JAYASREE RAVILLA
NPI 1710650528
Internal Medicine in Keene, NH

Active since July 28, 2021PECOS EnrolledAccepts Medicare Assignment

NPPES record last updated: August 7, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Aug 7, 2025, Jul 28, 2021 (2 updates tracked since 2021).

About Jayasree Ravilla NPPES

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

JAYASREE RAVILLA (NPI 1710650528) is an individual internal medicine provider in Keene, New Hampshire, licensed in New Hampshire (35111) and active in the NPI registry since July 2021. She is enrolled in Medicare PECOS, is affiliated with Mary Hitchcock Memorial Hospital, and is a graduate of Other (2018).

NPPES Registry Identity

NPI1710650528
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameJAYASREE RAVILLA
Location Address580 COURT STKeene, NH 03431-1718
Mailing AddressPo Box 810Hanover, NH 03755-0810
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateJuly 28, 2021
Last NPPES UpdateAugust 7, 20252 updates tracked since enumeration
NPPES CertifiedAugust 7, 2025
NPI 1710650528 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License Licensed in NH · 35111
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
580 COURT ST, Keene, NH 03431

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

Jayasree Ravilla 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 ID3971002254
PECOS Enrollment IDI20250814002669
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.

Hospital Affiliations CMS Care Compare 2

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

Mary Hitchcock Memorial Hospital

Acute Care Hospitals · Lebanon, NH
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number300003
Location1 Medical Center DriveLebanon, NH 03756 · Grafton County
Emergency services Birthing friendly

Cheshire Medical Center

Acute Care Hospitals · Keene, NH
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number300019
Location580 Court StreetKeene, NH 03431 · Cheshire County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 03431 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
$132.09 typical visit price
range $57.75 – $174.26
Typical copayment $33.02 (range $14.43 – $43.56)
Most-billed visit code 99204
Established Patient
$101.54 typical visit price
range $18.70 – $142.15
Typical copayment $25.38 (range $4.67 – $35.53)
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.

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.

Advanced Practice Midwife
580 COURT ST
KEENE, NH 03431
Anesthesiology
580 COURT ST, DEPT OF ANESTHESIOLOGY
KEENE, NH 03431
Obstetrics & Gynecology
580 COURT ST
KEENE, NH 03431
Nurse Practitioner (Family)
580 COURT ST
KEENE, NH 03431
Internal Medicine
580 COURT ST
KEENE, NH 03431
Internal Medicine (Cardiovascular Disease)
580 COURT ST
KEENE, NH 03431
Radiology (Diagnostic Radiology)
580 COURT ST
KEENE, NH 03431
Physician Assistant
580 COURT ST
KEENE, NH 03431

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 Jayasree Ravilla's NPI number?

The NPI number for Jayasree Ravilla is 1710650528. It was assigned to this individual provider in the NPPES registry on July 28, 2021.

Where is Jayasree Ravilla located?

Jayasree Ravilla practices at 580 Court St, Keene, NH 03431. The listed phone number is (603) 354-5400.

What is Jayasree Ravilla's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Jayasree Ravilla enrolled in Medicare?

Yes. Jayasree Ravilla 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 Jayasree Ravilla accept?

Health plans from Ambetter from NH Healthy Families and Harvard Pilgrim Health Care list Jayasree Ravilla 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 Jayasree Ravilla affiliated with any hospitals?

According to CMS data, Jayasree Ravilla is affiliated with Mary Hitchcock Memorial Hospital and Cheshire Medical Center.

When was this NPI record last updated?

The NPPES record for Jayasree Ravilla was last updated on August 7, 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.