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LEELMOHAN RAVIKUMAR M.D.,
NPI 1881903656
Family Medicine in Troy, OH

Active since September 28, 2010PECOS EnrolledAccepts Medicare Assignment
90.54/100
CMS Quality Rating
998 S DORSET RD STE 301, TROY, OH 45373(937) 339-9865(937) 339-6668 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jul 21, 2022, Aug 22, 2017 (2 updates tracked since 2017).

About Leelmohan Ravikumar M.d., NPPES

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

LEELMOHAN RAVIKUMAR M.D., (NPI 1881903656) is an individual family medicine provider in Troy, Ohio, licensed in Ohio (35.122051) and active in the NPI registry since September 2010. He is enrolled in Medicare PECOS, is affiliated with Upper Valley Medical Center, and is a graduate of Other (2009).

NPPES Registry Identity

NPI1881903656
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameLEELMOHAN RAVIKUMARCredential: M.D.,
Location Address998 S DORSET RD STE 301Troy, OH 45373-4748
Mailing AddressPo Box 600Wilmington, OH 45177-0600 · (937) 283-9699 · Fax (937) 283-9839
Phone(937) 339-9865
Fax(937) 339-6668
Sole ProprietorNo
Medical School CMSOtherGraduated 2009
Enumeration DateSeptember 28, 2010
Last NPPES UpdateJuly 21, 20222 updates tracked since enumeration
✔ NPI 1881903656 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in OH · 35.122051
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
998 S DORSET RD STE 301, Troy, OH 45373
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Other Identifiers 1

Medicaid0091133OH

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource, MedMutual.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

Leelmohan Ravikumar M.d., 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 ID4587890603
PECOS Enrollment IDI20131120000981
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

3

Medicare enrollment records show Leelmohan Ravikumar reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Upper Valley Professional Corporation
4.9 mi
Family Medicine
3130 N COUNTY ROAD 25A
Troy, OH 45373
  • Reassigned Medicare billing, Ohio enrollment
  • 405 clinicians in this Medicare group
NPI 1407872518 (937) 440-7497
Mvhe Inc
12 mi
Family Medicine
55 ELVA CT
Vandalia, OH 45377
  • Reassigned Medicare billing, Ohio enrollment
  • 744 clinicians in this Medicare group
NPI 1104879097 (937) 208-7500
Samaritan Family Care Inc
17 mi
Family Medicine
1530 NEEDMORE RD, SUITE 200
Dayton, OH 45414
  • Reassigned Medicare billing, Ohio enrollment
  • 151 clinicians in this Medicare group
NPI 1851627228 (937) 278-5854

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 5

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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
231 services116 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
39 services39 patients
Annual depression screening, 5 to 15 minutes G0444
An annual depression screening is a short, routine evaluation to check for signs of depression. It involves answering a series of questions about your feelings, thoughts, and behaviors. The process takes about 15 minutes and helps detect depression early for better management.
35 services35 patients
Annual alcohol misuse screening, 5 to 15 minutes G0442
An annual alcohol misuse screening is a 15-minute check-up to assess your drinking habits. It helps identify if you're consuming alcohol in a way that could harm your health. This is not a judgment, but a tool to promote your wellbeing.
34 services34 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
23 services21 patients

Hospital Affiliations CMS Care Compare

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

Upper Valley Medical Center

Acute Care Hospitals · Troy, OH
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360174
Location3130 North County Road 25ATroy, OH 45373 · Miami County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 45373 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
$84.72 typical visit price
range $54.34 – $166.65
Typical copayment $21.18 (range $13.58 – $41.66)
Most-billed visit code 99203
Established Patient
$96.44 typical visit price
range $17.10 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
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.

90.54/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality80.73
Promoting Interoperability100
Improvement Activities40
Cost87.75

Reported Quality Measures

Colorectal Cancer Screening
Percentage of adults 50-75 years of age who had appropriate screening for colorectal cancer
50%111 patients3/55-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
57%159 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…
32%196 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
59%73 patients3/55-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 2

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

ROBERT WELLS
Nurse Practitioner
998 S DORSET RD STE 301
TROY, OH 45373
Miami County (937) 339-9865
MISTY MANUEL
Nurse Practitioner (Primary Care)
998 S DORSET RD STE 301
TROY, OH 45373
Miami County (937) 339-9865

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 Leelmohan Ravikumar's NPI number?

The NPI number for Leelmohan Ravikumar is 1881903656. It was assigned to this individual provider in the NPPES registry on September 28, 2010.

Where is Leelmohan Ravikumar located?

Leelmohan Ravikumar practices at 998 S Dorset Rd Ste 301, Troy, OH 45373. The listed phone number is (937) 339-9865.

What is Leelmohan Ravikumar's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Leelmohan Ravikumar enrolled in Medicare?

Yes. Leelmohan Ravikumar 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 Leelmohan Ravikumar's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Leelmohan Ravikumar reassigns Medicare benefits to 3 organizations: Upper Valley Professional Corporation (Troy, OH), Mvhe Inc (Vandalia, OH) and Samaritan Family Care Inc (Dayton, OH). 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 Leelmohan Ravikumar's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Leelmohan Ravikumar accept?

Health plans from CareSource and MedMutual list Leelmohan Ravikumar 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 Leelmohan Ravikumar affiliated with any hospitals?

According to CMS data, Leelmohan Ravikumar is affiliated with Upper Valley Medical Center.

When was this NPI record last updated?

The NPPES record for Leelmohan Ravikumar was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.