PAVITRA RAVISHANKAR MD
NPI 1669121448
Surgery - Vascular Surgery in Saint Louis, MO

Q: What is Pavitra Ravishankar's NPI number?

The NPI number for Pavitra Ravishankar is 1669121448. It was assigned to this individual provider in the NPPES registry on March 21, 2022.

Q: What is Pavitra Ravishankar's specialty?

The primary specialty registered for this NPI is Surgery, specializing in Vascular Surgery, with taxonomy code 2086S0129X.

Active since March 21, 2022PECOS Enrolled

1201 S GRAND BLVD, SAINT LOUIS, MO 63104(314) 257-8000 Get Directions Write a Review

NPPES record last updated: March 21, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Pavitra Ravishankar Md NPPES

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

PAVITRA RAVISHANKAR MD (NPI 1669121448) is an individual vascular surgery provider in Saint Louis, Missouri, licensed in Missouri (NA) and active in the NPI registry since March 2022. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1669121448

Entity TypeIndividualFemale

Primary Taxonomy2086S0129X

Provider Legal NamePAVITRA RAVISHANKARCredential: MD

Location Address1201 S GRAND BLVDSaint Louis, MO 63104-1016

Mailing Address34367 Mimosa TerFremont, CA 94555-1811 · (510) 579-1119

Phone(314) 257-8000

Sole ProprietorYes

Enumeration DateMarch 21, 2022

NPPES CertifiedMarch 21, 2022

✔ NPI 1669121448 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgery · Vascular SurgeryAllopathic & Osteopathic Physicians

Taxonomy Code2086S0129X

License✔ Licensed in MO · NA

Definition

A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.

1201 S GRAND BLVD, Saint Louis, MO 63104

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Pavitra Ravishankar Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 63104 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

$86.32 typical visit price

range $55.65 – $169.38

Typical copayment $21.58 (range $13.91 – $42.34)

Most-billed visit code 99203

Established Patient

$69.50 typical visit price

range $17.76 – $137.92

Typical copayment $17.37 (range $4.44 – $34.48)

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 20

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

DOUG LONGO APRN

Nurse Practitioner (Acute Care)