Thulasiraman P Ravichandran, MD

Primary specialty

Neurology PhysicianTaxonomy code 2084N0400X

License

38984-020 Issued in WI

Practice address

2025 W Oklahoma Ave
Suite 120
Milwaukee, WI 53215-4455

Phone

(414) 382-8960

Fax

(414) 382-8975

NPI assigned

May 24, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in WI

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

Specialty

Neurology

Education

Other, 1978

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Advantage Physical Therapy and Sports Rehab, LLCGroup PAC ID 8022016336, shared by 3 NPIs, 289 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Neurology-Neurodiagnostic Center, S.C.

  • Neurology Physician
  • Milwaukee, WI
  • NPI 1033164462
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1148428800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1583884800000",
    "number": "1861447906",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2025 W OKLAHOMA AVE",
            "address_2": "SUITE 120",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532154455",
            "telephone_number": "414-382-8960",
            "fax_number": "414-382-8975"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2025 W OKLAHOMA AVE",
            "address_2": "SUITE 120",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532154455",
            "telephone_number": "414-382-8960",
            "fax_number": "414-382-8975"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAVICHANDRAN",
        "first_name": "THULASIRAMAN",
        "middle_name": "P",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-24",
        "last_updated": "2020-03-11",
        "certification_date": "2020-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084D0003X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Diagnostic Neuroimaging",
            "state": "WI",
            "license": "38984-20",
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "WI",
            "license": "38984-020",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "130020975",
            "state": "WI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "32352600",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jennifer E Rauscher, NP
• Raven Therapy LLC
• Meisha Raven, D.O.
• Valerie Lauren Ravenna, PHARM D
• Ravenswood Clinic Inc
• Swati Yeshwant Rawal, BDS, MDS, MS
• Yeshwant B Rawal, BDS, MDS, MS
• Badi Rawashdeh, MD
• Paris Rawlinson
• Destini Rawls-Keyes

• Neurology Physician in Milwaukee, WI
• Providers in Milwaukee, WI by specialty
• Neurology Physician in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2020; 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.

Verify at the official NPI Registry.