Mr Vijay Mysore Ravindra, MD in Salt Lake City, UT

Mr Vijay Mysore Ravindra, MD is a medicare enrolled "Neurological Surgery" physician in Salt Lake City, Utah. His current practice location is 100 N Mario Capecchi Dr, Salt Lake City, Utah. You can reach out to his office (for appointments etc.) via phone at (801) 662-5351.

Mr Vijay Mysore Ravindra is licensed to practice in California (license number A161999) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1982995841.

Contact Information

	Mr Vijay Mysore Ravindra, MD
	100 N Mario Capecchi Dr, Salt Lake City, UT 84113-1103
	(801) 662-5351
	Not Available

Map and Direction

Physician's Profile

Full Name	Mr Vijay Mysore Ravindra
Gender	Male
Speciality	Neurological Surgery
Location	100 N Mario Capecchi Dr, Salt Lake City, Utah
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1982995841
Provider Enumeration Date: 04/27/2011
Last Update Date: 05/22/2025

Medicare PECOS Information:

PECOS PAC ID: 2466685557
Enrollment ID: I20180814001293

Medical Identifiers

Medical identifiers for Mr Vijay Mysore Ravindra such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1982995841	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207T00000X	Neurological Surgery	A161999 (California)	Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Mr Vijay Mysore Ravindra allows following entities to bill medicare on his behalf.

Entity Name	Texas Childrens Physician Group
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1861675506 PECOS PAC ID: 4385722081 Enrollment ID: O20080422000209

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mr Vijay Mysore Ravindra is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Mr Vijay Mysore Ravindra, MD Po Box 27128, Salt Lake City, UT 84127-0128 Ph: (801) 662-1000	Mr Vijay Mysore Ravindra, MD 100 N Mario Capecchi Dr, Salt Lake City, UT 84113-1103 Ph: (801) 662-5351

Reviews and Comments

Neurological Surgery Doctors in Salt Lake City, UT

Gail A. Magid, M.D. Neurological Surgery Medicare: Not Enrolled in Medicare Practice Location: 275 E 200 S, Salt Lake City, UT 84111 Phone: 800-366-1884 Fax: 801-487-8197
Dr. Robert John Bollo, MD Neurological Surgery Medicare: Medicare Enrolled Practice Location: 50 N Medical Dr, Salt Lake City, UT 84132 Phone: 801-581-6908
Wonhong David Min, MD Neurological Surgery Medicare: Accepting Medicare Assignments Practice Location: 3838 S 700 E Ste 300a, Salt Lake City, UT 84106 Phone: 801-261-4988 Fax: 801-269-9425
Dr. Paul Gregory Amstutz, M.D. Neurological Surgery Medicare: Not Enrolled in Medicare Practice Location: 500s Foothill Blvd, Salt Lake City, UT 84148 Phone: 801-582-1565
Jodie Karen Levitt, M.D. Neurological Surgery Medicare: Accepting Medicare Assignments Practice Location: 1327 East 2100 South, Suite 101, Salt Lake City, UT 84105 Phone: 801-363-2473 Fax: 866-363-3441
Michael T. Bounajem, MD Neurological Surgery Medicare: Medicare Enrolled Practice Location: 175 N Medical Dr E #5, Salt Lake City, UT 84132 Phone: 801-581-6908
Craig J Kilburg, MD Neurological Surgery Medicare: Accepting Medicare Assignments Practice Location: 175 N Medical Dr, Salt Lake City, UT 84112 Phone: 801-585-6065 Fax: 801-585-6087

Mr Vijay Mysore Ravindra, MD - Medicare Neurological Surgery in Salt Lake City, UT