Individual provider Active NPI

Lingamurthy Ravi, M.D.

  • Hospitalist Physician
  • Lodi, CA
National Provider Identifier
1679542120
Registry record updated May 25, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospitalist PhysicianTaxonomy code 208M00000X
License
C54849 Issued in CA
Practice address
845 S Fairmont Ave
Suite 8
Lodi, CA 95240-5113
Phone
(209) 339-7625
Fax
(209) 339-7419
NPI assigned
Mar 16, 2006
Last updated
May 25, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 25, 2022

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

Specialties & licenses 8

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X C54849 CA
Critical Care Medicine (Internal Medicine) Physician 207RC0200X C54849 CA
Pulmonary Disease Physician 207RP1001X 37483 TN
Pulmonary Disease Physician 207RP1001X 01066183A IN
Pulmonary Disease Physician 207RP1001X 41191 KY
Pulmonary Disease Physician 207RP1001X C54849 CA
Hospitalist Physician 208M00000X C54849 CA Primary
Sleep Medicine (Internal Medicine) Physician 207RS0012X C54849 CA

Addresses

Primary practice location

845 S Fairmont Ave
Suite 8
Lodi, CA 95240-5113

Mailing address

PO Box 7096
Stockton, CA 95267-0096
Phone (209) 956-7725

Other practice location 1

15630 18th Ave
Clearlake, CA 95422-9336
Phone (707) 994-6486

Other identifiers 5

IdentifierTypeStateIssuer
6407843900MedicaidKY
000000696138OtherINANTHEM PROVIDER NUMBER / TIN 35-2030653
200878960MedicaidIN
000000518675OtherKYANTHEM (CHS INC - PPCC)
357400OtherKYANTHEM BCBS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20130125000002 CA Practitioner - HospitalistPractitioner - Internal MedicinePractitioner - Pulmonary DiseasePractitioner - Critical Care (Intensivists)Practitioner - Sleep Medicine 9739160987 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
HospitalistAlso: Internal Medicine, Pulmonary Disease
Education
Other, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Galen Inpatient Physicians PCGroup PAC ID 3678464633, 1,045 clinicians
Providence Medical FoundationGroup PAC ID 8921993205, 1,461 clinicians
SV Hospitalist Medical Group IncGroup PAC ID 6103150347, 7 clinicians

Practice addresses (Care Compare)

10 Woodland Rd
Saint Helena, CA 94574-9554
Phone (707) 963-3611

1000 Trancas St
Napa, CA 94558-2906
Phone (707) 252-4411

15248 11TH St
Victorville, CA 92395-3704
Phone (760) 245-8691

15630 18TH Ave
Clearlake, CA 95422-9336
Phone (707) 994-6486

347 Andrieux St
Sonoma, CA 95476-6811
Phone (707) 935-5000

869 N Cherry St
Tulare, CA 93274-2207
Phone (559) 685-3462

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
01066183AINMDPulmonary Disease Physician
41191KYMDPulmonary Disease Physician
37483TNMDPulmonary Disease Physician
TP342KYMDMedical Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Providence Medical Foundation CurrentSince May 16, 2022 Accepting new patients
Galen Inpatient Physicians PC Hospitalist CurrentSince Jun 1, 2022 Accepting new patients
SV Hospitalist Medical Group Inc Hospitalist CurrentSince Nov 1, 2022 Accepting new patients
Galen Inpatient Physicians PC Internal Medicine CurrentSince Jun 1, 2022 Accepting new patients
Providence Medical Foundation Current Accepting new patients
Lodi Memorial Hospital Association Inc CurrentSince Jan 14, 2013 Accepting new patients
Providence Medical Foundation CurrentSince May 16, 2022 Accepting new patients
Galen Inpatient Physicians, PC Hospitalist Current Accepting new patients
Lodi Memorial Hospital Association, Inc Current Accepting new patients
Owensboro Health Medical Group Inc Internal Medicine Past Accepting new patients
Owensboro Health Medical Group, Inc Internal Medicine Past Accepting new patients
Attentus of Scott County, LLC Internal Medicine Past Accepting new patients
Sports Medicine Grant, Inc Past Accepting new patients
St. Joseph Health Northern California, LLC Past Accepting new patients
Queen of the Valley Medical Association Past Accepting new patients

Locations

15630 18th Ave
Clearlake, CA 95422
Phone (707) 995-5820

700 River Dr
Fort Bragg, CA 95437
Phone (707) 961-1234

845 S Fairmont Ave
Ste 8
Lodi, CA 95240
Phone (209) 339-7410

975 S Fairmont Ave
Lodi, CA 95240
Phone (209) 339-7575

1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 900-3125

1000 Trancas St
Napa, CA 94558
Phone (707) 226-2901

1100 Trancas St
Ste 209
Napa, CA 94558
Phone (707) 251-1850

10 Woodland Rd
Saint Helena, CA 94574
Phone (707) 963-2002

450 Stanyan St
San Francisco, CA 94117
Phone (415) 668-1000

1165 Montgomery Dr
#1112
Santa Rosa, CA 95405
Phone (707) 546-3210

347 Andrieux St
Sonoma, CA 95476
Phone (707) 935-5000

869 N Cherry St
Tulare, CA 93274
Phone (559) 326-2800

275 Hospital Dr
Ukiah, CA 95482
Phone (707) 462-7900

1 Marcela Dr
Willits, CA 95490
Phone (707) 456-3001

Organizations & group practices 16

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.

View all 16

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": "1142467200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1653436800000",
    "number": "1679542120",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7096",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "952670096",
            "telephone_number": "209-956-7725",
            "fax_number": "209-956-7733"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "845 S FAIRMONT AVE",
            "address_2": "SUITE 8",
            "city": "LODI",
            "state": "CA",
            "postal_code": "952405113",
            "telephone_number": "209-339-7625",
            "fax_number": "209-339-7419"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "15630 18th Ave",
            "address_purpose": "LOCATION",
            "city": "Clearlake",
            "state": "CA",
            "postal_code": "954229336",
            "country_code": "US",
            "telephone_number": "707-994-6486",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RAVI",
        "first_name": "LINGAMURTHY",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-16",
        "last_updated": "2022-05-25",
        "certification_date": "2022-05-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "C54849",
            "primary": false
        },
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "CA",
            "license": "C54849",
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "TN",
            "license": "37483",
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "IN",
            "license": "01066183A",
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "KY",
            "license": "41191",
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "CA",
            "license": "C54849",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "CA",
            "license": "C54849",
            "primary": true
        },
        {
            "code": "207RS0012X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Sleep Medicine",
            "state": "CA",
            "license": "C54849",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6407843900",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM PROVIDER NUMBER / TIN 35-2030653",
            "identifier": "000000696138",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200878960",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM (CHS INC - PPCC)",
            "identifier": "000000518675",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BCBS",
            "identifier": "357400",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lodi, CA

Sources for this page

Verify at the official NPI Registry.