Individual provider Active NPI

Sriram Ravi, MD

  • Cardiovascular Disease Physician
  • Portland, OR
National Provider Identifier
1831456979
Registry record updated Dec 13, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
MD172149 Issued in OR
Practice address
9427 SW Barnes Rd Ste 495
Portland, OR 97225-6612
Phone
(503) 216-1661
NPI assigned
Apr 13, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 13, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Cardiovascular Disease Physician 207RC0000X MD172149 OR Primary

Addresses

Primary practice location

9427 SW Barnes Rd Ste 495
Portland, OR 97225-6612

Mailing address

PO Box 3158
Portland, OR 97208-3158
Phone (503) 215-6494

Other practice location 1

3181 SW Sam Jackson Park Road
Portland, OR 97239
Phone (503) 494-8211

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR
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
I20190820004298 OR Practitioner - Cardiovascular Disease (Cardiology) 4183869555 Reassigns benefits to 9 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)
Education
University of Arizona College of Medicine, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Providence Health and Services - OregonGroup PAC ID 3072415652, 61 clinicians
Providence Health and Services OregonGroup PAC ID 6103728753, 52 clinicians
Providence Health and Services - OregonGroup PAC ID 5294901922, 52 clinicians
Providence Health and Services - OregonGroup PAC ID 5395656284, 195 clinicians
Providence Health and Services OregonGroup PAC ID 1557260106, 97 clinicians
Providence Health and Services OregonGroup PAC ID 0648183608, 1,423 clinicians
Providence Health and Services - OregonGroup PAC ID 9335057447, 212 clinicians

Practice addresses (Care Compare)

1001 N Providence Dr
Newberg, OR 97132-7485
Phone (503) 537-1555

10150 SE 32ND Ave
Milwaukie, OR 97222-6516
Phone (503) 513-8300

1500 Division St
Oregon City, OR 97045-1527
Phone (503) 656-1631

200 S Hazel Dell Way
Suite 210
Canby, OR 97013-7828
Phone (503) 263-9550

4805 NE Glisan St
Portland, OR 97213-2933
Phone (503) 215-1111

725 S Wahanna Rd
Seaside, OR 97138-7735
Phone (503) 717-7000

7305 SE Circuit Dr
Suite 220
Hillsboro, OR 97129-1964
Phone (503) 962-1000

9205 SW Barnes Rd
Portland, OR 97225-6603
Phone (503) 216-2213

Hospital & facility affiliations

  • Providence St Vincent Medical Center Hospital, Portland, OR, CCN 380004
  • Providence Portland Medical Center Hospital, Portland, OR, CCN 380061
  • Providence Newberg Medical Center Hospital, Newberg, OR, CCN 380037
  • Providence Seaside Hospital Hospital, Seaside, OR, CCN 381303
  • Providence Willamette Falls Medical Center Hospital, Oregon City, OR, CCN 380038

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD172149ORMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Providence Health & Services Oregon Current Accepting new patients
Providence Health & Services - Oregon CurrentSince Sep 1, 2019 Accepting new patients
Providence Health & Services Oregon Current Accepting new patients
Providence Health & Services - Oregon Current Accepting new patients
Providence Health & Services Oregon CurrentSince Sep 1, 2019 Accepting new patients
Providence Health & Services Oregon CurrentSince Jun 12, 2022 Accepting new patients
Providence Health & Services Oregon CurrentSince Sep 1, 2019 Accepting new patients
Providence Health & Services Oregon CurrentSince Sep 1, 2019 Accepting new patients
Providence Health & Services - Oregon Current Accepting new patients
Providence Health & Services - Oregon CurrentSince Feb 18, 2020 Accepting new patients
Providence Health & Services - Oregon Current Accepting new patients
Providence Health & Services - Oregon CurrentSince Sep 1, 2019 Accepting new patients
Providence Health & Services Oregon CurrentSince Feb 29, 2020 Accepting new patients
Providence Health & Services Oregon CurrentSince Jun 12, 2022 Accepting new patients
Providence Health & Services - Oregon CurrentSince Feb 17, 2020 Accepting new patients
Providence Health & Services Oregon CurrentSince Oct 27, 2019 Accepting new patients
Providence Health & Services - Oregon CurrentSince Oct 27, 2019 Accepting new patients
Providence Health & Services Oregon CurrentSince Sep 1, 2019 Accepting new patients
Providence Health & Services Oregon CurrentSince Feb 29, 2020 Accepting new patients
Arizona Orthopedic Physical Therapy, PLLC PastSince Jan 1, 2007 Accepting new patients

Locations

1355 Exchange St
Astoria, OR 97103
Phone (503) 216-2188

200 S Hazel Dell Way
Canby, OR 97013
Phone (203) 263-9500

200 S Hazel Dell Way
Ste 210
Canby, OR 97013
Phone (503) 263-9550

7305 SE Circuit Dr
Ste 220
Hillsboro, OR 97129

810 12th St
Hood River, OR 97031
Phone (541) 386-3911

1001 N Providence Dr
Newberg, OR 97132
Phone (503) 216-1538

1003 N Providence Dr
Ste 325
Newberg, OR 97132
Phone (503) 216-1661

10150 SE 32nd Ave
Portland, OR 97222
Phone (503) 215-4202

5050 NE Hoyt St
Ste 454
Portland, OR 97213
Phone (503) 215-6405

9427 SW Barnes Rd
Ste 495
Portland, OR 97225
Phone (503) 216-0900

5050 NE Hoyt St
Ste 240
Portland, OR 97213
Phone (503) 215-6480

4805 NE Glisan St
Portland, OR 97213
Phone (503) 215-1111

1321 NE 99th Ave
Ste 200
Portland, OR 97220
Phone (503) 215-4250

9205 SW Barnes Rd
Portland, OR 97225
Phone (503) 216-1234

5050 Skyline Village Loop S
Salem, OR 97306
Phone (503) 291-2123

725 S Wahanna Rd
Seaside, OR 97138
Phone (503) 717-7000

960 N 16th St
Ste 304
Springfield, OR 97477
Phone (541) 744-6172

Interoperability endpoints

  • Direct secure messaging: sravi1038691@oc.providencedirect.org

Organizations & group practices 20

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 20

Hospital & facility affiliations 7

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": "1334275200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1576195200000",
    "number": "1831456979",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3158",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972083158",
            "telephone_number": "503-215-6494"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9427 SW BARNES RD STE 495",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972256612",
            "telephone_number": "503-216-1661"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3181 SW Sam Jackson Park Road",
            "address_purpose": "LOCATION",
            "city": "Portland",
            "state": "OR",
            "postal_code": "97239",
            "country_code": "US",
            "telephone_number": "503-494-8211",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RAVI",
        "first_name": "SRIRAM",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-04-13",
        "last_updated": "2019-12-13",
        "certification_date": "2019-12-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "OR",
            "license": "MD172149",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Portland, OR

Sources for this page

Verify at the official NPI Registry.