Srinivas R Ravanam, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

036110141 Issued in IL

Practice address

455 E Main St
East Dundee, IL 60118-1529

Phone

(847) 428-2273

Fax

(847) 428-3128

NPI assigned

May 22, 2006

Last updated

Feb 24, 2014By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

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.

• 7 Hills Healthcare Center P.C.

  dba 7 Hills Healthcare Center

  • Internal Medicine Physician
  • East Dundee, IL
  • NPI 1104075365
  Authorized official Same address or phone
• 7 Hills Nuclear Imaging Center Inc

  • Radiology Clinic/Center
  • West Dundee, IL
  • NPI 1437106812
  Authorized official Same address or phone
• Medicall Physicians Group, LTD.

  • Geriatric Medicine (Internal Medicine) Physician
  • Schaumburg, IL
  • NPI 1194861286
  NPD (past)

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

{
    "created_epoch": "1148256000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1393200000000",
    "number": "1346294469",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "455 E MAIN ST",
            "city": "EAST DUNDEE",
            "state": "IL",
            "postal_code": "601181529",
            "telephone_number": "847-428-2273",
            "fax_number": "847-428-3128"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "455 E MAIN ST",
            "city": "EAST DUNDEE",
            "state": "IL",
            "postal_code": "601181529",
            "telephone_number": "847-428-2273",
            "fax_number": "847-428-3128"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAVANAM",
        "first_name": "SRINIVAS",
        "middle_name": "R",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-22",
        "last_updated": "2014-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "036110141",
            "primary": true
        },
        {
            "code": "207U00000X",
            "taxonomy_group": "",
            "desc": "Nuclear Medicine",
            "state": "IL",
            "license": "036110141",
            "primary": false
        },
        {
            "code": "2083X0100X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Occupational Medicine",
            "state": "IL",
            "license": "036110141",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036110141",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "46940020",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Aieden G Padao, FNP-BC
• Allan H Palatnick, OD
• Park Anesthesia, LLC
• Leo G Pepa, MD
• Teresa C Pierce
• Hiral Rawal
• Steven Rehusch, M.D.
• Richard C Weinstein OD, LTD
• Right Care Surgery Center
• Sheri Rosengard-Miranda, B.SC., LMT, NCTMB

• Internal Medicine Physician in East Dundee, IL
• Providers in East Dundee, IL by specialty
• Internal Medicine Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.