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DR. RAVINDRA C HALLUR M.D.
NPI 1306037999
Hospitalist in Philadelphia, PA

Active since August 07, 2007PECOS EnrolledAccepts Medicare Assignment
85.48/100
CMS Quality Rating
6320 ELMWOOD AVE, PHILADELPHIA, PA 19142(215) 726-4433 Get Directions Write a Review

NPPES record last updated: January 20, 2022. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Jan 20, 2022, Jan 31, 2019 (2 updates tracked since 2019).

About Dr. Ravindra C Hallur M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. RAVINDRA C HALLUR M.D. (NPI 1306037999) is an individual hospitalist provider in Philadelphia, Pennsylvania, licensed in Pennsylvania (MD432153) and active in the NPI registry since August 2007. He is enrolled in Medicare PECOS, is affiliated with Hospital Of Univ Of Pennsylvania, and is a graduate of Other (1995).

NPPES Registry Identity

NPI1306037999
Entity TypeIndividualMale
Primary Taxonomy208M00000X
Provider Legal NameDR. RAVINDRA C HALLURCredential: M.D.
Location Address6320 ELMWOOD AVEPhiladelphia, PA 19142-3126
Mailing Address501 S 54th StPhiladelphia, PA 19143-1900 · (610) 265-2395
Phone(215) 726-4433
Sole ProprietorNo
Medical School CMSOtherGraduated 1995
Enumeration DateAugust 7, 2007
Last NPPES UpdateJanuary 20, 20222 updates tracked since enumeration
NPPES CertifiedJanuary 20, 2022
✔ NPI 1306037999 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyHospitalistAllopathic & Osteopathic Physicians
Taxonomy Code208M00000X
License✔ Licensed in PA · MD432153
Definition
Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients.
Also ListedInternal MedicineTaxonomy 207R00000X · License MD432153 (PA)
6320 ELMWOOD AVE, Philadelphia, PA 19142
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter Health.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Ravindra C Hallur M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID4082790035
PECOS Enrollment IDI20080401000079
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Ravindra Hallur reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

University Of Penn - Medical Group
2.0 mi
Cardiovascular Disease
501 S 54TH ST
Philadelphia, PA 19143
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 3,488 clinicians in this Medicare group
NPI 1285580472 (800) 789-7366

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 5

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
140 services56 patients
Hospital discharge day management, 30 minutes or less 99238
Hospital discharge day management of 30 minutes or less includes finalizing your treatment, discussing your progress, and planning after-care at home. It ensures you're ready to leave the hospital and continue recovery safely.
44 services44 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
28 services28 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
21 services14 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
12 services12 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Hospital Of Univ Of Pennsylvania

Acute Care Hospitals · Philadelphia, PA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390111
Location34th & Spruce StsPhiladelphia, PA 19104 · Philadelphia County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19142 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$137.17 typical visit price
range $59.88 – $180.99
Typical copayment $34.29 (range $14.97 – $45.24)
Most-billed visit code 99204
Established Patient
$105.21 typical visit price
range $19.30 – $147.29
Typical copayment $26.30 (range $4.82 – $36.82)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

85.48/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality73.6
Promoting Interoperability100
Improvement Activities40

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Ravindra Hallur's NPI number?

The NPI number for Ravindra Hallur is 1306037999. It was assigned to this individual provider in the NPPES registry on August 7, 2007.

Where is Ravindra Hallur located?

Ravindra Hallur practices at 6320 Elmwood Ave, Philadelphia, PA 19142. The listed phone number is (215) 726-4433.

What is Ravindra Hallur's specialty?

The primary specialty registered for this NPI is Hospitalist with taxonomy code 208M00000X.

Is Ravindra Hallur enrolled in Medicare?

Yes. Ravindra Hallur is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Ravindra Hallur's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Ravindra Hallur reassigns Medicare benefits to University Of Penn - Medical Group (Philadelphia, PA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Ravindra Hallur's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Ravindra Hallur accept?

Health plans from Ambetter Health and Ambetter from Buckeye Health Plan list Ravindra Hallur as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Ravindra Hallur affiliated with any hospitals?

According to CMS data, Ravindra Hallur is affiliated with Hospital Of Univ Of Pennsylvania.

When was this NPI record last updated?

The NPPES record for Ravindra Hallur was last updated on January 20, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.