Individual provider Active NPI

Prasad Ravi, MD

  • Pediatric Cardiology Physician
  • Willoughby Hills, OH
National Provider Identifier
1730461120
Registry record updated Sep 13, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Cardiology PhysicianTaxonomy code 2080P0202X
License
036128635 Issued in IL
Practice address
34464 Aspen Run
Apt 9
Willoughby Hills, OH 44094
Phone
(732) 325-7824
NPI assigned
Sep 13, 2011
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 13, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Cardiology Physician 2080P0202X 036128635 IL Primary

Addresses

Primary practice location

34464 Aspen Run
Apt 9
Willoughby Hills, OH 44094

Mailing address

34464 Aspen Run
Apt 9
Willoughby Hills, OH 44094
Phone (732) 325-7824

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, AZ, TX3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20170224000033 PA Practitioner - Cardiovascular Disease (Cardiology) 1456635150 Reassigns benefits to 1 organization
I20170616001165 AZ Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Pediatric Medicine 1456635150 Reassigns benefits to 1 organization
I20250411003063 TX Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Pediatric Medicine 1456635150 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)Also: Pediatric Medicine
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

3533 S Alameda St
Corpus Christi, TX 78411-1721

5500 N Expressway
77 Suite 201
Brownsville, TX 78411-1721
Phone (956) 698-8600

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036128635ILMDPediatric Cardiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Children's Physician Services of South Texas CurrentSince Apr 1, 2025 Accepting new patients
Banner Physician Super Specialists Arizona LLC CurrentSince Jul 1, 2017 Accepting new patients
Cardiology Care for Children Pediatric Cardiology CurrentSince Jan 2, 2017 Accepting new patients
Children's Physician Services of South Texas Pediatrics CurrentSince Apr 1, 2025 Accepting new patients
Banner Physician Super Specialists Arizona LLC CurrentSince Jul 1, 2017 Accepting new patients
Citizens Medical Center County of Victoria Past Accepting new patients
The Nemours Foundation PastSince Jan 2, 2017 Accepting new patients

Locations

5310 W Thunderbird Rd
Ste 214
Glendale, AZ 85306
Phone (602) 865-4480

1432 S Dobson Rd
Ste 509
Mesa, AZ 85202
Phone (480) 412-6970

1450 S Dobson Rd
Ste B221
Mesa, AZ 85202
Phone (480) 461-1161

1432 S Dobson Rd
Ste 301
Mesa, AZ 85202
Phone (480) 412-7120

1432 S Dobson Rd
Ste 403
Mesa, AZ 85202
Phone (480) 412-7473

1432 S Dobson Rd
Ste 512
Mesa, AZ 85202
Phone (480) 412-6336

9305 W Thomas Rd
Ste 125
Phoenix, AZ 85037
Phone (602) 865-4065

21772 S Ellsworth Loop Rd
Queen Creek, AZ 85142
Phone (480) 512-3700

37100 N Gantzel Rd
Ste 214
San Tan Valley, AZ 85140
Phone (480) 412-9400

1834 Oregon Pike
Ste 20
Lancaster, PA 17601
Phone (717) 925-8300

4525 Ayers St
Corpus Christi, TX 78415
Phone (877) 324-7543

3533 S Alameda St
Ste H100
Corpus Christi, TX 78411
Phone (361) 694-5082

3533 S Alameda St
Corpus Christi, TX 78411
Phone (361) 694-5445

Interoperability endpoints

  • Direct secure messaging: pravi623152@christushealth.direct-ci.net

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 and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1315872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1315872000000",
    "number": "1730461120",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "34464 ASPEN RUN",
            "address_2": "APT 9",
            "city": "WILLOUGHBY HILLS",
            "state": "OH",
            "postal_code": "44094",
            "telephone_number": "732-325-7824"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "34464 ASPEN RUN",
            "address_2": "APT 9",
            "city": "WILLOUGHBY HILLS",
            "state": "OH",
            "postal_code": "44094",
            "telephone_number": "732-325-7824"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAVI",
        "first_name": "PRASAD",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-09-13",
        "last_updated": "2011-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2080P0202X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Cardiology",
            "state": "IL",
            "license": "036128635",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Willoughby Hills, OH

Sources for this page

Verify at the official NPI Registry.