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JAYANTHI RAVISANKAR MD
NPI 1881671204
Pediatrics in Berea, KY

Active since December 28, 2005PECOS Enrolled
104 LEGACY DR, BEREA, KY 40403(859) 986-2323(859) 986-7728 Get Directions Write a Review

NPPES record last updated: February 14, 2014. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Jayanthi Ravisankar Md NPPES

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

JAYANTHI RAVISANKAR MD (NPI 1881671204) is an individual pediatrics provider in Berea, Kentucky, licensed in Kentucky (34558) and active in the NPI registry since December 2005. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1881671204
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NameJAYANTHI RAVISANKARCredential: MD
Location Address104 LEGACY DRBerea, KY 40403-9594
Mailing Address1010 Main St SMc Kee, KY 40447-7089 · (606) 287-7104 · Fax (606) 287-4409
Phone(859) 986-2323
Fax(859) 986-7728
Sole ProprietorNo
Enumeration DateDecember 28, 2005
Last NPPES UpdateFebruary 14, 2014
✔ NPI 1881671204 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in KY · 34558
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
104 LEGACY DR, Berea, KY 40403
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Other Identifiers 3

Medicare UPINH28748KY
Medicaid64354582KY
Medicare PIN0068118KY

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jayanthi Ravisankar 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 40403 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
$82.24 typical visit price
range $52.76 – $162.27
Typical copayment $20.56 (range $13.19 – $40.56)
Most-billed visit code 99203
Established Patient
$93.94 typical visit price
range $16.53 – $131.99
Typical copayment $23.48 (range $4.13 – $32.99)
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.

AMANDA CLAIRE MOBERLY DMD
Dentist
104 LEGACY DR
BEREA, KY 40403
Madison County (859) 986-2323
HEALTH HELP INCORPORATED
Clinic/Center (Federally Qualified Health Center (FQHC))
104 LEGACY DR
BEREA, KY 40403
Madison County (859) 986-2323
COLLEEN E AMBROSE NP
Nurse Practitioner
104 LEGACY DR
BEREA, KY 40403
Madison County (859) 986-2323
LAURA A CLICK LCSW
Social Worker (Clinical)
104 LEGACY DR
BEREA, KY 40403
Madison County (859) 986-2323
AUDREY GRACE TRUETT CSW
Social Worker (Clinical)
104 LEGACY DR
BEREA, KY 40403
Madison County (859) 986-2323
MA JOY SANDRA BUENAFE DIONISIO M.D.
Internal Medicine
104 LEGACY DR
BEREA, KY 40403
Madison County (859) 986-2323
MS. ONEIDA SUE HELTON-PECK APRN
Nurse Practitioner (Family)
104 LEGACY DR
BEREA, KY 40403
Madison County (859) 986-2323
EMILY LOUISE JONES
Dentist
104 LEGACY DR
BEREA, KY 40403
Madison County (859) 986-2323

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 Jayanthi Ravisankar's NPI number?

The NPI number for Jayanthi Ravisankar is 1881671204. It was assigned to this individual provider in the NPPES registry on December 28, 2005.

Where is Jayanthi Ravisankar located?

Jayanthi Ravisankar practices at 104 Legacy Dr, Berea, KY 40403. The listed phone number is (859) 986-2323.

What is Jayanthi Ravisankar's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Jayanthi Ravisankar enrolled in Medicare?

Yes. Jayanthi Ravisankar is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Jayanthi Ravisankar was last updated on February 14, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.