Individual provider Active NPI

Ravindra Prakash Srivastava, MD

  • Psychiatry Physician
  • Hilton Head Island, SC
National Provider Identifier
1497822738
Registry record updated Apr 19, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
23689 Issued in SC
Practice address
25 Hospital Center Blvd
Hilton Head Island, SC 29926-2738
Phone
(843) 784-8224
NPI assigned
Nov 30, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 19, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 23689 SC Primary

Addresses

Primary practice location

25 Hospital Center Blvd
Hilton Head Island, SC 29926-2738

Mailing address

60 Main St
Suite H
Hilton Head Island, SC 29926-6602
Phone (843) 681-1935

Other practice location 1

60 Main St
Suite H
Hilton Head Island, SC 29926-6602
Phone (843) 681-1935

Other identifiers 1

IdentifierTypeStateIssuer
236890MedicaidSC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC
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
I20050214000736 SC Practitioner - PsychiatryPractitioner - Addiction Medicine 4880646272 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
PsychiatryAlso: Addiction Medicine
Education
Other, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Hilton Head Psychiatric Clinics PCGroup PAC ID 8527184811, 2 clinicians

Practice addresses (Care Compare)

60 N Main St
Unit H
Hilton Head Island, SC 29926-6602

60 N Main St
Unit H
Hilton Head, SC 29926-6603
Phone (843) 681-1935

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Hilton Head Psychiatric Clinics, PC Psychiatry CurrentSince Jul 1, 2003 Accepting new patients
Beaufort County Memorial Hospital CurrentSince May 22, 2010 Accepting new patients
Beaufort County Memorial Hospital Current Accepting new patients
Beaufort County Memorial Hosptial CurrentSince May 22, 2010 Accepting new patients

Locations

989 Ribaut Rd
Ste 103
Beaufort, SC 29902
Phone (843) 522-5351

955 Ribaut Rd
#C
Beaufort, SC 29902

22 Bethea Dr
Hilton Head Island, SC 29926
Phone (843) 681-1935

60 Main St
Unit H
Hilton Head Island, SC 29926
Phone (843) 342-9000

1680 Ribaut Rd
Port Royal, SC 29935
Phone (843) 522-7600

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1164844800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1555632000000",
    "number": "1497822738",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "60 MAIN ST",
            "address_2": "SUITE H",
            "city": "HILTON HEAD ISLAND",
            "state": "SC",
            "postal_code": "299266602",
            "telephone_number": "843-681-1935"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 HOSPITAL CENTER BLVD",
            "city": "HILTON HEAD ISLAND",
            "state": "SC",
            "postal_code": "299262738",
            "telephone_number": "843-784-8224"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "60 Main St",
            "address_2": "Suite H",
            "address_purpose": "LOCATION",
            "city": "Hilton Head Island",
            "state": "SC",
            "postal_code": "299266602",
            "country_code": "US",
            "telephone_number": "843-681-1935",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SRIVASTAVA",
        "first_name": "RAVINDRA",
        "middle_name": "PRAKASH",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-30",
        "last_updated": "2019-04-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "SC",
            "license": "23689",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "236890",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hilton Head Island, SC

Sources for this page

Verify at the official NPI Registry.