Individual provider Active NPI

Ravi Gurujal, MD

  • Interventional Cardiology Physician
  • Charleston, WV
National Provider Identifier
1467563957
Registry record updated Sep 26, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Cardiology PhysicianTaxonomy code 207RI0011X
License
35238 Issued in WV
Practice address
3200 Maccorkle Ave SE FL 4
Charleston, WV 25304-1227
Phone
(304) 388-8200
NPI assigned
Aug 31, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 26, 2025

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

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 35.120296 OH
Cardiovascular Disease Physician 207RC0000X 036-109978 IL
Interventional Cardiology Physician 207RI0011X C0932 KY
Interventional Cardiology Physician 207RI0011X 35.120296 OH
Cardiovascular Disease Physician 207RC0000X 01061340A IN
Interventional Cardiology Physician 207RI0011X 35238 WV Primary

Addresses

Primary practice location

3200 Maccorkle Ave SE FL 4
Charleston, WV 25304-1227

Mailing address

3200 Maccorkle Ave SE FL 4
Charleston, WV 25304-1227
Phone (304) 388-8200

Other practice location 1

911 Bypass Rd Bldg A
Pikeville, KY 41501-1689
Phone (606) 430-2201

Other practice location 2

1010 Cereal Ave Ste 207
Hamilton, OH 45013-2772
Phone (513) 867-3331

Other practice location 3

122 Wyoming St
Dayton, OH 45409-2731
Phone (937) 223-4461

Other identifiers 5

IdentifierTypeStateIssuer
201055350MedicaidIN
36109978MedicaidIL
000000542034OtherINBCBS
01061340AMedicaidIN
0075371MedicaidOH

Electronic endpoints 3

TypeEndpointUseAffiliation
Direct Messaging Address rgurujal40099@PIKEVILLEKYDIRECT.ORG Direct
FHIR URL https:/khnarr.ketthealth.com/FHIR-PROD/api/FHIR/R4/
Direct Messaging Address rgurujal570874@direct.ketteringhealth.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH, MI, KY, NE, WV5 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 5

Enrollment IDStateProvider typePAC IDDetails
I20130115000004 OH Practitioner - Interventional CardiologyPractitioner - Cardiovascular Disease (Cardiology) 5890777361 Reassigns benefits to 5 organizations
I20140610000771 MI Practitioner - Internal MedicinePractitioner - Cardiovascular Disease (Cardiology) 5890777361 Reassigns benefits to 1 organization
I20221018000272 KY Practitioner - Interventional Cardiology 5890777361 Reassigns benefits to 2 organizations
I20250904003671 NE Practitioner - Cardiovascular Disease (Cardiology) 5890777361 Reassigns benefits to 1 organization
I20251009004330 WV Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Interventional Cardiology 5890777361 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)Also: Interventional Cardiology
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

3200 Maccorkle Ave SE
Charleston, WV 25304-1227
Phone (304) 388-5432

601 W Leota St
North Platte, NE 69101-6525

611 W Francis St
North Platte, NE 69101-0614

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
81.34 of 100Reported as group
Quality
63.67
Promoting interoperability
100
Improvement activities
40
Cost
74.14

Merit-based Incentive Payment System (MIPS)

Final score
84.04 of 100Reported as group
Quality
60.55
Promoting interoperability
100
Improvement activities
40
Cost
78.81

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary angioplasty and stenting16
Pacemaker insertion or repair1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036-109978ILMDCardiovascular Disease Physician
C0932KYMDInterventional Cardiology Physician
35.120296OHMDInterventional Cardiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Charleston Area Medical Center Inc CurrentSince Sep 16, 2025 Accepting new patients
The Metrohealth System CurrentSince Sep 1, 2022 Accepting new patients
Premier Health Specialists Inc Cardiovascular Disease CurrentSince Sep 14, 2015 Accepting new patients
Kings Daughters Medical Specialties Inc Current Accepting new patients
Pikeville Medical Center Inc CurrentSince Sep 12, 2022 Accepting new patients
Halo Medical Group PLLC Cardiovascular Disease CurrentSince Jul 1, 2025 Accepting new patients
Pikeville Medical Center Inc. CurrentSince Sep 12, 2022 Accepting new patients
Kings Daughters Medical Specialties Inc. Cardiovascular Disease CurrentSince Aug 1, 2024 Accepting new patients
Charleston Area Medical Center, Inc. CurrentSince Sep 16, 2025 Accepting new patients
Kettering Independent Medical Group Inc Cardiovascular Disease CurrentSince May 11, 2023 Accepting new patients
North Platte Nebraska Hospital Corporation Cardiovascular Disease CurrentSince Aug 1, 2025 Accepting new patients
Kings Daughters Medical Specialties Inc CurrentSince Aug 1, 2024 Accepting new patients
Alliance Physicians Inc Cardiovascular Disease Current Accepting new patients
Premier Health Specialists Inc CurrentSince Sep 14, 2015 Accepting new patients
Ohiohealth Corporation CurrentSince Jul 1, 2024 Accepting new patients
The Metrohealth System CurrentSince Sep 1, 2022 Accepting new patients
Kings Daughters Medical Specialties Inc Current Accepting new patients
North Platte Nebraska Hospital Corporation Current Accepting new patients
Ohiohealth Corporation Cardiovascular Disease CurrentSince Jul 1, 2024 Accepting new patients
Chicago Heart and Vascular Consultants, LTD Cardiovascular Disease Past Accepting new patients
Saint Joseph Regional Medical Center, Inc. Past Accepting new patients
Cardiospecialists Group, LTD Cardiovascular Disease Past Accepting new patients
Saint Joseph Regional Medical Center, Inc. Cardiovascular Disease Past Accepting new patients

