 1456718469, 2 clinicians

Practice addresses (Care Compare)

6559 Wilson Mills Rd
Suite 106
Mayfield Village, OH 44143-3433
Phone (855) 449-1540

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35067533OHMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ravi Krishnan MD LLC Internal Medicine CurrentSince Jul 1, 2023 Accepting new patients
Euclid Hospital Cleveland Clinic Health System Current Accepting new patients
Atrium Medical Group, Inc CurrentSince Feb 1, 2013 Accepting new patients
Cleveland Clinic Health System - East Region Past Accepting new patients
The Laurels of Chagrin Falls, LLC Past Accepting new patients
Merit Leasing Co., LLC Past Accepting new patients
Ohio Diagnostic Imaging Inc. Past Accepting new patients
Altercare of Mayfield Village, Inc. Past Accepting new patients
Buckeye Forest at Mayfield Heights LLC Past Accepting new patients

Locations

6559 Wilson Mills Rd
Ste 106
Mayfield Vlg, OH 44143
Phone (855) 449-1540

Interoperability endpoints

  • Direct secure messaging: rkrishnan33029@direct.ccf.org
  • Direct secure messaging: rkrishnan223083@ehrdirect.uhhospitals.org

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Regency at Chagrin FallsChagrin Falls, OH, CCN 366274 Skilled nursing facility Operational/Managerial Control
Adp of the SNF		 Jan 1, 2025
Jan 1, 2025

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 9

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.

Hospital & facility affiliations 15

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

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1130112000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756080000000",
    "number": "1306836150",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 952060",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441930051",
            "telephone_number": "855-449-1540",
            "fax_number": "440-672-5058"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6559 WILSON MILLS RD",
            "address_2": "SUITE106",
            "city": "MAYFIELD VILLAGE",
            "state": "OH",
            "postal_code": "441436402",
            "telephone_number": "855-449-1540",
            "fax_number": "440-672-5058"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRISHNAN",
        "first_name": "RAVI",
        "middle_name": "VENKATA",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-24",
        "last_updated": "2025-08-25",
        "certification_date": "2025-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OH",
            "license": "35067533",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mayfield Village, OH

Sources for this page

Verify at the official NPI Registry.