Ravi S Ainapudi

Individual provider Active NPI Gastroenterology Physician · Smithtown, NY

NPI 1477551091 · NPPES record last updated Dec 10, 2007

Key facts

NPI
1477551091
Entity type
Individual (NPI type 1)
Primary specialty
Gastroenterology Physician 207RG0100X
License
234383 (NY)
Practice address
317 Middle Country Rd
Suite 1
Smithtown, NY 11787-2818
Phone
(631) 360-4000
Fax
(631) 360-4100
NPI assigned
Jul 8, 2005
Sex
Male
Sole proprietor
No

Organizations & group practices 3

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 7

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

Medicare Care Compare profile

Specialty
Internal Medicine
Also: Gastroenterology
Education
Other, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
CHS Physician Partners PC (739 clinicians)

Practice addresses (Care Compare)

317 E Main St
Suite 1
Smithtown, NY 11787-2818
Phone (631) 360-4000

Hospital & facility affiliations

  • St Catherine of Siena Hospital Hospital · Smithtown, NY · CCN 330401
  • Suny/Stony Brook University Hospital Hospital · Stony Brook, NY · CCN 330393

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy108
Upper gastrointestinal (GI) endoscopy for acid reflux116

Medicare participation

Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
I20050202001018 NY Practitioner - Internal Medicine
Practitioner - Gastroenterology
2567413974 Reassigns benefits to 1 organization

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
234383NYMDGastroenterology Physician

Practice roles (3 of 7)

OrganizationSpecialtyStatusNew patients
CHS Physician Partners, PC Current
since Jun 1, 2016
Accepting new patients
CHS Physician Partners, P.C Current
since Jun 1, 2016
Accepting new patients
CHS Physician Partners, PC Current Accepting new patients

Locations

2112 Middle Country Rd
Centereach, NY 11720
Phone (631) 247-7463

245 Old Country Rd
Melville, NY 11747
Phone (631) 465-6141

1000 N Village Ave
Rockville Ctr, NY 11570
Phone (516) 705-1012

100 Port Washington Blvd
Ste G3
Roslyn, NY 11576
Phone (516) 627-4800

317 E Middle Country Rd
Ste 1
Smithtown, NY 11787
Phone (631) 360-0303

48 Route 25A
Ste 105
Smithtown, NY 11787
Phone (631) 360-4000

Networks

  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H5989

Interoperability endpoints

  • Direct secure messaging: rainapudi14860@direct-chsli.net

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X 234383 NY Yes

Addresses

Primary practice location

317 Middle Country Rd
Suite 1
Smithtown, NY 11787-2818

Mailing address

317 Middle Country Rd
Suite 1
Smithtown, NY 11787-2818
Phone (631) 360-4000

Other names

  • Dr. Ravi Ainapudi Professional name

Other providers in Smithtown, NY

All providers in Smithtown, NY · Gastroenterology Physician in New York

Sources for this page

Verify at the official NPI Registry.