Individual provider Active NPI

Ravi Juluri, M.D.

  • Internal Medicine Physician
  • Avon, IN
National Provider Identifier
1457523151
Registry record updated Apr 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
01063576A Issued in IN
Practice address
1115 Ronald Reagan Pkwy
Suite 206
Avon, IN 46123-6911
Phone
(317) 272-8050
Fax
(317) 272-8051
NPI assigned
Apr 2, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 18, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X 35.124233 OH
Internal Medicine Physician 207R00000X 01063576A IN Primary

Addresses

Primary practice location

1115 Ronald Reagan Pkwy
Suite 206
Avon, IN 46123-6911

Mailing address

950 N Meridian St
Ste 500 Provider Enrollment
Indianapolis, IN 46204-3908
Phone (317) 962-4946

Other identifiers 1

IdentifierTypeStateIssuer
200904700MedicaidIN

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address ravi.juluri@gastrohealth.eclinicaldirectplus.com GCGA Physicians 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
I20140818000074 OH Practitioner - Gastroenterology 8022187004 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Gastroenterology
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Adena Medical Group LLCGroup PAC ID 1153456579, 384 clinicians
Gcga Physicians Inc.Group PAC ID 4284618224, 76 clinicians

Practice addresses (Care Compare)

1450 Columbus Ave
Suite 203
Washington Court House, OH 43160-3701
Phone (740) 620-4069

2925 Vernon PL
Cincinnati, OH 45219-2425

7372 Liberty One Dr
Liberty Township, OH 45044-8872
Phone (513) 751-6667

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy79
Upper gastrointestinal (GI) endoscopy for acid reflux75

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
35.124233OHMDGastroenterology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Trihealth G, LLC CurrentSince Jan 1, 2016 Accepting new patients
Gcga Physicians Inc. Gastroenterology CurrentSince May 18, 2021 Accepting new patients
Trihealth G LLC Internal Medicine CurrentSince Jan 1, 2016 Accepting new patients
Adena Medical Group LLC Internal Medicine CurrentSince May 11, 2024 Accepting new patients
Respiratory & Critical Care Consultants P C Internal Medicine Past Accepting new patients
Galloway Anesthesia Associates LLC Past Accepting new patients
Indiana Clinic Critical Care LLC Internal Medicine Past Accepting new patients
Liberty Endoscopy Center Past Accepting new patients

Locations

4437 State Route 159
Ste 125
Chillicothe, OH 45601
Phone (740) 779-4570

9070 Winton Rd
Cincinnati, OH 45231
Phone (513) 246-2750

2925 Vernon Pl
Ste 100
Cincinnati, OH 45219
Phone (513) 872-4555

8240 Northcreek Dr
Cincinnati, OH 45236
Phone (513) 246-5303

2001 Anderson Ferry Rd
Cincinnati, OH 45238
Phone (513) 922-1200

7372 Liberty One Dr
Liberty Township, OH 45044
Phone (513) 569-1355

4685 Forest Ave
Ste C
Norwood, OH 45212
Phone (513) 246-7796

12340 State Route 104
Waverly, OH 45690
Phone (740) 941-5180

1450 Columbus Ave
Ste 203
Wshngtn Ct Hs, OH 43160
Phone (740) 335-8608

1430 Columbus Ave
Wshngtn Ct Hs, OH 43160
Phone (740) 333-2705

Interoperability endpoints

  • Direct secure messaging: rjuluri1182171@direct.osumc.edu

Organizations & group practices 8

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 5

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": "1207094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713398400000",
    "number": "1457523151",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "950 N MERIDIAN ST",
            "address_2": "STE 500 PROVIDER ENROLLMENT",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462043908",
            "telephone_number": "317-962-4946",
            "fax_number": "317-962-4950"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1115 RONALD REAGAN PKWY",
            "address_2": "SUITE 206",
            "city": "AVON",
            "state": "IN",
            "postal_code": "461236911",
            "telephone_number": "317-272-8050",
            "fax_number": "317-272-8051"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JULURI",
        "first_name": "RAVI",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-04-02",
        "last_updated": "2024-04-18",
        "certification_date": "2024-04-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "OH",
            "license": "35.124233",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IN",
            "license": "01063576A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200904700",
            "state": "IN"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ravi.juluri@gastrohealth.eclinicaldirectplus.com",
            "affiliation": "Y",
            "endpointDescription": "eCW Direct messaging Address",
            "affiliationName": "GCGA Physicians Inc.",
            "address_1": "2925 Vernon Pl",
            "address_2": "Suite 100",
            "city": "Cincinnati",
            "state": "OH",
            "country_code": "US",
            "postal_code": "452192425",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Avon, IN

Sources for this page

Verify at the official NPI Registry.