Active NPI
Meera Ravikumar, MD
- Internal Medicine Physician
- Chicago, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 036.103651
- Practice address
- 2355 S Western Ave
Chicago, IL 60608-3837 - Phone
- (773) 254-1400
- NPI assigned
- Jul 21, 2005
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 036.103651 | IL | Primary |
| Internal Medicine Physician | 207R00000X | 212859 | MA |
Addresses
Primary practice location
2355 S Western Ave
Chicago, IL 60608-3837
Mailing address
2355 S Western Ave
Chicago, IL 60608-3837
Phone (773) 254-1400
Other identifiers 18
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 043202198 | Other | CONSOLIDATED HEALTH PLAN | |
| 043202198 | Other | FIRST HEALTH | |
| 043202198007 | Other | TRICARE | |
| 043202198 | Other | HEALTH CARE VALUE MANAGME | |
| 110242533 | Other | MA | MEDICARE RAILROAD |
| 212859 | Other | CONNECTICARE OF MA | |
| 692812 | Other | HARVARD PILGRIM | |
| 043202198 | Other | GREAT WEST HEALTH PLAN | |
| J24638 | Other | HMO BLUE | |
| 043202198 | Other | HMC PPO | |
| 043202198 | Other | BEECH STREET | |
| 043202198 | Other | MULTI PLAN | |
| 0198293 | Medicaid | MA | |
| 30417 | Other | HEALTH NEW ENGLAND | |
| 000000022100 | Other | BOSTON MEDICAL CENTER HNP | |
| 5760653001 | Other | CIGNA | |
| 975687 | Other | NETWORK HEALTH | |
| J24638 | Other | BCBS OF MA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Other, 1990
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2355 S Western Ave
Chicago, IL 60608-3837
Phone (773) 254-1400
966 W 21St St
Chicago, IL 60608-4511
Phone (773) 254-1400
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036.103651 | IL | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Alivio Medical Center Inc | Current | Accepting new patients | |
| Alivio Medical Center, Inc. | Current | Accepting new patients | |
| Alivio Medical Center, Inc. | Current | Accepting new patients | |
| Holyoke Medical Center, Inc. | Past | Accepting new patients |
Locations
966 W 21st St
Chicago, IL 60608
Phone (773) 254-1400
2355 S Western Ave
Chicago, IL 60608
Phone (773) 254-1400
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.
-
dba Alivio Medical Center
- Federally Qualified Health Center (FQHC)
- Chicago, IL
- NPI 1073617387
-
dba Alivio Medical Center at Berwyn
- Federally Qualified Health Center (FQHC)
- Berwyn, IL
- NPI 1255646857
-
- Multi-Specialty Clinic/Center
- Chicago, IL
- NPI 1083860845
-
- General Acute Care Hospital
- Holyoke, MA
- NPI 1750395737
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1121904000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1754265600000",
"number": "1659371532",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2355 S WESTERN AVE",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606083837",
"telephone_number": "773-254-1400"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2355 S WESTERN AVE",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606083837",
"telephone_number": "773-254-1400"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RAVIKUMAR",
"first_name": "MEERA",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-07-21",
"last_updated": "2025-08-04",
"certification_date": "2025-08-04",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "IL",
"license": "036.103651",
"primary": true
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "MA",
"license": "212859",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CONSOLIDATED HEALTH PLAN",
"identifier": "043202198",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FIRST HEALTH",
"identifier": "043202198",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TRICARE",
"identifier": "043202198007",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTH CARE VALUE MANAGME",
"identifier": "043202198",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE RAILROAD",
"identifier": "110242533",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CONNECTICARE OF MA",
"identifier": "212859",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HARVARD PILGRIM",
"identifier": "692812",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GREAT WEST HEALTH PLAN",
"identifier": "043202198",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HMO BLUE",
"identifier": "J24638",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HMC PPO",
"identifier": "043202198",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BEECH STREET",
"identifier": "043202198",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MULTI PLAN",
"identifier": "043202198",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0198293",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTH NEW ENGLAND",
"identifier": "30417",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BOSTON MEDICAL CENTER HNP",
"identifier": "000000022100",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "5760653001",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NETWORK HEALTH",
"identifier": "975687",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS OF MA",
"identifier": "J24638",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Chicago, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.