Locations (25 of 29)

2201 Lexington Ave
Ashland, KY 41101
Phone (606) 268-2560

617 23rd St
Ste 3
Ashland, KY 41101
Phone (606) 324-3903

613 23rd St
Ste 520
Ashland, KY 41101
Phone (606) 326-1675

911 Bypass Rd
Pikeville, KY 41501
Phone (606) 218-4530

911 Bypass Rd
Bldg A
Pikeville, KY 41501
Phone (606) 430-2201

184 S Mayo Trl
Pikeville, KY 41501
Phone (606) 430-2213

22720 Michigan Ave
Ste 200
Dearborn, MI 48124
Phone (313) 791-3000

4160 John R St
Ste 510
Detroit, MI 48201
Phone (313) 993-7777

601 W Leota St
North Platte, NE 69101
Phone (308) 534-2288

2500 Metrohealth Dr
Cleveland, OH 44109
Phone (216) 778-2348

Dept L3652
Columbus, OH 43260

393 E Town St
Ste 116
Columbus, OH 43215
Phone (614) 566-9108

30 E Apple St
#6258
Dayton, OH 45409
Phone (937) 208-5300

122 Wyoming St
Dayton, OH 45409
Phone (937) 438-8640

1010 Cereal Ave
Ste 207
Hamilton, OH 45013
Phone (513) 867-3331

4403 Far Hills Ave
Kettering, OH 45429
Phone (937) 395-3910

335 Glessner Ave
Mansfield, OH 44903
Phone (419) 522-0320

1040 Delaware Ave
Marion, OH 43302
Phone (330) 256-9874

1 Prestige Pl
Ste 550
Miamisburg, OH 45342
Phone (937) 752-2306

6147 State Route 122
Middletown, OH 45005
Phone (513) 261-3410

1729 Kinneys Ln
Ste 202
Portsmouth, OH 45662
Phone (740) 353-8100

360 W Central Ave
Springboro, OH 45066
Phone (937) 208-7100

450 N Hyatt St
Ste 304
Tipp City, OH 45371
Phone (937) 832-4773

885 N Sandusky Ave
Upper Sandusky, OH 43351
Phone (419) 294-4991

7677 Yankee St
Ste 140
Washington Township, OH 45459
Phone (866) 224-9472

Interoperability endpoints

  • Direct secure messaging: rgurujal40099@pikevillekydirect.org

Organizations & group practices 23

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 23

Hospital & facility affiliations 15

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758844800000",
    "number": "1467563957",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3200 MACCORKLE AVE SE FL 4",
            "city": "CHARLESTON",
            "state": "WV",
            "postal_code": "253041227",
            "telephone_number": "304-388-8200"
        },
        {
            "country_code": "US",
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            "address_purpose": "LOCATION",
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        }
    ],
    "practiceLocations": [
        {
            "address_1": "911 Bypass Rd Bldg A",
            "address_purpose": "LOCATION",
            "city": "Pikeville",
            "state": "KY",
            "postal_code": "415011689",
            "country_code": "US",
            "telephone_number": "606-430-2201",
            "fax_number": "606-218-4651",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1010 Cereal Ave Ste 207",
            "address_purpose": "LOCATION",
            "city": "Hamilton",
            "state": "OH",
            "postal_code": "450132772",
            "country_code": "US",
            "telephone_number": "513-867-3331",
            "fax_number": "513-867-2667",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "122 Wyoming St",
            "address_purpose": "LOCATION",
            "city": "Dayton",
            "state": "OH",
            "postal_code": "454092731",
            "country_code": "US",
            "telephone_number": "937-223-4461",
            "fax_number": "937-449-7603",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GURUJAL",
        "first_name": "RAVI",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-31",
        "last_updated": "2025-09-26",
        "certification_date": "2025-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "OH",
            "license": "35.120296",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "IL",
            "license": "036-109978",
            "primary": false
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "KY",
            "license": "C0932",
            "primary": false
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "OH",
            "license": "35.120296",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "IN",
            "license": "01061340A",
            "primary": false
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "WV",
            "license": "35238",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "201055350",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "36109978",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "000000542034",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01061340A",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0075371",
            "state": "OH"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "rgurujal40099@PIKEVILLEKYDIRECT.ORG",
            "affiliation": "N",
            "endpointDescription": "Direct address for ccda",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Standard direct functionality",
            "address_1": "911 Bypass Rd Bldg A",
            "city": "Pikeville",
            "state": "KY",
            "country_code": "US",
            "postal_code": "415011689",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https:/khnarr.ketthealth.com/FHIR-PROD/api/FHIR/R4/",
            "affiliation": "N",
            "address_1": "1010 Cereal Ave Ste 207",
            "city": "Hamilton",
            "state": "OH",
            "country_code": "US",
            "postal_code": "450132772",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "rgurujal570874@direct.ketteringhealth.org",
            "affiliation": "N",
            "address_1": "1010 Cereal Ave Ste 207",
            "city": "Hamilton",
            "state": "OH",
            "country_code": "US",
            "postal_code": "450132772",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Charleston, WV

Sources for this page

Verify at the official NPI Registry.