NPIMap

Individual provider Active NPI

Raviteja Guddeti, MD

  • Interventional Cardiology Physician
  • Cincinnati, OH
National Provider Identifier
1891101986
Registry record updated Jan 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Cardiology PhysicianTaxonomy code 207RI0011X
License
2021-00562 Issued in NC
Practice address
2123 Auburn Ave Ste 428
Cincinnati, OH 45219-2906
Phone
(513) 206-1222
Fax
(513) 585-2095
NPI assigned
Jul 9, 2014
Last updated
Jan 9, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 9, 2025

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 NU
Interventional Cardiology Physician 207RI0011X 2021-00562 NC Primary

Addresses

Primary practice location

2123 Auburn Ave Ste 428
Cincinnati, OH 45219-2906

Mailing address

2139 Auburn Ave. 4-7
Cincinnati, OH 45219-2906
Phone (513) 263-9402

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC, OH2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20220523001706 NC Practitioner - Interventional CardiologyPractitioner - Cardiovascular Disease (Cardiology) 8921318437 Reassigns benefits to 2 organizations
I20240730004117 OH Practitioner - Interventional CardiologyPractitioner - Cardiovascular Disease (Cardiology) 8921318437 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Interventional CardiologyAlso: Cardiovascular Disease (Cardiology)
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
The Christ Hospital Cardiovascular Associates LLCGroup PAC ID 1658449715, 151 clinicians

Practice addresses (Care Compare)

2123 Auburn Ave
Suite 137
Cincinnati, OH 45219-2906
Phone (513) 206-1180

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary angioplasty and stenting46

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
The Christ Hospital Medical Associates, LLC CurrentSince Jan 12, 2025 Accepting new patients
Harnett Health System Inc CurrentSince Jul 31, 2023 Accepting new patients
Harnett Health System, Inc. CurrentSince Jul 31, 2023 Accepting new patients
The Christ Hospital Cardiovascular Associates LLC Interventional Cardiology CurrentSince Jul 1, 2024 Accepting new patients
Fayetteville Heart Center, P.C. CurrentSince Feb 10, 2022 Accepting new patients
Christ Hospital Cardiology Assoc Past Accepting new patients
Christ Hospital PastSince Jan 12, 2025 Accepting new patients

Locations

2301 Robeson St
Ste 301
Fayetteville, NC 28305
Phone (910) 484-4100

225 Brightwater Dr
Ste 100
Lillington, NC 27546
Phone (910) 984-3080

2123 Auburn Ave
#137
Cincinnati, OH 45219
Phone (513) 206-1180

2123 Auburn Ave
Ste 122
Cincinnati, OH 45219
Phone (513) 381-1400

2123 Auburn Ave
Ste 136
Cincinnati, OH 45219
Phone (513) 206-1060

2123 Auburn Ave
Ste 428
Cincinnati, OH 45219
Phone (513) 206-1222

2139 Auburn Ave
#47
Cincinnati, OH 45219

Interoperability endpoints

  • Direct secure messaging: rguddeti91647@capefearvalley.direct-ci.com

Organizations & group practices 7

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.

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": "1404864000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736380800000",
    "number": "1891101986",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2139 AUBURN AVE. 4-7",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452192906",
            "telephone_number": "513-263-9402",
            "fax_number": "513-564-2918"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2123 AUBURN AVE STE 428",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452192906",
            "telephone_number": "513-206-1222",
            "fax_number": "513-585-2095"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUDDETI",
        "first_name": "RAVITEJA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-07-09",
        "last_updated": "2025-01-09",
        "certification_date": "2025-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "NC",
            "license": "2021-00562",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cincinnati, OH

Sources for this page

Verify at the official NPI Registry.