MR. VIJAY MYSORE RAVINDRA MD
NPI 1982995841
Neurological Surgery in Salt Lake City, UT

Active since April 27, 2011PECOS EnrolledAccepts Medicare Assignment
100 N MARIO CAPECCHI DR, SALT LAKE CITY, UT 84113(801) 662-5351 Get Directions Write a Review

NPPES record last updated: February 9, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: May 22, 2025, Dec 30, 2024, Jan 4, 2021 and 2 more (5 updates tracked since 2018).

About Mr. Vijay Mysore Ravindra Md NPPES

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

MR. VIJAY MYSORE RAVINDRA MD (NPI 1982995841) is an individual neurological surgery provider in Salt Lake City, Utah, licensed in California (A161999) and active in the NPI registry since April 2011. He is enrolled in Medicare PECOS, is affiliated with University Of Utah Hospitals And Clinics, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1982995841
Entity TypeIndividualMale
Primary Taxonomy207T00000X
Provider Legal NameMR. VIJAY MYSORE RAVINDRACredential: MD
Location Address100 N MARIO CAPECCHI DRSalt Lake City, UT 84113-1103
Mailing AddressPo Box 27128Salt Lake City, UT 84127-0128 · (801) 662-1000
Sole ProprietorNo
Medical School CMSLoyola University Of Chicago, Stritch School Of MedicineGraduated 2011
Enumeration DateApril 27, 2011
Last NPPES UpdateFebruary 9, 20265 updates tracked since enumeration
NPPES CertifiedFebruary 9, 2026
✔ NPI 1982995841 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNeurological SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207T00000X
License✔ Licensed in CA · A161999
Definition
A neurological surgeon provides the operative and non-operative management (i.e., prevention, diagnosis, evaluation, treatment, critical care, and rehabilitation) of disorders of the central, peripheral, and autonomic nervous systems, including their supporting structures and vascular supply; the evaluation and treatment of pathological processes which modify function or activity of the nervous system; and the operative and non-operative management of pain. A neurological surgeon treats patients with disorders of the nervous system; disorders of the brain, meninges, skull, and their blood supply, including the extracranial carotid and vertebral arteries; disorders of the pituitary gland; disorders of the spinal cord, meninges, and vertebral column, including those which may require treatment by spinal fusion or instrumentation; and disorders of the cranial and spinal nerves throughout their distribution.
100 N MARIO CAPECCHI DR, Salt Lake City, UT 84113

Secondary Practice Locations 2

Location 134800 Bob Wilson DrSan Diego, CA 92134-1098 · Phone (619) 532-6400
Location 27910 Frost St Ste 120San Diego, CA 92123-2776 · Phone (858) 966-8574

Accepted 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

Mr. Vijay Mysore Ravindra 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 ID2466685557
PECOS Enrollment IDI20250707003077
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

4

Medicare enrollment records show Vijay Ravindra reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Pediatric Otolaryngology
100 N MARIO CAPECCHI DR
Salt Lake City, UT 84113
  • Reassigned Medicare billing, Utah enrollment
  • 751 clinicians in this Medicare group
Neurological Surgery
50 N MEDICAL DR
Salt Lake City, UT 84132
  • Reassigned Medicare billing, Utah enrollment
  • 65 clinicians in this Medicare group
Pediatrics
3020 CHILDRENS WAY
San Diego, CA 92123
  • Reassigned Medicare billing, California enrollment
  • 562 clinicians in this Medicare group
Pediatrics
6621 FANNIN ST
Houston, TX 77030
  • Reassigned Medicare billing, Texas enrollment
  • Medicare enrollment name: Texas Childrens Physician Group
  • 2,498 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Hospital Affiliations CMS Care Compare

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

University Of Utah Hospitals And Clinics

Acute Care Hospitals · Salt Lake City, UT
5/5 CMS rating
OwnershipGovernment - State
CMS Certification Number460009
Location50 North Medical DriveSalt Lake City, UT 84132 · Salt Lake County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 84113 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
$125.70 typical visit price
range $54.34 – $166.03
Typical copayment $31.42 (range $13.58 – $41.50)
Most-billed visit code 99204
Established Patient
$68.01 typical visit price
range $17.23 – $135.20
Typical copayment $17.00 (range $4.30 – $33.80)
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.

Physical Therapist
100 N MARIO CAPECCHI DR
SALT LAKE CITY, UT 84113
Pediatrics
100 N MARIO CAPECCHI DR
SALT LAKE CITY, UT 84113
Nurse Practitioner (Family)
100 N MARIO CAPECCHI DR
SALT LAKE CITY, UT 84113
Radiology (Diagnostic Radiology)
100 N MARIO CAPECCHI DR
SALT LAKE CITY, UT 84113
Pediatrics (Pediatric Cardiology)
100 N MARIO CAPECCHI DR
SALT LAKE CITY, UT 84113
Nurse Practitioner (Pediatrics, Critical Care)
100 N MARIO CAPECCHI DR
SALT LAKE CITY, UT 84113
Occupational Therapist
100 N MARIO CAPECCHI DR
SALT LAKE CITY, UT 84113
Pediatrics (Pediatric Endocrinology)
100 N MARIO CAPECCHI DR
SALT LAKE CITY, UT 84113

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 Vijay Ravindra's NPI number?

The NPI number for Vijay Ravindra is 1982995841. It was assigned to this individual provider in the NPPES registry on April 27, 2011.

Where is Vijay Ravindra located?

Vijay Ravindra practices at 100 N Mario Capecchi Dr, Salt Lake City, UT 84113. The listed phone number is (801) 662-5351.

What is Vijay Ravindra's specialty?

The primary specialty registered for this NPI is Neurological Surgery with taxonomy code 207T00000X.

Is Vijay Ravindra enrolled in Medicare?

Yes. Vijay Ravindra 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 Vijay Ravindra's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Vijay Ravindra reassigns Medicare benefits to 4 organizations: University Of Utah Pediatric Services (Salt Lake City, UT), University Of Utah Surgical Services (Salt Lake City, UT), Rady Children's Hospital San Diego (San Diego, CA) and Texas Children's Physician Group (Houston, TX). 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 Vijay Ravindra's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Vijay Ravindra accept?

Health plans from BridgeSpan Health Company, Molina Healthcare, Regence BlueCross BlueShield of Utah and University of Utah Health Plans list Vijay Ravindra 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 Vijay Ravindra affiliated with any hospitals?

According to CMS data, Vijay Ravindra is affiliated with University Of Utah Hospitals And Clinics.

When was this NPI record last updated?

The NPPES record for Vijay Ravindra was last updated on February 9, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.