RAVI GURUJAL MD
NPI 1467563957
Internal Medicine - Interventional Cardiology in Charleston, WV

Active since August 31, 2006PECOS EnrolledAccepts Medicare Assignment
86.86/100
CMS Quality Rating
3200 MACCORKLE AVE SE FL 4, CHARLESTON, WV 25304(304) 388-8200 Get Directions Write a Review

NPPES record last updated: September 26, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Aug 29, 2023, Sep 9, 2022, Feb 2, 2017 (3 updates tracked since 2017).

About Ravi Gurujal Md NPPES

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

RAVI GURUJAL MD (NPI 1467563957) is an individual interventional cardiology provider in Charleston, West Virginia, licensed in West Virginia (35238) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS, is affiliated with The Nebraska Medical Center, and maintains 3 additional practice locations.

NPPES Registry Identity

NPI1467563957
Entity TypeIndividualMale
Primary Taxonomy207RI0011X
Provider Legal NameRAVI GURUJALCredential: MD
Location Address3200 MACCORKLE AVE SE FL 4Charleston, WV 25304-1227
Mailing Address3200 Maccorkle Ave Se Fl 4Charleston, WV 25304-1227 · (304) 388-8200
Sole ProprietorNo
Medical School CMSOtherGraduated 1996
Enumeration DateAugust 31, 2006
Last NPPES UpdateSeptember 26, 20253 updates tracked since enumeration
NPPES CertifiedSeptember 26, 2025
NPI 1467563957 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyInternal Medicine · Interventional CardiologyAllopathic & Osteopathic Physicians
Taxonomy Code207RI0011X
Licenses Licensed in WV · 35238 Licensed in KY · C0932 Licensed in OH · 35.120296
Definition

An area of medicine within the subspecialty of cardiology, which uses specialized imaging and other diagnostic techniques to evaluate blood flow and pressure in the coronary arteries and chambers of the heart and uses technical procedures and medications to treat abnormalities that impair the function of the cardiovascular system.

Also ListedInternal Medicine · Cardiovascular DiseaseTaxonomy 207RC0000X · License 35.120296 (OH), 036-109978 (IL), 01061340A (IN)
3200 MACCORKLE AVE SE FL 4, Charleston, WV 25304

Secondary Practice Locations 3

Location 11010 Cereal Ave Ste 207Hamilton, OH 45013-2772 · Phone (513) 867-3331 · Fax (513) 867-2667
Location 2122 Wyoming StDayton, OH 45409-2731 · Phone (937) 223-4461 · Fax (937) 449-7603
Location 3911 Bypass Rd Bldg APikeville, KY 41501-1689 · Phone (606) 430-2201 · Fax (606) 218-4651

Other Identifiers 5

Medicaid201055350IN
Medicaid36109978IL
Other000000542034IN · Bcbs
Medicaid01061340AIN
Medicaid0075371OH

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Ravi Gurujal Md 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 ID5890777361
PECOS Enrollment IDI20250904003671, I20251009004330
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.

Areas of Expertise CMS Part B claims 14

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.
146 services84 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.
62 services60 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010
A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.
61 services54 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.
60 services31 patients
Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231
Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.
26 services17 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.
24 services23 patients

Hospital Affiliations CMS Care Compare 4

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

The Nebraska Medical Center

Acute Care Hospitals · Omaha, NE
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number280013
Location987400 Nebraska Medical CenterOmaha, NE 68198 · Douglas County
Emergency services Birthing friendly

Great Plains Health

Acute Care Hospitals · North Platte, NE
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number280065
Location601 West Leota StNorth Platte, NE 69101 · Lincoln County
Emergency services Birthing friendly

Community Hospital

Critical Access Hospitals · Mccook, NE
3/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number281363
LocationP O Box 1328, 1301 East H StMccook, NE 69001 · Red Willow County
Emergency services

Charleston Area Medical Center

Acute Care Hospitals · Charleston, WV
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number510022
Location501 Morris StreetCharleston, WV 25301 · Kanawha County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 25304 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
$124.46 typical visit price
range $53.20 – $164.59
Typical copayment $31.11 (range $13.30 – $41.14)
Most-billed visit code 99204
Established Patient
$94.81 typical visit price
range $16.47 – $133.29
Typical copayment $23.70 (range $4.11 – $33.32)
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.

86.86/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality72.39
Promoting Interoperability100
Improvement Activities40
Cost70.65

Reported Quality Measures

Colorectal Cancer Screening
Percentage of adults 50-75 years of age who had appropriate screening for colorectal cancer
33%102 patients2/55-star benchmark: 100%
Pneumococcal Vaccination Status for Older Adults
Percentage of patients 65 years of age and older who have ever received a pneumococcal vaccine
72%185 patients3/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
28%208 patients2/55-star benchmark: 100%
Screening for Osteoporosis for Women Aged 65-85 Years of Age
Percentage of female patients aged 65-85 years of age who ever had a central dual-energy X-ray absorptiometry (DXA) to check for osteoporosis
42%59 patients2/55-star benchmark: 98%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES 10

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

Nurse Practitioner (Family)
3200 MACCORKLE AVE SE FL 4
CHARLESTON, WV 25304
Internal Medicine
3200 MACCORKLE AVE SE FL 4
CHARLESTON, WV 25304
Internal Medicine
3200 MACCORKLE AVE SE FL 4
CHARLESTON, WV 25304
Nurse Practitioner (Family)
3200 MACCORKLE AVE SE FL 4
CHARLESTON, WV 25304
Student in an Organized Health Care Education/Training Program
3200 MACCORKLE AVE SE FL 4
CHARLESTON, WV 25304
Student in an Organized Health Care Education/Training Program
3200 MACCORKLE AVE SE FL 4
CHARLESTON, WV 25304
Nurse Practitioner (Family)
3200 MACCORKLE AVE SE FL 4
CHARLESTON, WV 25304
Surgery (Vascular Surgery)
3200 MACCORKLE AVE SE FL 4
CHARLESTON, WV 25304

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 Ravi Gurujal's NPI number?

The NPI number for Ravi Gurujal is 1467563957. It was assigned to this individual provider in the NPPES registry on August 31, 2006.

Where is Ravi Gurujal located?

Ravi Gurujal practices at 3200 Maccorkle Ave SE Fl 4, Charleston, WV 25304. The listed phone number is (304) 388-8200.

What is Ravi Gurujal's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Interventional Cardiology, with taxonomy code 207RI0011X.

Is Ravi Gurujal enrolled in Medicare?

Yes. Ravi Gurujal 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.

What insurance does Ravi Gurujal accept?

Health plans from Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Nebraska, CareSource, McLaren Health Plan Community and MedMutual and 4 other insurers list Ravi Gurujal 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 Ravi Gurujal affiliated with any hospitals?

According to CMS data, Ravi Gurujal is affiliated with The Nebraska Medical Center, Great Plains Health, Community Hospital and Charleston Area Medical Center.

When was this NPI record last updated?

The NPPES record for Ravi Gurujal was last updated on September 26, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.