Manoucher Ravaee, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Practice address

733 N Logan
Suite 3
Danville, IL 61832

Phone

(217) 442-3268

Fax

(217) 442-3268

NPI assigned

Aug 23, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in IL

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Danville Pain & Rehabilitation Medicine Center, LLC

  • Pain Medicine (Physical Medicine & Rehabilitation) Physician
  • Danville, IL
  • NPI 1023124302
  NPD (past)

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

{
    "created_epoch": "1156291200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1972610491",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "733 N LOGAN",
            "address_2": "SUITE 3",
            "city": "DANVILLE",
            "state": "IL",
            "postal_code": "61832",
            "telephone_number": "217-442-3268",
            "fax_number": "217-442-3268"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "733 N LOGAN",
            "address_2": "SUITE 3",
            "city": "DANVILLE",
            "state": "IL",
            "postal_code": "61832",
            "telephone_number": "217-442-3268",
            "fax_number": "217-442-3268"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAVAEE",
        "first_name": "MANOUCHER",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-23",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLBS",
            "identifier": "9200165",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRUST MARK HEALTH LINK",
            "identifier": "117269",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Inderjit S Rakalla, R.PH.
• Chilakapati V Ramaprasad, MD
• Eddie Y Ramirez, MD
• Jatin Madhusudan Rana, MD
• Megan Rand, PT, DPT
• Mary Rayburn, LSW
• Julie Ann Reavill, PA-C
• Red Reef Healthcare Solutions LLC
• Padmashree B Reddy, M.D.
• David Michael Reed, LCSW

• Internal Medicine Physician in Danville, IL
• Providers in Danville, IL by specialty
• Internal Medicine Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.