Nithin Ravi, MD in Portland, OR - Medicare Emergency Medicine

Nithin Ravi, MD is a medicare enrolled "Emergency Medicine - Pediatric Emergency Medicine" physician in Portland, Oregon. His current practice location is 3181 Sw Sam Jackson Park Rd, Portland, Oregon. You can reach out to his office (for appointments etc.) via phone at (503) 494-7551.

Nithin Ravi is licensed to practice in Oregon (license number MD223669) 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 1073003695.

Contact Information

	Nithin Ravi, MD
	3181 Sw Sam Jackson Park Rd, Portland, OR 97239-3011
	(503) 494-7551
	Not Available

Map and Direction

Physician's Profile

Full Name	Nithin Ravi
Gender	Male
Speciality	Emergency Medicine - Pediatric Emergency Medicine
Location	3181 Sw Sam Jackson Park Rd, Portland, Oregon
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1073003695
Provider Enumeration Date: 05/18/2018
Last Update Date: 08/20/2025

Medicare PECOS Information:

PECOS PAC ID: 4789930199
Enrollment ID: I20220111002677

Medical Identifiers

Medical identifiers for Nithin Ravi such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1073003695	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
2080P0204X	Pediatrics - Pediatric Emergency Medicine	DR.0066577 (Colorado)	Secondary
207PP0204X	Emergency Medicine - Pediatric Emergency Medicine	MD223669 (Oregon)	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. Nithin Ravi allows following entities to bill medicare on his behalf.

Entity Name	Denver Health And Hospital Authority
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1477569838 PECOS PAC ID: 4688583578 Enrollment ID: O20031105000211

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. Nithin Ravi 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
Nithin Ravi, MD 3181 Sw Sam Jackson Park Rd, Portland, OR 97239-3011 Ph: (503) 494-7551	Nithin Ravi, MD 3181 Sw Sam Jackson Park Rd, Portland, OR 97239-3011 Ph: (503) 494-7551

Reviews and Comments

Emergency Medicine Doctors in Portland, OR

Kimberly Lauren Imbesi, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 3181 Sw Sam Jackson Park Rd, Portland, OR 97239 Phone: 503-494-8211 Fax: 503-346-8021
Dr. Hani Darwich, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 10123 Se Market St, Portland, OR 97216 Phone: 503-252-2004
Dr. Robert Thomas Martin, M.D. Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 4805 Ne Glisan St, Portland, OR 97213 Phone: 503-297-6334 Fax: 503-297-2360
Dr. Jessica Slim, M.D., M.P.H. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 3181 Sw Sam Jackson Park Rd, Portland, OR 97239 Phone: 503-494-7551 Fax: 503-494-4997
Robert Barriatua, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 10123 Se Market St, Portland, OR 97216 Phone: 503-252-2004
Carolyn N Rhett, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 1015 Nw 22nd Ave, Portland, OR 97210 Phone: 503-413-7260
Dr. Ross Emery Bryan Iv, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 3181 Sw Sam Jackson Park Rd, Ohsu Dept Of Emergency Medicine Cdw-em, Portland, OR 97239 Phone: 503-494-1270

Nithin Ravi, MD - Medicare Emergency Medicine in Portland, OR