Individual provider Active NPI

Venkata Ramana Ravi, M.D.

  • Family Medicine Physician
  • Bronx, NY
National Provider Identifier
1346289048
Registry record updated Dec 21, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
205374 Issued in NY
Practice address
423 E 138TH St
Suite # 201
Bronx, NY 10454-3041
Phone
(718) 292-6144
Fax
(718) 292-6124
NPI assigned
Jun 6, 2006
Last updated
Dec 21, 2011By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 21, 2011

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 25MA07863500 NJ
Family Medicine Physician 207Q00000X 205374 NY Primary

Addresses

Primary practice location

423 E 138TH St
Suite # 201
Bronx, NY 10454-3041

Mailing address

19 Eagle Dr
Towaco, NJ 07082-1283
Phone (973) 265-4460

Other identifiers 2

IdentifierTypeStateIssuer
0096156MedicaidNJ
01935955MedicaidNY

Other names 1

  • Dr. Venkata Ramana Ravi Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, NJ2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20040406001350 NY Practitioner - Family Practice 4789677659 Reassigns benefits to 2 organizations
I20050809000100 NJ Practitioner - Family Practice 4789677659 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
City Medical Healthcare Associates PLLCGroup PAC ID 9032541768, 10 clinicians

Practice addresses (Care Compare)

350 21St Ave
Paterson, NJ 07501-3641
Phone (973) 345-1044

423 E 138TH St
Suite 201
Bronx, NY 10454-3041
Phone (718) 292-6144

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
205374NYMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
City Medical Healthcare Associates PLLC CurrentSince Nov 1, 2019 Accepting new patients
Ravi Physician PC Family Medicine CurrentSince Apr 10, 2001 Accepting new patients
Shirish Patel Medical P.C. PastSince Dec 2, 2010 Accepting new patients

Locations

350 21st Ave
Paterson, NJ 07501
Phone (973) 345-1044

2742 3rd Ave
Bronx, NY 10455
Phone (718) 576-5049

423 E 138th St
Bronx, NY 10454
Phone (718) 292-0100

423 E 138th St
#201
Bronx, NY 10454
Phone (718) 292-2614

423 E 138th St
Ste 201
Bronx, NY 10454
Phone (718) 292-6144

543 E 137th St
Bronx, NY 10454
Phone (718) 665-5474

814 E 156th St
Bronx, NY 10455
Phone (718) 665-0223

2802 Crescent St
Long Island City, NY 11102
Phone (718) 278-6666

3410 Broadway
New York, NY 10031
Phone (201) 299-4758

3418 Broadway
Ofc 2
New York, NY 10031
Phone (212) 927-0013

3671 Broadway
New York, NY 10031
Phone (212) 933-1386

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/HJFGAA/Endpoint/HJFGAA
  • Direct secure messaging: venkata.ravi@cmhap.eclinicaldirectplus.com

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1149552000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1324425600000",
    "number": "1346289048",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19 EAGLE DR",
            "city": "TOWACO",
            "state": "NJ",
            "postal_code": "070821283",
            "telephone_number": "973-265-4460"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "423 E 138TH ST",
            "address_2": "SUITE # 201",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104543041",
            "telephone_number": "718-292-6144",
            "fax_number": "718-292-6124"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAVI",
        "first_name": "VENKATA",
        "middle_name": "RAMANA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-06",
        "last_updated": "2011-12-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NJ",
            "license": "25MA07863500",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "205374",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0096156",
            "state": "NJ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01935955",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "VENKATA",
            "last_name": "RAVI",
            "middle_name": "RAMANA",
            "prefix": "DR.",
            "credential": "M.D.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Bronx, NY

Sources for this page

Verify at the official NPI Registry.