Individual provider Active NPI

Ravinder S Mann, MD

  • Geriatric Psychiatry Physician
  • Cincinnati, OH
National Provider Identifier
1992797146
Registry record updated May 6, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Geriatric Psychiatry PhysicianTaxonomy code 2084P0805X
License
35068907 Issued in OH
Practice address
415 Straight St
Ste 403
Cincinnati, OH 45219-1060
Phone
(513) 559-2580
Fax
(513) 559-2596
NPI assigned
Aug 15, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 6, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Geriatric Psychiatry Physician 2084P0805X 35068907 OH Primary

Addresses

Primary practice location

415 Straight St
Ste 403
Cincinnati, OH 45219-1060

Mailing address

Dept 1044
Cincinnati, OH 45263-1044
Phone (513) 559-2723

Other identifiers 3

IdentifierTypeStateIssuer
200131820AMedicaidIN
64952294MedicaidKY
0184394MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20051107000014 OH Practitioner - Geriatric PsychiatryPractitioner - Psychiatry 4284652454 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Geriatric Psychiatry
Education
Other, 1980
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1055 Ohio Pike
Cincinnati, OH 45245-2329
Phone (513) 432-8735

3801 E Galbraith Rd
Cincinnati, OH 45236-1583
Phone (513) 432-8735

4070 Hamilton Rd
Birchwood Care
Hamilton, OH 45011-5414
Phone (513) 432-8735

9986 Bolingbroke Dr
Cincinnati, OH 45241-3677

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35068907OHMDGeriatric Psychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Talbert House CurrentSince Mar 7, 2009 Accepting new patients
Geriatric Practice LLC Geriatric Psychiatry CurrentSince Mar 11, 2011 Accepting new patients
Tri State Health Systems Current Accepting new patients

Locations

500 Farrell Dr
Covington, KY 41011
Phone (859) 331-3224

Dept 1044
Cincinnati, OH 45263

4968 Glenway Ave
Cincinnati, OH 45238
Phone (513) 471-6000

1515 Carll St
Cincinnati, OH 45225
Phone (513) 244-3985

2600 Victory Pkwy
Cincinnati, OH 45206
Phone (513) 872-5863

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": "1124064000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1210032000000",
    "number": "1992797146",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "DEPT 1044",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452631044",
            "telephone_number": "513-559-2723"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "415 STRAIGHT ST",
            "address_2": "STE 403",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452191060",
            "telephone_number": "513-559-2580",
            "fax_number": "513-559-2596"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANN",
        "first_name": "RAVINDER",
        "middle_name": "S",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-15",
        "last_updated": "2008-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0805X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Geriatric Psychiatry",
            "state": "OH",
            "license": "35068907",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200131820A",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "64952294",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0184394",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cincinnati, OH

Sources for this page

Verify at the official NPI Registry.