Individual provider Active NPI

Pinjai Ramadas Ravichander, M.D.

  • Hematology & Oncology Physician
  • Greenville, SC
National Provider Identifier
1912986423
Registry record updated Nov 14, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hematology & Oncology PhysicianTaxonomy code 207RH0003X
License
16415 Issued in SC
Practice address
4210 E North St
Greenville, SC 29615-2423
Phone
(864) 244-6777
Fax
(864) 244-4212
NPI assigned
Jan 12, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 14, 2007

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 16415 SC
Hematology (Internal Medicine) Physician 207RH0000X 16415 SC
Medical Oncology Physician 207RX0202X 16415 SC
Hematology & Oncology Physician 207RH0003X 16415 SC Primary

Addresses

Primary practice location

4210 E North St
Greenville, SC 29615-2423

Mailing address

PO Box 26683
Greenville, SC 29616-1683
Phone (864) 244-6777

Other identifiers 1

IdentifierTypeStateIssuer
164155MedicaidSC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC
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

Enrollment IDStateProvider typePAC IDDetails
I20101119000998 SC Practitioner - Hematology/Oncology 8325234024 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Eastside Hematology Oncology Hematology & Oncology CurrentSince Aug 1, 1999 Accepting new patients
St Francis Physician Services Inc Internal Medicine Past Accepting new patients

Locations

4210 E North St
Greenville, SC 29615
Phone (864) 244-6777

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1137024000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1194998400000",
    "number": "1912986423",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 26683",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296161683",
            "telephone_number": "864-244-6777",
            "fax_number": "864-244-4212"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4210 E NORTH ST",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296152423",
            "telephone_number": "864-244-6777",
            "fax_number": "864-244-4212"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAVICHANDER",
        "first_name": "PINJAI",
        "middle_name": "RAMADAS",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-12",
        "last_updated": "2007-11-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "SC",
            "license": "16415",
            "primary": false
        },
        {
            "code": "207RH0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology",
            "state": "SC",
            "license": "16415",
            "primary": false
        },
        {
            "code": "207RX0202X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Medical Oncology",
            "state": "SC",
            "license": "16415",
            "primary": false
        },
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "SC",
            "license": "16415",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "164155",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenville, SC

Sources for this page

Verify at the official NPI Registry.