Active NPI
Srinivas M. Ravi MD PC
- Internal Medicine Physician
- Bronx, NY
National Provider Identifier
1972838589
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- Legal business name
- SRINIVAS M. RAVI MD PC
- Practice address
- 4334 White Plains Rd
Bronx, NY 10466-1420 - Phone
- (718) 231-2300
- Fax
- (718) 708-4520
- NPI assigned
- Oct 15, 2009
- Last updated
- Feb 11, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Srinivas M Ravi
- Title
- MD
- Phone
- (914) 439-9655
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Legal Medicine | 173000000X | 237144 | NY | |
| Internal Medicine Physician | 207R00000X | Primary |
Addresses
Primary practice location
4334 White Plains Rd
Bronx, NY 10466-1420
Mailing address
38 Renfrew Rd
New City, NY 10956-5824
Phone (914) 439-9655
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01987700 | Medicaid | NY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
4256 Bronx Blvd
#1
Bronx, NY 10466
Phone (212) 661-7460
4256 Bronx Blvd
Ste 1
Bronx, NY 10466
Practitioners & affiliated clinicians
Practitioners 3
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.
-
- Internal Medicine Physician
- Bronx, NY
- NPI 1780798868
-
- Internal Medicine Physician
- Bronx, NY
- NPI 1992812556
-
- Family Nurse Practitioner
- Bronx, NY
- NPI 1437532439
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1255564800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1644537600000",
"number": "1972838589",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "38 RENFREW RD",
"city": "NEW CITY",
"state": "NY",
"postal_code": "109565824",
"telephone_number": "914-439-9655"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4334 WHITE PLAINS RD",
"city": "BRONX",
"state": "NY",
"postal_code": "104661420",
"telephone_number": "718-231-2300",
"fax_number": "718-708-4520"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SRINIVAS M. RAVI MD PC",
"organizational_subpart": "NO",
"enumeration_date": "2009-10-15",
"last_updated": "2022-02-11",
"certification_date": "2022-02-11",
"status": "A",
"authorized_official_last_name": "RAVI",
"authorized_official_first_name": "SRINIVAS",
"authorized_official_middle_name": "M",
"authorized_official_title_or_position": "MD",
"authorized_official_telephone_number": "914-439-9655"
},
"taxonomies": [
{
"code": "173000000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Legal Medicine",
"state": "NY",
"license": "237144",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01987700",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Bronx, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.