NPIMap

Individual provider Active NPI

Ravi V. Ravinuthala, M.D.

  • Gastroenterology Physician
  • Cincinnati, OH
National Provider Identifier
1669461588
Registry record updated Apr 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
35084651 Issued in OH
Practice address
2925 Vernon PL
Suite 100
Cincinnati, OH 45219-2425
Phone
(513) 751-6667
Fax
(513) 872-4553
NPI assigned
Oct 14, 2005
Last updated
Apr 18, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 18, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X 35084651 OH Primary

Addresses

Primary practice location

2925 Vernon PL
Suite 100
Cincinnati, OH 45219-2425

Mailing address

2925 Vernon PL
Suite 100
Cincinnati, OH 45219-2425
Phone (513) 751-6667

Other identifiers 1

IdentifierTypeStateIssuer
2490399MedicaidOH

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address ravi.ravinuthala@gastrohealth.eclinicaldirectplus.com GCGA Physicians Inc.

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040626000446 OH Practitioner - Gastroenterology 9638155070 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Gastroenterology
Education
Other, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Gcga Physicians Inc.Group PAC ID 4284618224, 76 clinicians

Practice addresses (Care Compare)

230 Medical Ctr Dr
Seaman, OH 45679-8002
Phone (937) 386-3400

2925 Vernon PL
Suite 100
Cincinnati, OH 45219-2425
Phone (513) 751-6667

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy128
Upper gastrointestinal (GI) endoscopy for acid reflux120

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35084651OHMDGastroenterology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Adams County Regional Medical Center CurrentSince Dec 2, 2024 Accepting new patients
Adams County Regional Medical Center CurrentSince Dec 2, 2024 Accepting new patients
Gcga Physicians Inc. Gastroenterology CurrentSince Jul 1, 2004 Accepting new patients
Adams County Regional Medical Center Current Accepting new patients
Adams County Regional Medical Center Past Accepting new patients
Liberty Endoscopy Center Past Accepting new patients
Galloway Anesthesia Associates LLC Past Accepting new patients

Locations

11333 Cornell Park Dr
Ste 200
Blue Ash, OH 45242

2925 Vernon Pl
Ste 100
Cincinnati, OH 45219
Phone (513) 872-4555

7372 Liberty One Dr
Liberty Township, OH 45044
Phone (513) 569-1355

230 Medical Center Dr
Seaman, OH 45679
Phone (937) 386-3400

Interoperability endpoints

  • FHIR API: https://fhir.yourcareuniverse.net/tenant/8504120b-a789-4394-b258-2f1d0cf4cda4

Organizations & group practices 7

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 6

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": "1129248000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713398400000",
    "number": "1669461588",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2925 VERNON PL",
            "address_2": "SUITE 100",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452192425",
            "telephone_number": "513-751-6667",
            "fax_number": "513-872-4553"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2925 VERNON PL",
            "address_2": "SUITE 100",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452192425",
            "telephone_number": "513-751-6667",
            "fax_number": "513-872-4553"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAVINUTHALA",
        "first_name": "RAVI",
        "middle_name": "V.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-14",
        "last_updated": "2024-04-18",
        "certification_date": "2024-04-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "OH",
            "license": "35084651",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2490399",
            "state": "OH"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ravi.ravinuthala@gastrohealth.eclinicaldirectplus.com",
            "affiliation": "Y",
            "endpointDescription": "eCW Direct messaging Address",
            "affiliationName": "GCGA Physicians Inc.",
            "address_1": "2925 Vernon Pl",
            "address_2": "Suite 100",
            "city": "Cincinnati",
            "state": "OH",
            "country_code": "US",
            "postal_code": "452192425",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Cincinnati, OH

Sources for this page

Verify at the official NPI Registry.