Individual provider Active NPI

Mani Ravee, MD

  • Pulmonary Disease Physician
  • Chattanooga, TN
National Provider Identifier
1639226335
Registry record updated Mar 28, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
41412 Issued in TN
Practice address
6714 Heritage Business CT
Chattanooga, TN 37421-2596
Phone
(423) 498-5864
Fax
(423) 498-5865
NPI assigned
Jan 4, 2007
Last updated
Mar 28, 2018By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 28, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pulmonary Disease Physician 207RP1001X 41412 TN Primary

Addresses

Primary practice location

6714 Heritage Business CT
Chattanooga, TN 37421-2596

Mailing address

6714 Heritage Business CT
Chattanooga, TN 37421-2596
Phone (423) 498-5864

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
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
I20071207000056 TN Practitioner - Internal Medicine 4880783364 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
41412TNMDPulmonary Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Chattanooga Lung Specialists, LLC Pulmonary Disease CurrentSince Mar 6, 2018 Accepting new patients
Ppe-Keystone, P.C. Past Accepting new patients
Blue Ridge Pulmonary Medicine, PC Pulmonary Disease PastSince Jul 17, 2018 Accepting new patients
Blue Ridge Gastroenterology, PC Past Accepting new patients

Locations

6714 Heritage Business Ct
Chattanooga, TN 37421
Phone (423) 498-5864

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/17695/brand/1/csg/1/fhir/r4

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1167868800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1522195200000",
    "number": "1639226335",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6714 HERITAGE BUSINESS CT",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374212596",
            "telephone_number": "423-498-5864"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6714 HERITAGE BUSINESS CT",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374212596",
            "telephone_number": "423-498-5864",
            "fax_number": "423-498-5865"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAVEE",
        "first_name": "MANI",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-04",
        "last_updated": "2018-03-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "TN",
            "license": "41412",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chattanooga, TN

Sources for this page

Verify at the official NPI Registry.