Individual provider Active NPI

Keyvan Ravakhah, M.D.

  • Internal Medicine Physician
  • Cleveland, OH
National Provider Identifier
1346298569
Registry record updated Feb 3, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
35-069549 Issued in OH
Practice address
2351 E 22ND St
Cleveland, OH 44115-3111
Phone
(216) 363-2730
NPI assigned
May 4, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 3, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 35-069549 OH
Internal Medicine Physician 207R00000X 35-069549 OH Primary

Addresses

Primary practice location

2351 E 22ND St
Cleveland, OH 44115-3111

Mailing address

PO Box 932127
Cleveland, OH 44193-0008
Phone (216) 363-2730

Other identifiers 2

IdentifierTypeStateIssuer
G63940OtherOHUPIN
2040571MedicaidOH

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address directmob201@cleveland.ipsmso.com Outreach Professional Services Inc

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20100414001005 OH Practitioner - Internal Medicine 3577690015 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Cleveland ClinicGroup PAC ID 1850203555, 6,954 clinicians

Practice addresses (Care Compare)

9500 Euclid Ave
Cleveland, OH 44195-0001
Phone (216) 444-5433

Hospital & facility affiliations

  • Cleveland Clinic Hospital, Cleveland, OH, CCN 360180
  • Hillcrest Hospital Hospital, Mayfield Heights, OH, CCN 360230

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35-069549OHMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
The Cleveland Clinic Foundation CurrentSince Aug 1, 2024 Accepting new patients
Outreach Professional Services Inc Internal Medicine CurrentSince Aug 22, 2011 Accepting new patients
Mount Carmel Health System Internal Medicine CurrentSince Mar 26, 2023 Accepting new patients
Mount Carmel Health System CurrentSince Mar 26, 2023 Accepting new patients
Outreach Professional Services, Inc CurrentSince Aug 22, 2011 Accepting new patients
Clinic Regional Physicians LLC Internal Medicine Past Accepting new patients

Locations

2475 E 22nd St
Fl 4
Cleveland, OH 44115
Phone (216) 363-2570

7580 Northcliff Ave
Ste 500
Cleveland, OH 44144
Phone (216) 387-9896

2475 E 22nd St
Ste 120
Cleveland, OH 44115
Phone (216) 367-9444

2351 E 22nd St
Cleveland, OH 44115
Phone (216) 363-2536

9500 Euclid Ave
Cleveland, OH 44195
Phone (216) 442-1270

2322 E 22nd St
Ste 201
Cleveland, OH 44115
Phone (216) 241-8654

5595 Transportation Blvd
Ste 220
Garfield Hts, OH 44125
Phone (216) 261-7970

5300 N Meadows Dr
Ste 4800
Grove City, OH 43123
Phone (614) 663-4550

6801 Brecksville Rd
Ste 20
Seven Hills, OH 44131
Phone (216) 445-3363

477 Cooper Rd
Ste 300
Westerville, OH 43081
Phone (614) 898-8808

850 Columbia Rd
Ste 105
Westlake, OH 44145
Phone (440) 250-5737

Organizations & group practices 6

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 2

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

NPI Registry JSON

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

{
    "created_epoch": "1146700800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1612310400000",
    "number": "1346298569",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 932127",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441930008",
            "telephone_number": "216-363-2730"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2351 E 22ND ST",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441153111",
            "telephone_number": "216-363-2730"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAVAKHAH",
        "first_name": "KEYVAN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-04",
        "last_updated": "2021-02-03",
        "certification_date": "2021-02-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "OH",
            "license": "35-069549",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OH",
            "license": "35-069549",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UPIN",
            "identifier": "G63940",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2040571",
            "state": "OH"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "directmob201@cleveland.ipsmso.com",
            "affiliation": "Y",
            "affiliationName": "Outreach Professional Services Inc",
            "address_1": "2351 E 22nd St",
            "city": "Cleveland",
            "state": "OH",
            "country_code": "US",
            "postal_code": "441153111",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Cleveland, OH

Sources for this page

Verify at the official NPI Registry.