Individual provider Active NPI

Raghav Anjan Ravuri

  • Student in an Organized Health Care Education/Training Program
  • Hudson, FL
National Provider Identifier
1891323036
Registry record updated Apr 2, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X
Practice address
14000 Fivay Rd
Hudson, FL 34667-7103
Phone
(727) 819-2966
Fax
(727) 819-2928
NPI assigned
Apr 1, 2020
Last updated
Apr 2, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 2, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X Primary

Addresses

Primary practice location

14000 Fivay Rd
Hudson, FL 34667-7103

Mailing address

2808 Giorno Way
El Dorado Hills, CA 95762-4163
Phone (916) 467-0296

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, IN, KY3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20241029000032 TX Practitioner - Internal Medicine 2062945165 Reassigns benefits to 1 organization
I20251006001119 IN Practitioner - Hospitalist 2062945165 Reassigns benefits to 1 organization
I20251010000983 KY Practitioner - Hospitalist 2062945165 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Hospitalist
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Owensboro Health, IncGroup PAC ID 0547154650, shared by 9 NPIs, 179 clinicians
Deaconess Hospital, Inc.Group PAC ID 9032021431, 410 clinicians

Practice addresses (Care Compare)

1006 Ford Ave
Owensboro, KY 42301-4677
Phone (270) 688-4845

1305 N Elm St
Henderson, KY 42420-2783
Phone (270) 827-7474

600 Mary St
Evansville, IN 47710-1658
Phone (812) 450-7299

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Pine Ridge Indian Health Service Hospital Current Accepting new patients
Deaconess Hospital, Inc CurrentSince Aug 1, 2025 Accepting new patients
Pine Ridge Indian Health Service Hospital CurrentSince Oct 21, 2024 Accepting new patients
Deaconess Hospital Inc CurrentSince Aug 1, 2025 Accepting new patients
Deaconess Hospital, Inc. CurrentSince Aug 1, 2025 Accepting new patients
Pine Ridge Indian Health Service Hospital CurrentSince Oct 21, 2024 Accepting new patients

Locations

600 Mary St
Evansville, IN 47710
Phone (812) 450-2239

4011 Gateway Blvd
Newburgh, IN 47630
Phone (812) 450-2240

1305 N Elm St
Henderson, KY 42420
Phone (270) 827-7100

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 2

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": "1585699200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1585785600000",
    "number": "1891323036",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2808 GIORNO WAY",
            "city": "EL DORADO HILLS",
            "state": "CA",
            "postal_code": "957624163",
            "telephone_number": "916-467-0296"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14000 FIVAY RD",
            "city": "HUDSON",
            "state": "FL",
            "postal_code": "346677103",
            "telephone_number": "727-819-2966",
            "fax_number": "727-819-2928"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAVURI",
        "first_name": "RAGHAV",
        "middle_name": "ANJAN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-04-01",
        "last_updated": "2020-04-02",
        "certification_date": "2020-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hudson, FL

Sources for this page

Verify at the official NPI Registry.