Active NPI
Valiya V Ravi, MD
- Gastroenterology Physician
- St Clair Shores, MI
National Provider Identifier
1578553756
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gastroenterology Physician
- License
- 4301037968
- Practice address
- 28963 Little Mack Ave
Gi Medicine Associates PC
St Clair Shores, MI 48081-3015 - Phone
- (586) 447-0700
- Fax
- (586) 498-0707
- NPI assigned
- Oct 27, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gastroenterology Physician | 207RG0100X | 4301037968 | MI | Primary |
Addresses
Primary practice location
28963 Little Mack Ave
Gi Medicine Associates PC
St Clair Shores, MI 48081-3015
Mailing address
28963 Little Mack Ave
Gi Medicine Associates PC
St Clair Shores, MI 48081-3015
Phone (586) 447-0700
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0570850001 | Other | AGNA | |
| C5609 | Other | MCARE | |
| 5962202 | Other | AETNA | |
| P84580 | Other | BCN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4301037968 | MI | MD | Gastroenterology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1130371200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1578553756",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "28963 LITTLE MACK AVE",
"address_2": "GI MEDICINE ASSOCIATES PC",
"city": "ST CLAIR SHORES",
"state": "MI",
"postal_code": "480813015",
"telephone_number": "586-447-0700",
"fax_number": "586-498-0707"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "28963 LITTLE MACK AVE",
"address_2": "GI MEDICINE ASSOCIATES PC",
"city": "ST CLAIR SHORES",
"state": "MI",
"postal_code": "480813015",
"telephone_number": "586-447-0700",
"fax_number": "586-498-0707"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RAVI",
"first_name": "VALIYA",
"middle_name": "V",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-10-27",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "207RG0100X",
"taxonomy_group": "",
"desc": "Internal Medicine, Gastroenterology",
"state": "MI",
"license": "4301037968",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AGNA",
"identifier": "0570850001",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MCARE",
"identifier": "C5609",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "5962202",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCN",
"identifier": "P84580",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in St Clair Shores, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.