Jayanthi Ravisankar, MD

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

34558 Issued in KY

Practice address

104 Legacy Dr
Berea, KY 40403-9594

Phone

(859) 986-2323

Fax

(859) 986-7728

NPI assigned

Dec 28, 2005

Last updated

Feb 14, 2014By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in KY

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

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Health Help Incorporated

  dba White House Clinic

  • Federally Qualified Health Center (FQHC)
  • McKee, KY
  • NPI 1770569113
  Medicare reassignment NPD
• Health Help Incorporated

  dba White House Clinic

  • Federally Qualified Health Center (FQHC)
  • Berea, KY
  • NPI 1023094695
  NPD
• Health Help Incorporated

  dba White House Clinics

  • Federally Qualified Health Center (FQHC)
  • Berea, KY
  • NPI 1023814225
  NPD
• Health Help Incorporated

  dba White House Clinic

  • Federally Qualified Health Center (FQHC)
  • Irvine, KY
  • NPI 1427283647
  NPD
• Health Help Incorporated

  dba White House Clinics

  • Federally Qualified Health Center (FQHC)
  • Mount Vernon, KY
  • NPI 1437407723
  NPD
• Health Help Incorporated

  dba White House Clinics

  • Federally Qualified Health Center (FQHC)
  • Lancaster, KY
  • NPI 1588187504
  NPD
• Health Help Incorporated

  dba White House Clinic-Richmond

  • Federally Qualified Health Center (FQHC)
  • Richmond, KY
  • NPI 1659358398
  NPD
• Health Help Incorporated

  • Federally Qualified Health Center (FQHC)
  • Berea, KY
  • NPI 1861477630
  NPD

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

{
    "created_epoch": "1135728000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1392336000000",
    "number": "1881671204",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1010 MAIN ST S",
            "city": "MC KEE",
            "state": "KY",
            "postal_code": "404477089",
            "telephone_number": "606-287-7104",
            "fax_number": "606-287-4409"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "104 LEGACY DR",
            "city": "BEREA",
            "state": "KY",
            "postal_code": "404039594",
            "telephone_number": "859-986-2323",
            "fax_number": "859-986-7728"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAVISANKAR",
        "first_name": "JAYANTHI",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-12-28",
        "last_updated": "2014-02-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "KY",
            "license": "34558",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "64354582",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Premise Health of West Virginia Medical, Medical Corporation (Hyster-Yale - Berea)
• Wendy Price
• Tamie Proctor
• Michelle Lynn-Hogg Raney, MS, CCC-SLP
• Debra Ratliff, LPCC
• Jarrod Keith Reid, D.M.D.
• Sue Ellen Reimondo, PH.D., LPCC
• Resource Anesthesia Kentucky Inc
• Katelyn Richards
• Dasen R Ritchey, M.D.

• Pediatrics Physician in Berea, KY
• Providers in Berea, KY by specialty
• Pediatrics Physician in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2014; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.