Individual provider Active NPI

Ravi Tandon, MD

  • Pulmonary Disease Physician
  • Woonsocket, RI
National Provider Identifier
1346399516
Registry record updated Aug 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
MD10413 Issued in RI
Practice address
219 Cass Ave
Suite H
Woonsocket, RI 02895-4736
Phone
(401) 768-6014
Fax
(877) 759-9342
NPI assigned
Jan 9, 2007
Last updated
Aug 14, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 14, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pulmonary Disease Physician 207RP1001X MD10413 RI Primary

Addresses

Primary practice location

219 Cass Ave
Suite H
Woonsocket, RI 02895-4736

Mailing address

219 Cass Ave
Suite H
Woonsocket, RI 02895-4736
Phone (401) 768-6014

Other practice location 1

255 Cass Ave
Woonsocket, RI 02895-4705
Phone (401) 769-4100

Other practice location 2

115 Cass Ave
Woonsocket, RI 02895-4705
Phone (401) 769-4100

Other identifiers 1

IdentifierTypeStateIssuer
RT35280MedicaidRI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in RI
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
I20080630000033 RI Practitioner - Internal MedicinePractitioner - Cardiovascular Disease (Cardiology)Practitioner - Pulmonary DiseasePractitioner - Infectious Disease 7012089576 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Cardiovascular Disease (Cardiology)
Education
Other, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

115 Cass Ave
Woonsocket, RI 02895-4705

206 Cass Ave
Woonsocket, RI 02895-4712
Phone (401) 767-1595

255 Cass Ave
Woonsocket, RI 02895-4705
Phone (401) 769-4100

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Prime Healthcare Services Landmark LLC Pulmonary Disease CurrentSince Nov 1, 2015 Accepting new patients
Prime Healthcare Services Landmark LLC CurrentSince Nov 1, 2015 Accepting new patients

Locations

6 Blackstone Valley Pl
Ste 706
Lincoln, RI 02865

115 Cass Ave
Woonsocket, RI 02895
Phone (401) 356-1701

196 Cass Ave
Woonsocket, RI 02895
Phone (401) 766-5959

206 Cass Ave
Woonsocket, RI 02895
Phone (401) 597-5070

219 Cass Ave
Ste H
Woonsocket, RI 02895
Phone (401) 768-6014

255 Cass Ave
Woonsocket, RI 02895
Phone (401) 762-5599

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 3

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": "1168300800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755129600000",
    "number": "1346399516",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "219 CASS AVE",
            "address_2": "SUITE H",
            "city": "WOONSOCKET",
            "state": "RI",
            "postal_code": "028954736",
            "telephone_number": "401-768-6014",
            "fax_number": "877-759-9342"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "219 CASS AVE",
            "address_2": "SUITE H",
            "city": "WOONSOCKET",
            "state": "RI",
            "postal_code": "028954736",
            "telephone_number": "401-768-6014",
            "fax_number": "877-759-9342"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "255 Cass Ave",
            "address_purpose": "LOCATION",
            "city": "Woonsocket",
            "state": "RI",
            "postal_code": "028954705",
            "country_code": "US",
            "telephone_number": "401-769-4100",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "115 Cass Ave",
            "address_purpose": "LOCATION",
            "city": "Woonsocket",
            "state": "RI",
            "postal_code": "028954705",
            "country_code": "US",
            "telephone_number": "401-769-4100",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TANDON",
        "first_name": "RAVI",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-09",
        "last_updated": "2025-08-14",
        "certification_date": "2025-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "RI",
            "license": "MD10413",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "RT35280",
            "state": "RI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Woonsocket, RI

Sources for this page

Verify at the official NPI Registry.