Active NPI
Avinash Ravilla, D.O
- General Practice Physician
- New York, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- License
- 304276
- Practice address
- 150 W 22ND St FL 8
New York, NY 10011-6557 - Phone
- (470) 594-4450
- NPI assigned
- Jun 30, 2015
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 25MB10481300 | NJ | |
| General Practice Physician | 208D00000X | 304276 | NY | Primary |
Addresses
Primary practice location
150 W 22ND St FL 8
New York, NY 10011-6557
Mailing address
PO Box 23607
New York, NY 10087-3607
Phone (646) 809-4094
Other practice location 1
2119 E Norris St
Philadelphia, PA 19125-1924
Phone (973) 400-9564
Other practice location 2
703 Main St
Paterson, NJ 07503-2621
Phone (973) 754-2240
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ, NY, PA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 3
Care Compare profile
Medicare Care Compare- Specialty
- General Practice
- Education
- Kansas City University of Med & Biosciences, College of Osteo Med, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
215 Park Ave S
FL 11
New York, NY 10003-1626
Phone (978) 850-3914
58 Juniper Ter
Tuxedo Park, NY 10987-4769
Phone (978) 850-3914
Merit-based Incentive Payment System (MIPS)
- Final score
- 75 of 100
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 25MB10481300 | NJ | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ravillamed PLLC | Emergency Medicine | Current | Accepting new patients |
| St. Joseph'S Emergency Physicians Inc | Current | Accepting new patients | |
| Perry Medical Group of New Jersey PA | General Practice | Current | Accepting new patients |
| New York Remote Medical PC | General Practice | Current | Accepting new patients |
| Perry Medical Group of Florida PA | General Practice | Current | Accepting new patients |
| Cloud Health Medical Group, P.a. | Past | Accepting new patients |
Locations
1 Sansome St
Ste 3500
San Francisco, CA 94104
Phone (604) 423-4050
3355 Lenox Rd NE
Ste 750
Atlanta, GA 30326
Phone (470) 682-3536
703 Main St
Bldg 400
Paterson, NJ 07503
Phone (973) 754-2054
703 Main St
Paterson, NJ 07503
Phone (973) 754-2240
150 W 22nd St
Fl 8
New York, NY 10011
Phone (646) 809-4094
215 Park Ave S
Fl 11
New York, NY 10003
Phone (212) 725-7774
701 Tillery St
Ste 12
Austin, TX 78702
Phone (512) 270-9622
750 N Saint Paul St
Ste 250
Dallas, TX 75201
Phone (773) 389-1899
440 Monticello Ave
Ste 1802
Norfolk, VA 23510
Phone (757) 447-4335
4108 E Parham Rd
Ste 100
Richmond, VA 23228
Phone (804) 206-3034
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.
-
- General Practice Physician
- New York, NY
- NPI 1992425037
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- General Practice Physician
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- NPI 1194394833
-
- General Practice Physician
- New York, NY
- NPI 1114595592
-
- Emergency Medical Services (Emergency Medicine) Physician
- Paterson, NJ
- NPI 1568791192
-
- Internal Medicine Physician
- White Plains, NY
- NPI 1528744935
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1435622400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1738195200000",
"number": "1376926063",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 23607",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100873607",
"telephone_number": "646-809-4094"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "150 W 22ND ST FL 8",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100116557",
"telephone_number": "470-594-4450"
}
],
"practiceLocations": [
{
"address_1": "2119 E Norris St",
"address_purpose": "LOCATION",
"city": "Philadelphia",
"state": "PA",
"postal_code": "191251924",
"country_code": "US",
"telephone_number": "973-400-9564",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "703 Main St",
"address_purpose": "LOCATION",
"city": "Paterson",
"state": "NJ",
"postal_code": "075032621",
"country_code": "US",
"telephone_number": "973-754-2240",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "RAVILLA",
"first_name": "AVINASH",
"name_prefix": "Dr.",
"credential": "D.O",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-06-30",
"last_updated": "2025-01-30",
"certification_date": "2025-01-30",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "NJ",
"license": "25MB10481300",
"primary": false
},
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "NY",
"license": "304276",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.