Active NPI
Rajan Ravikumar, M.D.
- Allergy & Immunology Physician
- Brighton, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Allergy & Immunology Physician
- License
- 4301076537
- Practice address
- 7500 Challis Rd
2ND Floor
Brighton, MI 48116-9416 - Phone
- (734) 647-5940
- NPI assigned
- May 9, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Allergy & Immunology Physician | 207K00000X | MD428811 | PA | |
| Internal Medicine Physician | 207R00000X | 4301076537 | MI | |
| Allergy & Immunology Physician | 207K00000X | 4301076537 | MI | Primary |
Addresses
Primary practice location
7500 Challis Rd
2ND Floor
Brighton, MI 48116-9416
Mailing address
3621 S State St
Ann Arbor, MI 48108-1633
Phone (734) 647-5299
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20150803002532 | MI | Practitioner - Allergy/Immunology | 1254337231 | Reassigns benefits to 2 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Allergy/Immunology
- Education
- Rutgers New Jersey Medical School, 2000
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Regents of the University of Michigan
Practice addresses (Care Compare)
24 Frank Lloyd Wright Dr
Ann Arbor, MI 48105-9484
7500 Challis Rd
Brighton, MI 48116-9416
Phone (810) 263-4000
8001 Challis Rd
Brighton, MI 48116-7446
Phone (810) 227-9510
Hospital & facility affiliations
- University of Michigan Health System
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4301076537 | MI | MD | Allergy & Immunology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Regents of the University of Michigan | Current | Accepting new patients | |
| Regents of the University of Michigan | Allergy & Immunology | Current | Accepting new patients |
| Regents of the University of Michigan | Internal Medicine | Current | Accepting new patients |
| Regents of the University of Michigan | Allergy & Immunology | Past | Accepting new patients |
Locations
1500 E Medical Center Dr
Ann Arbor, MI 48109
Phone (734) 936-4280
3621 S State St
Ann Arbor, MI 48108
Phone (734) 647-5229
24 Frank Lloyd Wright Dr
Ann Arbor, MI 48105
Phone (734) 930-7400
8001 Challis Rd
Brighton, MI 48116
Phone (810) 227-9510
7500 Challis Rd
Brighton, MI 48116
Phone (734) 764-4190
7500 Challis Rd
Fl 2
Brighton, MI 48116
Phone (734) 647-5940
Interoperability endpoints
- rravikumar632174@direct.med.umich.edu
- rajan.ravikumar.1@4327.direct.athenahealth.com
Organizations & group practices 4
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.
-
- Internal Medicine Physician
- Ann Arbor, MI
- NPI 1205868353
Internal Medicine, MI
-
- Allergy & Immunology (Internal Medicine) Physician
- Ann Arbor, MI
- NPI 1700816881
Allergy & Immunology, MI
-
- Specialty Pharmacy
- Dexter, MI
- NPI 1952181919
-
- General Acute Care Hospital
- Ann Arbor, MI
- NPI 1003878539
Allergy & Immunology
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Ann Arbor, MI
- NPI 1003878539
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147132800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1549584000000",
"number": "1790734564",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3621 S STATE ST",
"city": "ANN ARBOR",
"state": "MI",
"postal_code": "481081633",
"telephone_number": "734-647-5299"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7500 CHALLIS RD",
"address_2": "2ND FLOOR",
"city": "BRIGHTON",
"state": "MI",
"postal_code": "481169416",
"telephone_number": "734-647-5940"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RAVIKUMAR",
"first_name": "RAJAN",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-09",
"last_updated": "2019-02-08",
"status": "A"
},
"taxonomies": [
{
"code": "207K00000X",
"taxonomy_group": "",
"desc": "Allergy & Immunology",
"state": "PA",
"license": "MD428811",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "MI",
"license": "4301076537",
"primary": false
},
{
"code": "207K00000X",
"taxonomy_group": "",
"desc": "Allergy & Immunology",
"state": "MI",
"license": "4301076537",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Brighton, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.