Individual provider Active NPI

Ravi Ashok Patel, MD, MBA, FACP, FAHA

  • Neurology Physician
  • Apple Valley, CA
National Provider Identifier
1962667790
Registry record updated May 24, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
A115902 Issued in CA
Practice address
15963 Quantico Rd
Suite C
Apple Valley, CA 92307-0839
Phone
(760) 242-4810
Fax
(760) 242-4760
NPI assigned
Jul 21, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 24, 2012

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X 253406 NY
Vascular Neurology Physician 2084V0102X 253406 NY
Neurology Physician 2084N0400X A115902 CA Primary
Vascular Neurology Physician 2084V0102X A115902 CA

Addresses

Primary practice location

15963 Quantico Rd
Suite C
Apple Valley, CA 92307-0839

Mailing address

PO Box 1685
Victorville, CA 92393-1685
Phone (760) 242-4810

Other identifiers 12

IdentifierTypeStateIssuer
000533016001OtherNYHEALTHNOW
26-1147857OtherNYMULTIPLAN/PHCS
261147857OtherNYEMPIRE UHC
J400040884OtherNYMEDICARE
110322000063OtherNYFIDELIS
BA1319OtherNYMEDICARE
3307884MedicaidNY
9701688OtherNYAETNA
1962667790OtherNYMVP
261147857OtherNYEXCELLUS BC/BS
261147857OtherNYPOMCO
200223508001OtherNYCDPHP

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20120423000021 CA Practitioner - Neurology 5294850244 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Niva Institute of Neurosciences, Inc.,Group PAC ID 1052572948, 2 clinicians

Practice addresses (Care Compare)

15963 Quantico Rd C
Apple Valley, CA 92307-0840
Phone (760) 242-4810

Hospital & facility affiliations

  • Providence St Mary Medical Center Hospital, Apple Valley, CA, CCN 050300

Merit-based Incentive Payment System (MIPS)

Final score
0 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
0

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Business Administration, Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
253406NYMDVascular Neurology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Niva Institute of Neurosciences, Inc., Neurology CurrentSince Feb 1, 2012 Accepting new patients
Regents of the University of California CurrentSince Aug 15, 2016 Accepting new patients
North Texas Stroke Center, PLLC Neurology Past Accepting new patients
University of California Irvine Past Accepting new patients

Locations

15963 Quantico Rd
Ste C
Apple Valley, CA 92307
Phone (760) 242-4810

101 The City Dr S
Orange, CA 92868
Phone (714) 456-6054

12408 Hesperia Rd
Ste 2
Victorville, CA 92395
Phone (760) 553-7000

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: rpatel07@yourcarecommunity.org
  • Direct secure messaging: ravipatel@nioni-ca.direct.office.nextgen.com
  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

Organizations & group practices 4

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.

Hospital & facility affiliations 3

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": "1216598400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1337817600000",
    "number": "1962667790",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1685",
            "city": "VICTORVILLE",
            "state": "CA",
            "postal_code": "923931685",
            "telephone_number": "760-242-4810",
            "fax_number": "760-242-4760"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15963 QUANTICO RD",
            "address_2": "SUITE C",
            "city": "APPLE VALLEY",
            "state": "CA",
            "postal_code": "923070839",
            "telephone_number": "760-242-4810",
            "fax_number": "760-242-4760"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATEL",
        "first_name": "RAVI",
        "middle_name": "ASHOK",
        "name_prefix": "Dr.",
        "credential": "MD, MBA, FACP, FAHA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-07-21",
        "last_updated": "2012-05-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "NY",
            "license": "253406",
            "primary": false
        },
        {
            "code": "2084V0102X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Vascular Neurology",
            "state": "NY",
            "license": "253406",
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "CA",
            "license": "A115902",
            "primary": true
        },
        {
            "code": "2084V0102X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Vascular Neurology",
            "state": "CA",
            "license": "A115902",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHNOW",
            "identifier": "000533016001",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MULTIPLAN/PHCS",
            "identifier": "26-1147857",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EMPIRE UHC",
            "identifier": "261147857",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "J400040884",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FIDELIS",
            "identifier": "110322000063",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "BA1319",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3307884",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "9701688",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MVP",
            "identifier": "1962667790",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EXCELLUS BC/BS",
            "identifier": "261147857",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "POMCO",
            "identifier": "261147857",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CDPHP",
            "identifier": "200223508001",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Apple Valley, CA

Sources for this page

Verify at the official NPI Registry.