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DR. PRASHANTH RAVI DMD
NPI 1356577175
Dentist - Oral and Maxillofacial Surgery in Pasadena, TX

Active since June 08, 2009Opted out of Medicare · through Oct 21, 2027
4007 WOODLAWN AVE, PASADENA, TX 77504(713) 944-0864(713) 944-7737 Get Directions Write a Review

NPPES record last updated: July 7, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Prashanth Ravi Dmd NPPES

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

DR. PRASHANTH RAVI DMD (NPI 1356577175) is an individual oral and maxillofacial surgery provider in Pasadena, Texas, licensed in Texas (29763) and active in the NPI registry since June 2009. He has opted out of Medicare through October 21, 2027 and remains eligible to order and refer.

NPPES Registry Identity

NPI1356577175
Entity TypeIndividualMale
Primary Taxonomy1223S0112X
Provider Legal NameDR. PRASHANTH RAVICredential: DMD
Location Address4007 WOODLAWN AVEPasadena, TX 77504-1910
Mailing Address2929 Calder St Ste 302, Suite 302Beaumont, TX 77702-1831 · (409) 832-2532
Phone(713) 944-0864
Fax(713) 944-7737
Sole ProprietorNo
Enumeration DateJune 8, 2009
Last NPPES UpdateJuly 7, 2021
NPPES CertifiedJuly 7, 2021
✔ NPI 1356577175 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Oral and Maxillofacial SurgeryDental Providers
Taxonomy Code1223S0112X
License✔ Licensed in TX · 29763
Definition
An oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
4007 WOODLAWN AVE, Pasadena, TX 77504
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Delta Dental PPO, Guardian, Humana.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Dr. Prashanth Ravi Dmd has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from October 21, 2019 through October 21, 2027.

Opt-Out Effective DateOctober 21, 2019
Opt-Out In Effect ThroughOctober 21, 2027Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 77504 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
$90.40 typical visit price
range $58.24 – $176.98
Typical copayment $22.60 (range $14.56 – $44.24)
Most-billed visit code 99203
Established Patient
$72.62 typical visit price
range $18.60 – $143.93
Typical copayment $18.15 (range $4.65 – $35.98)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JOSHUA ALEX JOHNSON
Dentist (Oral and Maxillofacial Surgery)
4007 WOODLAWN AVE
PASADENA, TX 77504
Harris County (713) 944-0864
GREATER HOUSTON ORAL AND FACIAL SURGERY,PA
Clinic/Center (Ambulatory Surgical)
4007 WOODLAWN AVE
PASADENA, TX 77504
Harris County (713) 944-0864

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 Prashanth Ravi's NPI number?

The NPI number for Prashanth Ravi is 1356577175. It was assigned to this individual provider in the NPPES registry on June 8, 2009.

Where is Prashanth Ravi located?

Prashanth Ravi practices at 4007 Woodlawn Ave, Pasadena, TX 77504. The listed phone number is (713) 944-0864.

What is Prashanth Ravi's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Surgery, with taxonomy code 1223S0112X.

Is Prashanth Ravi enrolled in Medicare?

No. Prashanth Ravi has opted out of Medicare through October 21, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

What insurance does Prashanth Ravi accept?

Health plans from Delta Dental PPO, Guardian and Humana list Prashanth Ravi 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.

When was this NPI record last updated?

The NPPES record for Prashanth Ravi was last updated on July 7, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.