NPIMap

Individual provider Active NPI

Pavan Mahendra Ravella, MD

  • Hematology (Internal Medicine) Physician
  • Mooresville, NC
National Provider Identifier
1710212147
Registry record updated Dec 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hematology (Internal Medicine) PhysicianTaxonomy code 207RH0000X
License
2025-03697 Issued in NC
Practice address
170 Medical Park Rd Ste 101
Mooresville, NC 28117-8541
Phone
(980) 302-7070
NPI assigned
Oct 2, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 30, 2025

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Hematology (Internal Medicine) Physician 207RH0000X 2025-03697 NC Primary
Hematology (Internal Medicine) Physician 207RH0000X 01075948A IN
Student in an Organized Health Care Education/Training Program 390200000X
Medical Oncology Physician 207RX0202X 01075948A IN

Addresses

Primary practice location

170 Medical Park Rd Ste 101
Mooresville, NC 28117-8541

Mailing address

PO Box 60447
Charlotte, NC 28260-0447
Phone (980) 302-7070

Other practice location 1

420 N 26th St
Lafayette, IN 47904-2848
Phone (765) 448-8000

Other identifiers 2

IdentifierTypeStateIssuer
201320510MedicaidIN
000000964118OtherINANTHEM PROVIDER NUMBER

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address pravella@direct.iuhealth.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN, NC2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20150930002618 IN Practitioner - HematologyPractitioner - Medical Oncology 5193033751 Reassigns benefits to 1 organization
I20260206001693 NC Practitioner - Hematology/OncologyPractitioner - Hematology 5193033751 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Hematology/OncologyAlso: Hematology
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
The Presbyterian Hospital 412 clinicians
Arnett Clinic LLC 401 clinicians
Novant Health Rowan Medical Center LLC 56 clinicians

Practice addresses (Care Compare)

125 Queens Rd
Charlotte, NC 28204-3215
Phone (980) 302-6450

2600 Greenbush St
Lafayette, IN 47904-2477
Phone (765) 448-8000

631 Mocksville Ave
Suite 1020
Salisbury, NC 28144-2731
Phone (704) 210-7600

Hospital & facility affiliations

  • Indiana University Health Arnett Hospital Hospital, Lafayette, IN, CCN 150173
  • Novant Health Presbyterian Medical Center Hospital, Charlotte, NC, CCN 340053
  • Indiana University Health White Memorial Hospital Hospital, Monticello, IN, CCN 151312
  • Novant Health Rowan Medical Center Hospital, Salisbury, NC, CCN 340015
  • Novant Health Huntersville Medical Center Hospital, Huntersville, NC, CCN 340183

Merit-based Incentive Payment System (MIPS)

Final score
84.49 of 100Reported as individual
Quality
75.35
Promoting interoperability
98
Improvement activities
40
Cost
65.72

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
01075948AINMDHematology (Internal Medicine) Physician
2025-03697NCMDHematology (Internal Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Novant Health Rowan Medical Center, LLC CurrentSince Dec 7, 2025 Accepting new patients
Arnett Clinic, LLC CurrentSince Nov 1, 2015 Accepting new patients
Arnett Clinic, LLC Current Accepting new patients
The Presbyterian Hospital CurrentSince Dec 7, 2025 Accepting new patients
The Presbyterian Hospital CurrentSince Dec 7, 2025 Accepting new patients
Arnett Clinic, LLC CurrentSince Nov 1, 2015 Accepting new patients
Rowan Regional Medical Center, Inc. Past Accepting new patients
Novant Medical Group, Inc. Past Accepting new patients

Locations

8016 Reliable Pkwy
Chicago, IL 60686

420 N 26th St
Lafayette, IN 47904
Phone (765) 448-7500

2600 Greenbush St
Lafayette, IN 47904

1200 W White River Blvd
Muncie, IN 47303
Phone (765) 254-4009

125 Queens Rd
Charlotte, NC 28204
Phone (980) 302-6380

6324 Fairview Rd
Ste 330
Charlotte, NC 28210
Phone (704) 316-1950

335 N Caswell Rd
Charlotte, NC 28204
Phone (704) 384-7390

170 Medical Park Rd
Ste 101
Mooresville, NC 28117
Phone (704) 799-3946

631 Mocksville Ave
#1020
Salisbury, NC 28144
Phone (704) 210-7600

612 Mocksville Ave
Salisbury, NC 28144
Phone (704) 210-5000

276 Old Mocksville Rd
Ste 800
Statesville, NC 28625
Phone (704) 873-5150

Interoperability endpoints

  • Direct secure messaging: pravella@direct.iuhealth.org

Organizations & group practices 23

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.

View all 23

Hospital & facility affiliations 8

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": "1254441600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1767052800000",
    "number": "1710212147",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 60447",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282600447",
            "telephone_number": "980-302-7070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "170 MEDICAL PARK RD STE 101",
            "city": "MOORESVILLE",
            "state": "NC",
            "postal_code": "281178541",
            "telephone_number": "980-302-7070"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "420 N 26th St",
            "address_purpose": "LOCATION",
            "city": "Lafayette",
            "state": "IN",
            "postal_code": "479042848",
            "country_code": "US",
            "telephone_number": "765-448-8000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RAVELLA",
        "first_name": "PAVAN MAHENDRA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-10-02",
        "last_updated": "2025-12-30",
        "certification_date": "2025-12-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RH0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology",
            "state": "NC",
            "license": "2025-03697",
            "primary": true
        },
        {
            "code": "207RH0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology",
            "state": "IN",
            "license": "01075948A",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RX0202X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Medical Oncology",
            "state": "IN",
            "license": "01075948A",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "201320510",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM PROVIDER NUMBER",
            "identifier": "000000964118",
            "state": "IN"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "pravella@direct.iuhealth.org",
            "affiliation": "N",
            "address_1": "420 N 26th St",
            "city": "Lafayette",
            "state": "IN",
            "country_code": "US",
            "postal_code": "479042848",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Mooresville, NC

Sources for this page

Verify at the official NPI Registry.