RAVINDRA N KARANAM MD
NPI 1922075506
Internal Medicine - Cardiovascular Disease in Newark, NJ

Active since March 02, 2006PECOS EnrolledAccepts Medicare Assignment
93.71/100
CMS Quality Rating
201 LYONS AVE, SUITE G5, NEWARK, NJ 07112(973) 926-7749(973) 923-4683 Get Directions Write a Review

NPPES record last updated: April 22, 2024. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Ravindra N Karanam Md NPPES

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

RAVINDRA N KARANAM MD (NPI 1922075506) is an individual cardiovascular disease provider in Newark, New Jersey, licensed in New Jersey (25MA03994000) and active in the NPI registry since March 2006. He is enrolled in Medicare PECOS, is affiliated with Newark Beth Israel Medical Center, and is a graduate of Other (1972).

NPPES Registry Identity

NPI1922075506
Entity TypeIndividualMale
Primary Taxonomy207RC0000X
Provider Legal NameRAVINDRA N KARANAMCredential: MD
Location Address201 LYONS AVE, SUITE G5Newark, NJ 07112-2027
Mailing Address201 Lyons Ave, Suite G5Newark, NJ 07112-2027 · (973) 926-7749 · Fax (973) 923-4683
Fax(973) 923-4683
Sole ProprietorNo
Medical School CMSOtherGraduated 1972
Enumeration DateMarch 2, 2006
Last NPPES UpdateApril 22, 2024
NPPES CertifiedApril 22, 2024
NPI 1922075506 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RC0000X
License Licensed in NJ · 25MA03994000
Definition

An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.

Also ListedSurgeryTaxonomy 208600000X · License 25MA03994000 (NJ)
Also ListedThoracic Surgery (Cardiothoracic Vascular Surgery)Taxonomy 208G00000X · License 25MA03994000 (NJ)
201 LYONS AVE, Newark, NJ 07112

Other Identifiers 1

Medicaid3644103NJ

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

Ravindra N Karanam 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 ID6507896016
PECOS Enrollment IDI20050815000807
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.

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.

Replacement of aortic valve through the skin and femoral artery 33361
This procedure, known as Transcatheter Aortic Valve Replacement (TAVR), involves replacing a damaged aortic valve through a small incision in the leg. A catheter is inserted into the femoral artery and guided up to the heart. The new valve is then positioned and deployed, restoring normal blood flow.
31 services31 patients
Initial hospital inpatient care per day, typically 50 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.
17 services17 patients
Initial hospital inpatient care per day, typically 30 minutes 99221
Initial hospital inpatient care refers to the first day of your stay in the hospital. This service typically includes a 30-minute check-up with a healthcare professional. They'll assess your health, discuss your condition, and plan your treatment. It's part of ensuring you receive the best possible care.
15 services14 patients
New patient office or other outpatient visit, 45-59 minutes 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
12 services12 patients
Coronary artery bypass graft (CABG) NAN07
Coronary artery bypass graft (CABG) is a surgery to improve blood flow to your heart. It involves taking a blood vessel from another part of your body and using it to reroute blood around a blocked or narrowed artery in your heart. This can help reduce chest pain and minimize the risk of heart attacks.
0 services21 patients

Hospital Affiliations CMS Care Compare

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

Newark Beth Israel Medical Center

Acute Care Hospitals · Newark, NJ
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310002
Location201 Lyons AveNewark, NJ 07112 · Essex County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 07112 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
$144.86 typical visit price
range $63.84 – $190.92
Typical copayment $36.21 (range $15.96 – $47.73)
Most-billed visit code 99204
Established Patient
$79.09 typical visit price
range $20.97 – $155.92
Typical copayment $19.77 (range $5.24 – $38.98)
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.

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.

93.71/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality77.79
Promoting Interoperability100
Improvement Activities40

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.

Anesthesiology
201 LYONS AVE
NEWARK, NJ 07112
Anesthesiology
201 LYONS AVE
NEWARK, NJ 07112
Thoracic Surgery (Cardiothoracic Vascular Surgery)
201 LYONS AVE, L5, CHILDRENS HEART CENTER, NBIMC
NEWARK, NJ 07112
Anesthesiology
201 LYONS AVE
NEWARK, NJ 07112
Anesthesiology
201 LYONS AVE
NEWARK, NJ 07112
Anesthesiology
201 LYONS AVE
NEWARK, NJ 07112
Anesthesiology
201 LYONS AVE
NEWARK, NJ 07112
Anesthesiology
201 LYONS AVE
NEWARK, NJ 07112

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 Ravindra Karanam's NPI number?

The NPI number for Ravindra Karanam is 1922075506. It was assigned to this individual provider in the NPPES registry on March 2, 2006.

Where is Ravindra Karanam located?

Ravindra Karanam practices at 201 Lyons Ave Suite G5, Newark, NJ 07112. The listed phone number is (973) 926-7749.

What is Ravindra Karanam's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

Is Ravindra Karanam enrolled in Medicare?

Yes. Ravindra Karanam 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 Ravindra Karanam accept?

Health plans from Ambetter Health and Ambetter Health of Delaware list Ravindra Karanam 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 Ravindra Karanam affiliated with any hospitals?

According to CMS data, Ravindra Karanam is affiliated with Newark Beth Israel Medical Center.

When was this NPI record last updated?

The NPPES record for Ravindra Karanam was last updated on April 22, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.