Individual provider Active NPI

Chaitanya Ravi, MD

  • Psychiatry Physician
  • Springfield, MO
National Provider Identifier
1457723462
Registry record updated Aug 18, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
2018042196 Issued in MO
Practice address
1965 S Fremont Ave Ste 330
Springfield, MO 65804-2251
Phone
(417) 820-8180
NPI assigned
Oct 29, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 18, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X IMLC.MD.70145627 WA
Psychiatry Physician 2084P0800X 25IA13175900 NJ
Psychiatry Physician 2084P0800X 2018042196 MO Primary

Addresses

Primary practice location

1965 S Fremont Ave Ste 330
Springfield, MO 65804-2251

Mailing address

1965 S Fremont Ave Ste 330
Springfield, MO 65804-2251
Phone (417) 820-8180

Other practice location 1

5325 Faraon St
Saint Joseph, MO 64506-3488
Phone (816) 271-7273

Other practice location 2

1000 W 10th St
Rolla, MO 65401-2905
Phone (573) 458-8899

Other practice location 3

1000 W 10th St
Rolla, MO 65401-2905
Phone (573) 364-9000

Other practice location 4

1450 E 10th St
Rolla, MO 65401-3648
Phone (844) 853-8937

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO, TX2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20191022000738 MO Practitioner - Psychiatry 4981907433 Reassigns benefits to 6 organizations
I20260203002375 TX Practitioner - Psychiatry 4981907433 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
SSM Regional Health ServicesGroup PAC ID 8921917352, 165 clinicians
Heartland Regional Medical CenterGroup PAC ID 6709772767, 394 clinicians

Practice addresses (Care Compare)

2701 W Edgewood Dr
101 SSM Health Medical Group Behaviora
Jefferson City, MO 65109-5890
Phone (573) 634-5303

5325 Faraon St
Saint Joseph, MO 64506-3488
Phone (816) 271-3500

901 Heartland Rd
Saint Joseph, MO 64506-6201

Hospital & facility affiliations

  • Mosaic Life Care at St Joseph Hospital, Saint Joseph, MO, CCN 260006
  • SSM Health St. Mary'S Hospital - Jefferson City Hospital, Jefferson City, MO, CCN 260011

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Compass Health, Inc CurrentSince Jan 17, 2024 Accepting new patients
Mercy Clinic Springfield Communities CurrentSince Oct 1, 2019 Accepting new patients
Progressive Behavioral Health, PLLC Psychiatry CurrentSince Jan 27, 2026 Accepting new patients
Heartland Regional Medical Center Current Accepting new patients
Pcrmc Medical Group, Inc CurrentSince Feb 1, 2024 Accepting new patients
Mercy Clinic Springfield Communities CurrentSince Oct 1, 2019 Accepting new patients
SSM Regional Health Services CurrentSince Dec 15, 2025 Accepting new patients
Heartland Regional Medical Center CurrentSince Feb 22, 2023 Accepting new patients
Mercy Clinic Springfield Communities CurrentSince Oct 1, 2019 Accepting new patients
SSM Regional Health Services CurrentSince Dec 15, 2025 Accepting new patients
Heartland Regional Medical Center Psychiatry CurrentSince Feb 22, 2023 Accepting new patients
Compass Health, Inc CurrentSince Jan 17, 2024 Accepting new patients
Heartland Regional Medical Center Past Accepting new patients

Locations

7655 Solutions Ctr
Chicago, IL 60677

448 State Highway 248
Ste 150
Branson, MO 65616
Phone (417) 336-6713

1800 Community
#B
Clinton, MO 64735

2701 W Edgewood Dr
Ste 101
Jefferson Cty, MO 65109
Phone (573) 634-5303

100 Saint Marys Plz
Jefferson Cty, MO 65101
Phone (573) 635-7642

1450 E 10th St
Rolla, MO 65401
Phone (573) 364-7551

1000 W 10th St
Rolla, MO 65401
Phone (573) 364-9000

1605 Martin Springs Dr
Rolla, MO 65401
Phone (573) 458-6379

1050 W 10th St
Rolla, MO 65401
Phone (573) 364-9000

5325 Faraon St
Saint Joseph, MO 64506
Phone (816) 271-3500

5202 Faraon St
Ste A
Saint Joseph, MO 64506
Phone (816) 271-1070

901 Heartland Rd
Ste 2800
Saint Joseph, MO 64506
Phone (816) 271-1213

2115 S Fremont Ave
Ste 3050
Springfield, MO 65804
Phone (417) 820-3905

1965 S Fremont Ave
Ste 330
Springfield, MO 65804
Phone (417) 820-8180

1235 E Cherokee St
Springfield, MO 65804
Phone (417) 820-2115

12505 Memorial Dr
Ste 230
Houston, TX 77024
Phone (210) 858-9078

23051 Kingwood Place Dr
Ste 110
Kingwood, TX 77339
Phone (281) 374-4500

4825 Alliance Blvd
Ste 150
Plano, TX 75093
Phone (469) 250-8007

Organizations & group practices 13

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.

View all 13

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": "1446076800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787011200000",
    "number": "1457723462",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1965 S FREMONT AVE STE 330",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658042251",
            "telephone_number": "417-820-8180"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1965 S FREMONT AVE STE 330",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658042251",
            "telephone_number": "417-820-8180"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5325 Faraon St",
            "address_purpose": "LOCATION",
            "city": "Saint Joseph",
            "state": "MO",
            "postal_code": "645063488",
            "country_code": "US",
            "telephone_number": "816-271-7273",
            "fax_number": "816-271-7376",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1000 W 10th St",
            "address_purpose": "LOCATION",
            "city": "Rolla",
            "state": "MO",
            "postal_code": "654012905",
            "country_code": "US",
            "telephone_number": "573-458-8899",
            "fax_number": "573-341-5611",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1000 W 10th St",
            "address_purpose": "LOCATION",
            "city": "Rolla",
            "state": "MO",
            "postal_code": "654012905",
            "country_code": "US",
            "telephone_number": "573-364-9000",
            "fax_number": "573-202-2484",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1450 E 10th St",
            "address_purpose": "LOCATION",
            "city": "Rolla",
            "state": "MO",
            "postal_code": "654013648",
            "country_code": "US",
            "telephone_number": "844-853-8937",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RAVI",
        "first_name": "CHAITANYA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-10-29",
        "last_updated": "2026-08-18",
        "certification_date": "2026-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "WA",
            "license": "IMLC.MD.70145627",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NJ",
            "license": "25IA13175900",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "MO",
            "license": "2018042196",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Springfield, MO

Sources for this page

Verify at the official NPI Registry.