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: October 18, 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 Charleston Area 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 1911 Bypass Rd Bldg APikeville, KY 41501-1689 · Phone (606) 430-2201 · Fax (606) 218-4651
Location 21010 Cereal Ave Ste 207Hamilton, OH 45013-2772 · Phone (513) 867-3331 · Fax (513) 867-2667
Location 3122 Wyoming StDayton, OH 45409-2731 · Phone (937) 223-4461 · Fax (937) 449-7603

Other Identifiers 5

Medicaid201055350IN
Medicaid36109978IL
Other000000542034IN · Bcbs
Medicaid01061340AIN
Medicaid0075371OH

Accepted 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

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 IDI20251009004330
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 Reassignments

9

Medicare enrollment records show Ravi Gurujal reassigns Medicare billing to 9 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Orthopaedic Surgery
415 MORRIS ST STE 400
Charleston, WV 25301
  • Reassigned Medicare billing, West Virginia enrollment
  • 1,511 clinicians in this Medicare group
Podiatrist
336 29TH ST STE 301
Ashland, KY 41101
  • Reassigned Medicare billing, Kentucky and Ohio enrollments
  • 531 clinicians in this Medicare group
Clinic/Center
254 CASSIDY BLVD
Pikeville, KY 41501
  • Reassigned Medicare billing, Kentucky enrollment
  • 579 clinicians in this Medicare group
Thoracic Surgery (Cardiothoracic Vascular Surgery)
85 MCNAUGHTEN RD STE 110
Columbus, OH 43213
  • Reassigned Medicare billing, Ohio enrollment
  • 3,314 clinicians in this Medicare group
Obstetrics & Gynecology
121 S PROGRESS DR
Xenia, OH 45385
  • Reassigned Medicare billing, Ohio enrollment
  • 812 clinicians in this Medicare group
Orthopaedic Surgery
1 PRESTIGE PL, SUITE 910
Miamisburg, OH 45342
  • Reassigned Medicare billing, Ohio enrollment
  • 984 clinicians in this Medicare group
Multi-Specialty
2500 METROHEALTH DR
Cleveland, OH 44109
  • Reassigned Medicare billing, Ohio enrollment
  • 2,147 clinicians in this Medicare group
Cardiovascular Disease
4160 JOHN R ST STE 510
Detroit, MI 48201
  • Reassigned Medicare billing, Michigan enrollment
  • 26 clinicians in this Medicare group
Medical Oncology
601 W LEOTA ST
North Platte, NE 69101
  • Reassigned Medicare billing, Nebraska enrollment
  • 365 clinicians in this Medicare group

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 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

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

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
Thoracic Surgery (Cardiothoracic Vascular Surgery)
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.

Which organizations bill Medicare for Ravi Gurujal's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Ravi Gurujal reassigns Medicare benefits to 9 organizations: Charleston Area Medical Center, Inc. (Charleston, WV), Kings Daughters Medical Specialties Inc., (Ashland, KY), Pikeville Medical Center Inc. (Pikeville, KY), Ohiohealth Corporation (Columbus, OH), Premier Health Specialists Inc (Xenia, OH) and 4 more organizations, listed in the Medicare section above. Each 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 Ravi Gurujal's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Ravi Gurujal accept?

Health plans from CareSource, Oscar Health Insurance and Priority Health 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 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 weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 months 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.