DR. RAVI CHANDRAN (DMD PHD FACS) – Oral and Maxillofacial Surgery (Dentist), NPI 1043496235

DR. RAVI CHANDRAN (DMD PHD FACS) is a healthcare provider. based in Jackson, Mississippi. specializing in MAXILLOFACIAL SURGERY, ORAL SURGERY. They hold the professional credentials DMD PHD FACS. They hold a License No. DN122555 (GA). The NPI Number for DR. RAVI CHANDRAN (DMD PHD FACS) is 1043496235

Main info

Male
Sole Proprietor
17 Years Of Experience
Accepts Medicare Assignment
Name
DR. RAVI CHANDRAN (DMD PHD FACS)
NPI
1043496235
Phone
(601) 984-6090
Address
2500 N STATE ST.
Enumeration Date
17 January 2008
Last Update Date
3 June 2026

Doctor Profile

Medical School Name
UNIVERSITY OF MISSISSIPPI MEDICAL CENTER SCHOOL OF DENTISTRY
Secondary Phone
7709341907
Graduation Year
2009 (17 years ago)
PAC ID
2466686266
Group Practice PAC ID
9537154968
Professional Enrollment ID
I20220524002943
Address ID
GA300848520TU4915XRDXX300
Data current as of
10 June 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience60
Completeness85
Years active:18State licenses:1Digital endpointsOther names

6 MAXILLOFACIAL SURGERY in MS

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Provider Addresses for DR. RAVI CHANDRAN (DMD PHD FACS)

  • University of Mississippi Medical Center, 2500, North State Street, Woodland Hills, Jackson, Hinds County, Mississippi, 39216, United States

    UNIVERSITY OF MISSISSIPPI MEDICAL CENTER, SOD

    JACKSON, MS 39211

    Phone: (601) 984-6090

    Fax: (601) 984-4949

    Type: Mailing

  • 4915 LAVISTA RD

    TUCKER, GA 300848520

    Phone: (709) 341-9077

    Fax: (770) 493-4900

    Type: Mailing

  • 2386 CLOWER ST STE 100

    SNELLVILLE, GA 300786134

    Phone: (770) 979-9500

    Fax: (770) 493-4900

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 13 Open Payments records for all available years, with a total value of $583.

Total Amount is formed as General ($583) + Research ($0) + Ownership ($0) = $583.

Last reported payment date: 2024-11-19 • Largest payer in this snapshot: ZIMVIE INC. ($286).

Total Amount

$583

General + Research + Ownership

Payments

13

Total payment records

General Amount

$583

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-19

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: 2022-05-24

PECOS data refreshed: 2026-06-15

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
I20220524002943IOral SurgeryGATBD

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
99202New patient office or other outpatient visit, 15-29 minutes2727$0
View full utilization report →

Insurance plans in this area (ZIP 39211)

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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: 9537154968View full group profile

Reviews

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Frequently asked questions

Is DR. RAVI CHANDRAN (DMD PHD FACS) listed with a National Provider Identifier?
Yes — DR. RAVI CHANDRAN (DMD PHD FACS) has NPI 1043496235 on file in the registry.
Active or inactive — what applies to DR. RAVI CHANDRAN (DMD PHD FACS)?
You should see DR. RAVI CHANDRAN (DMD PHD FACS) as active in CMS-hosted NPPES data.
What expertise is attributed to DR. RAVI CHANDRAN (DMD PHD FACS)?
DR. RAVI CHANDRAN (DMD PHD FACS)'s specialty line reads Oral and Maxillofacial Surgery (Dentist). Clinical services aligned with this taxonomy classification.
Is DR. RAVI CHANDRAN (DMD PHD FACS) located near Jackson?
DR. RAVI CHANDRAN (DMD PHD FACS) currently maps to Jackson, Mississippi in this extract.
What does 6 location(s) imply?
6 practice locations appear in the available data.

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