Organization Active NPI

Ravi Chary MD PLLC

  • Internal Medicine Physician
  • Louisville, KY
National Provider Identifier
1457351579
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
RAVI CHARY MD PLLC
Practice address
6500 Preston Hwy
Louisville, KY 40219
Phone
(502) 969-5995
Fax
(502) 969-5996
NPI assigned
Jul 29, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Ravi M V Chary, MDNPI 1568462679
Title
Partner
Phone
(502) 969-5995

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X KY Primary

Addresses

Primary practice location

6500 Preston Hwy
Louisville, KY 40219

Mailing address

6500 Preston Hwy
Louisville, KY 40219-1820
Phone (502) 969-5995

Other identifiers 1

IdentifierTypeStateIssuer
65938003MedicaidKY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040303000033 KY Part B Supplier - Clinic/Group Practice 1355238403 Receives reassigned benefits from 2 practitioners
Practice locations: Louisville, KY

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1122595200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1457351579",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6500 PRESTON HWY",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402191820",
            "telephone_number": "502-969-5995",
            "fax_number": "502-969-5996"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6500 PRESTON HWY",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "40219",
            "telephone_number": "502-969-5995",
            "fax_number": "502-969-5996"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RAVI CHARY MD PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-29",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "CHARY",
        "authorized_official_first_name": "RAVI",
        "authorized_official_middle_name": "M V",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "502-969-5995",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "KY",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "65938003",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Louisville, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.