RAJAN RAVIKUMAR (M.D.) – Allergy & Immunology Physician, NPI 1790734564

RAJAN RAVIKUMAR (M.D.) is a healthcare provider. based in Ann arbor, Michigan. specializing in ALLERGY/IMMUNOLOGY, INTERNAL MEDICINE. They hold the professional credentials M.D.. They hold a License No. MD428811 (PA). The NPI Number for RAJAN RAVIKUMAR (M.D.) is 1790734564

Main info

Male
26 Years Of Experience
Accepts Medicare Assignment
Name
RAJAN RAVIKUMAR (M.D.)
NPI
1790734564
Phone
(734) 647-5299
Address
3621 S STATE ST
Enumeration Date
9 May 2006
Last Update Date
8 February 2019

Doctor Profile

Medical School Name
RUTGERS NEW JERSEY MEDICAL SCHOOL
Secondary Phone
-
Graduation Year
2000 (26 years ago)
PAC ID
1254337231
Group Practice PAC ID
3779496856
Professional Enrollment ID
I20150803002532
Address ID
MI481059484AN24XXXDRXX500
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience68
Completeness75
Years active:20State licenses:2Digital endpointsOther names

177 ALLERGY/IMMUNOLOGY in MI

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Provider Addresses for RAJAN RAVIKUMAR (M.D.)

  • South State Street, Ann Arbor, Washtenaw County, Michigan, 48108-1774, United States

    ANN ARBOR, MI 481081633

    Phone: (734) 647-5299

    Type: Mailing

  • Brighton Center for Specialty Care, 7500, Challis Road, Brighton, Livingston County, Michigan, 48116, United States

    2ND FLOOR

    BRIGHTON, MI 481169416

    Phone: (734) 647-5940

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 9 Open Payments records for all available years, with a total value of $787.

Total Amount is formed as General ($787) + Research ($0) + Ownership ($0) = $787.

Last reported payment date: 2024-10-26 • Largest payer in this snapshot: Novartis Pharmaceuticals Corporation ($184).

Total Amount

$787

General + Research + Ownership

Payments

9

Total payment records

General Amount

$787

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-10-26

Latest reported date

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2015-08-03

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20150803002532IAllergy/ImmunologyMITBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
95165Professional service for preparation and provision of 1 or more antigens29311$0
99214Established patient office or other outpatient visit, 30-39 minutes8576$0
99204New patient office or other outpatient visit, 45-59 minutes3636$0
99203New patient office or other outpatient visit, 30-44 minutes2222$0
99213Established patient office or other outpatient visit, 20-29 minutes2020$0
View full utilization report →

Insurance plans in this area (ZIP 48108)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 3779496856View full group profile
NameSpecialtyState
G A S T R O E N T E R O L O G YFL
Physical Medicine And RehabilitationMI
A N E S T H E S I O L O G YMI
Internal Medicine, Pediatric MedicineIL
-MI
Physician AssistantMI

Reviews

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Frequently asked questions

Where can patients find RAJAN RAVIKUMAR (M.D.)'s NPI?
You can confirm RAJAN RAVIKUMAR (M.D.) with NPI 1790734564; it appears in the national provider directory.
Is RAJAN RAVIKUMAR (M.D.) currently active in the NPI registry?
CMS-published data lists RAJAN RAVIKUMAR (M.D.) as an active registrant.
Can you summarize RAJAN RAVIKUMAR (M.D.)'s specialty in plain language?
Clinically, the directory lists RAJAN RAVIKUMAR (M.D.) with Allergy & Immunology Physician. Clinical services aligned with this taxonomy classification.
Where does public data place RAJAN RAVIKUMAR (M.D.)?
The snapshot lists Ann Arbor, Michigan for RAJAN RAVIKUMAR (M.D.); download NPPES for the complete set.
What if Ann Arbor, Michigan seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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