Individual provider Active NPI

Mayuran Ravindran, MD

  • Allergy & Immunology Physician
  • Raleigh, NC
National Provider Identifier
1962039164
Registry record updated Jul 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Allergy & Immunology PhysicianTaxonomy code 207K00000X
License
2023-00633 Issued in NC
Practice address
2615 Lake Dr Ste 301
Raleigh, NC 27607-6694
Phone
(919) 787-5995
Fax
(919) 783-9406
NPI assigned
Mar 26, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 1, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Allergy & Immunology Physician 207K00000X 2023-00633 NC Primary

Addresses

Primary practice location

2615 Lake Dr Ste 301
Raleigh, NC 27607-6694

Mailing address

PO Box 603725
Charlotte, NC 28260-3725
Phone (828) 575-2625

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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
I20250721002275 NC Practitioner - Allergy/Immunology 2062835028 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Allergy/Immunology
Education
Ohio State University College of Medicine, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Allergy Partners PLLCGroup PAC ID 7113822420, 144 clinicians

Practice addresses (Care Compare)

2615 Lake Dr
Suite 301
Raleigh, NC 27607-6694
Phone (919) 787-5995

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Allergy Partners, PLLC Allergy & Immunology Current Accepting new patients
NPI 1508468638 Allergy & Immunology CurrentSince Aug 15, 2025 Accepting new patients
Allergy Partners, PLLC Allergy & Immunology CurrentSince Aug 15, 2025 Accepting new patients
Allergy Partners, PLLC Allergy & Immunology Past Accepting new patients

Locations

100 Parkway Office Ct
Ste 212
Cary, NC 27518
Phone (919) 859-8144

10880 Durant Rd
Ste 200
Raleigh, NC 27614
Phone (919) 295-6661

2615 Lake Dr
Ste 301
Raleigh, NC 27607
Phone (919) 787-5995

Interoperability endpoints

  • Direct secure messaging: mravindran1024754@direct.unc.nchie.net

Organizations & group practices 3

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": "1585180800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1751328000000",
    "number": "1962039164",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 603725",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282603725",
            "telephone_number": "828-575-2625",
            "fax_number": "828-350-2174"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2615 LAKE DR STE 301",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276076694",
            "telephone_number": "919-787-5995",
            "fax_number": "919-783-9406"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAVINDRAN",
        "first_name": "MAYURAN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-03-26",
        "last_updated": "2025-07-01",
        "certification_date": "2025-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207K00000X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology",
            "state": "NC",
            "license": "2023-00633",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Raleigh, NC

Sources for this page

Verify at the official NPI Registry.