NPIMap

Individual provider Active NPI

Bhargava Ravi, M.D.

  • Internal Medicine Physician
  • Youngstown, OH
National Provider Identifier
1669472817
Registry record updated Jul 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
35.057163 Issued in OH
Practice address
1001 Covington St
Youngstown, OH 44510-1617
Phone
(330) 480-2616
Fax
(330) 480-7979
NPI assigned
Jul 29, 2005
Last updated
Jul 12, 2024By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 12, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 35.057163 OH Primary

Addresses

Primary practice location

1001 Covington St
Youngstown, OH 44510-1617

Mailing address

550 Parmalee Ave
Suite 400
Youngstown, OH 44510-1602
Phone (330) 743-6270

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
I20040504001040 OH Practitioner - Internal Medicine 7113913575 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1981
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mercy Health Physicians Youngstown, LLCGroup PAC ID 9234318270, 116 clinicians

Practice addresses (Care Compare)

1001 Covington St
Youngstown, OH 44510-1617
Phone (330) 480-3257

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35.057163OHMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mercy Health Physicians Youngstown, LLC Internal Medicine CurrentSince Jul 12, 2024 Accepting new patients
Mercy Health Physicians Youngstown LLC CurrentSince Jul 12, 2024 Accepting new patients
Primary Care Associates Internal Medicine PastSince Apr 1, 1995 Accepting new patients
Mercy Health Youngstown LLC Past Accepting new patients
Triad Health Services, LLC Internal Medicine Past Accepting new patients
Rekha Padubidri, MD Inc Internal Medicine PastSince Jun 12, 2015 Accepting new patients

Locations

1001 Covington St
Youngstown, OH 44510
Phone (330) 480-2616

1044 Belmont Ave
Youngstown, OH 44504
Phone (330) 480-2182

1044 Belmont Ave
#4
Youngstown, OH 44504

Organizations & group practices 6

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 2

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": "1122595200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1720742400000",
    "number": "1669472817",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "550 PARMALEE AVE",
            "address_2": "SUITE 400",
            "city": "YOUNGSTOWN",
            "state": "OH",
            "postal_code": "445101602",
            "telephone_number": "330-743-6270",
            "fax_number": "330-743-6596"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 COVINGTON ST",
            "city": "YOUNGSTOWN",
            "state": "OH",
            "postal_code": "445101617",
            "telephone_number": "330-480-2616",
            "fax_number": "330-480-7979"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAVI",
        "first_name": "BHARGAVA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-07-29",
        "last_updated": "2024-07-12",
        "certification_date": "2024-07-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OH",
            "license": "35.057163",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Youngstown, OH

Sources for this page

Verify at the official NPI Registry.