Active NPI
Priya Ravi
- Internal Medicine Physician
- Bellevue, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- MD61621809
- Practice address
- 1407 116TH Ave NE Ste 200
Bellevue, WA 98004-3819 - Phone
- (425) 635-6731
- NPI assigned
- Dec 9, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | MD61621809 | WA | Primary |
Addresses
Primary practice location
1407 116TH Ave NE Ste 200
Bellevue, WA 98004-3819
Mailing address
1035 116TH Ave NE
Bellevue, WA 98004-4604
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Other, 2001
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1750 112TH Ave NE
Suite B102
Bellevue, WA 98004-3772
Phone (425) 688-5460
Hospital & facility affiliations
- Overlake Hospital Medical Center & Clinics
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD61621809 | WA | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Overlake Medical Clinics, LLC | Current | Accepting new patients | |
| Overlake Medical Clinics LLC | Current | Accepting new patients |
Locations
1750 112th Ave NE
Ste B102
Bellevue, WA 98004
Phone (425) 688-5460
1407 116th Ave NE
Ste 200
Bellevue, WA 98004
Phone (425) 467-0150
1035 116th Ave NE
Bellevue, WA 98004
Phone (425) 451-4141
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.
-
- Specialist
- Bellevue, WA
- NPI 1801828421
-
- Specialist
- Bellevue, WA
- NPI 1871745703
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Bellevue, WA
- NPI 1598971855
-
- General Acute Care Hospital
- Bellevue, WA
- NPI 1861432726
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1733702400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1742860800000",
"number": "1962218636",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1035 116TH AVE NE",
"city": "BELLEVUE",
"state": "WA",
"postal_code": "980044604"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1407 116TH AVE NE STE 200",
"city": "BELLEVUE",
"state": "WA",
"postal_code": "980043819",
"telephone_number": "425-635-6731"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RAVI",
"first_name": "PRIYA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-12-09",
"last_updated": "2025-03-25",
"certification_date": "2025-03-25",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "WA",
"license": "MD61621809",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bellevue, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.