Individual provider Active NPI

Jayashree Ravishankar, M.D.

  • Infectious Disease Physician
  • Burlington, NC
National Provider Identifier
1649265950
Registry record updated Sep 20, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Infectious Disease PhysicianTaxonomy code 207RI0200X
License
201901489 Issued in NC
Practice address
1236 Huffman Mill Rd
Burlington, NC 27215-8700
Phone
(336) 538-8760
NPI assigned
Sep 13, 2005
Last updated
Sep 20, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 20, 2021

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Infectious Disease Physician 207RI0200X 232767-1 NY
Infectious Disease Physician 207RI0200X 201901489 NC Primary
Infectious Disease Physician 207RI0200X 0101251651 VA

Addresses

Primary practice location

1236 Huffman Mill Rd
Burlington, NC 27215-8700

Mailing address

5855 Bremo Rd Ste 306
Mob North
Richmond, VA 23226-1923
Phone (804) 287-7650

Other practice location 1

5855 Bremo Rd Ste 306
MOB North
Richmond, VA 23226-1923
Phone (804) 287-7650

Other identifiers 2

IdentifierTypeStateIssuer
C06778OtherVAGROUP PTAN
02219074MedicaidNY

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jravishankar483797@direct.conehealth.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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
I20190722001233 NC Practitioner - Infectious Disease 7810937422 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Infectious Disease
Education
Other, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

1240 Huffman Mill Rd
Burlington, NC 27215-8700
Phone (336) 538-7000

301 E Wendover Ave
Suite 111
Greensboro, NC 27401-1209
Phone (336) 832-7840

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
201901489NCMDInfectious Disease Physician
232767-1NYMDInfectious Disease Physician
001522NYMDCertified Respiratory Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Alamance Regional Medical Center, Inc. CurrentSince Aug 4, 2019 Accepting new patients
The Moses H Cone Memorial Hospital Operating Corporation Infectious Disease CurrentSince Aug 4, 2019 Accepting new patients
Alamance Regional Medical Center, Inc CurrentSince Aug 4, 2019 Accepting new patients
The Moses H Cone Memorial Hospital Operating Corporation CurrentSince Aug 4, 2019 Accepting new patients
Bon Secours-St. Mary's Hospital of Richmond, Inc. Infectious Disease Past Accepting new patients
Alliance Medical Group, Inc Infectious Disease PastSince Jan 1, 2010 Accepting new patients
The Moses H. Cone Memorial Hospital Operating Corporation Past Accepting new patients
The Brookdale Hospital Medical Center Past Accepting new patients
Brookdale Hospital Medical Center PastSince Jan 1, 2007 Accepting new patients
Alliance Medical Group of Greater Waterbury PC Infectious Disease Past Accepting new patients

Locations

1236 Huffman Mill Rd
Burlington, NC 27215
Phone (336) 538-7000

1240 Huffman Mill Rd
Burlington, NC 27215
Phone (336) 538-7000

1200 N Elm St
Greensboro, NC 27401
Phone (336) 574-7000

300 E Wendover Ave
Greensboro, NC 27401
Phone (336) 663-5205

301 E Wendover Ave
Ste 111
Greensboro, NC 27401
Phone (336) 273-1000

Organizations & group practices 10

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.

Hospital & facility affiliations 3

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

NPI Registry JSON

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

{
    "created_epoch": "1126569600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1632096000000",
    "number": "1649265950",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5855 BREMO RD STE 306",
            "address_2": "MOB NORTH",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232261923",
            "telephone_number": "804-287-7650",
            "fax_number": "804-287-7642"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1236 HUFFMAN MILL RD",
            "city": "BURLINGTON",
            "state": "NC",
            "postal_code": "272158700",
            "telephone_number": "336-538-8760"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5855 Bremo Rd Ste 306",
            "address_2": "MOB North",
            "address_purpose": "LOCATION",
            "city": "Richmond",
            "state": "VA",
            "postal_code": "232261923",
            "country_code": "US",
            "telephone_number": "804-287-7650",
            "fax_number": "804-287-7642",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RAVISHANKAR",
        "first_name": "JAYASHREE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-09-13",
        "last_updated": "2021-09-20",
        "certification_date": "2021-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RI0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "NY",
            "license": "232767-1",
            "primary": false
        },
        {
            "code": "207RI0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "NC",
            "license": "201901489",
            "primary": true
        },
        {
            "code": "207RI0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "VA",
            "license": "0101251651",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP PTAN",
            "identifier": "C06778",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02219074",
            "state": "NY"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jravishankar483797@direct.conehealth.com",
            "affiliation": "N",
            "endpointDescription": "Cone Health Direct Address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1236 Huffman Mill Rd",
            "city": "Burlington",
            "state": "NC",
            "country_code": "US",
            "postal_code": "272158700",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Burlington, NC

Sources for this page

Verify at the official NPI Registry.