Ravillamed PLLC

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

Legal business name

RAVILLAMED PLLC

Practice address

2119 E Norris St
Philadelphia, PA 19125-1924

Phone

(973) 400-9564

NPI assigned

Aug 7, 2024

Last updated

Feb 3, 2026By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Avinash Ravilla, DONPI 1376926063

Title

President

Phone

(973) 400-9564

Specialties & licenses 2

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Avinash Ravilla, D.O

  • General Practice Physician
  • New York, NY
  • NPI 1376926063

  Emergency Medicine

  NPD Authorized official

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

{
    "created_epoch": "1722988800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1770076800000",
    "number": "1922838473",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "58 JUNIPER TER",
            "city": "TUXEDO PARK",
            "state": "NY",
            "postal_code": "109874769",
            "telephone_number": "973-400-9564"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2119 E NORRIS ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191251924",
            "telephone_number": "973-400-9564"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RAVILLAMED PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-08-07",
        "last_updated": "2026-02-03",
        "certification_date": "2026-02-03",
        "status": "A",
        "authorized_official_last_name": "RAVILLA",
        "authorized_official_first_name": "AVINASH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "973-400-9564",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lisa Ann Ravetz, DMD
• Ravi Medical Tools LLC
• Ananya Ravi
• Saiprasad Ravi
• Sanjana Ravi, DO
• Ravim Pharmaceuticals (West Town Pharmacy)
• Krishna Ravindra, MD
• Chitra Ravishankar, M.D.
• Ravital Consulting LLC
• Ameet Ravital, PHD

• General Practice Physician in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• General Practice Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 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.

Verify at the official NPI Registry.