Active NPI
Manoj Ravi, MD
- Family Medicine Physician
- Randolph AFB, TX
National Provider Identifier
1871560896
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- Q0814
- Practice address
- Jbsa-Randolph Clinic 559 Medical Squadron
221 3Rd St W
Randolph AFB, TX 78150 - Phone
- (210) 652-4264
- Fax
- (210) 652-4264
- NPI assigned
- Mar 8, 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | Q0814 | TX | Primary |
| Aerospace Medicine Physician | 2083A0100X | Q0814 | TX |
Addresses
Primary practice location
Jbsa-Randolph Clinic 559 Medical Squadron
221 3Rd St W
Randolph AFB, TX 78150
Mailing address
6955 Titan Park
Converse, TX 78109-0229
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| Q0814 | Other | TX | TEXAS MEDICAL BOARD |
| 010158360 | Other | VA | STATE MEDICAL LICENSE |
| E-8688 | Other | AR | STATE LICENSE ARKANSAS |
| MD061431Y | Other | PA | STATE LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| Q0814 | TX | MD | Aerospace Medicine Physician |
Interoperability endpoints
- mravi561938@direct.sw.org
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1141776000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1772064000000",
"number": "1871560896",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6955 TITAN PARK",
"city": "CONVERSE",
"state": "TX",
"postal_code": "781090229",
"fax_number": "210-292-4458"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "JBSA-RANDOLPH CLINIC 559 MEDICAL SQUADRON",
"address_2": "221 3RD ST W",
"city": "RANDOLPH AFB",
"state": "TX",
"postal_code": "78150",
"telephone_number": "210-652-4264",
"fax_number": "210-652-4264"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RAVI",
"first_name": "MANOJ",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-03-08",
"last_updated": "2026-02-26",
"certification_date": "2026-02-26",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "TX",
"license": "Q0814",
"primary": true
},
{
"code": "2083A0100X",
"taxonomy_group": "",
"desc": "Preventive Medicine, Aerospace Medicine",
"state": "TX",
"license": "Q0814",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TEXAS MEDICAL BOARD",
"identifier": "Q0814",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE MEDICAL LICENSE",
"identifier": "010158360",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSE ARKANSAS",
"identifier": "E-8688",
"state": "AR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSE",
"identifier": "MD061431Y",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Randolph AFB, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.