DR. SANJEEV DHARI RAVIPUDI (MD) – Interventional Cardiology Physician, NPI 1588657811

DR. SANJEEV DHARI RAVIPUDI (MD) is a healthcare provider. based in Moberly, Missouri. specializing in INTERNAL MEDICINE, INTERVENTIONAL CARDIOLOGY, CARDIOVASCULAR DISEASE (CARDIOLOGY). They hold the professional credentials MD. They hold a License No. 2002015751 (MO). The NPI Number for DR. SANJEEV DHARI RAVIPUDI (MD) is 1588657811

Main info

Male
Sole Proprietor
31 Years Of Experience
Accepts Medicare Assignment
Name
DR. SANJEEV DHARI RAVIPUDI (MD)
NPI
1588657811
Phone
(660) 616-0022
Address
2103 SILVA LN
Enumeration Date
23 August 2005
Last Update Date
1 May 2025

Doctor Profile

Medical School Name
UNIVERSITY OF MISSOURI, KANSAS CITY, SCHOOL OF MEDICINE
Secondary Phone
8089323730
Graduation Year
1995 (31 years ago)
PAC ID
5890717730
Group Practice PAC ID
7416945548
Professional Enrollment ID
I20241224000399
Address ID
HI967202089HI1190XAVEX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience78
Completeness75
Years active:20State licenses:2Digital endpointsOther names

4,190 INTERNAL MEDICINE in MO

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Provider Addresses for DR. SANJEEV DHARI RAVIPUDI (MD)

  • Silva Lane, Moberly, Randolph County, Missouri, 65270, United States

    MOBERLY, MO 65270

    Phone: (660) 616-0022

    Type: Location

  • PO BOX 7959

    COLUMBIA, MO 652057959

    Phone: (660) 616-0022

    Fax: (660) 530-4565

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 53 Open Payments records for all available years, with a total value of $48,050.

Total Amount is formed as General ($48,050) + Research ($0) + Ownership ($0) = $48,050.

Last reported payment date: 2024-12-31 • Largest payer in this snapshot: AngioDynamics, Inc. ($46,228).

Total Amount

$48,050

General + Research + Ownership

Payments

53

Total payment records

General Amount

$48,050

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-31

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: 2024-12-24

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

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
I20051220000799ICardiovascular Disease (Cardiology)MOTBD
I20241224000399IInterventional CardiologyHITBD

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
99214Established patient office or other outpatient visit, 30-39 minutes637423$0
93000Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report113111$0
99213Established patient office or other outpatient visit, 20-29 minutes111110$0
99204New patient office or other outpatient visit, 45-59 minutes9595$0
75774Review by radiologist of additional artery image6319$0
View full utilization report →

Insurance plans in this area (ZIP 65270)

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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: 7416945548View full group profile
NameSpecialtyState
General SurgeryHI
Diagnostic Radiology, Interventional RadiologyDE
Family PracticeHI
-CA
Cardiovascular Disease (Cardiology)NV
-HI
Family PracticeNY
Cardiovascular Disease (Cardiology)VA
Interventional Cardiology, Internal MedicineOR
Diagnostic RadiologyNY

Reviews

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Frequently asked questions

What identifier follows DR. SANJEEV DHARI RAVIPUDI (MD) across health systems?
The NPI 1588657811 uniquely identifies DR. SANJEEV DHARI RAVIPUDI (MD) in U.S. healthcare data.
Should I treat DR. SANJEEV DHARI RAVIPUDI (MD) as an active provider?
Patients and plans typically see DR. SANJEEV DHARI RAVIPUDI (MD) as active in the national extract.
Which specialty label fits DR. SANJEEV DHARI RAVIPUDI (MD)?
NPPES ties DR. SANJEEV DHARI RAVIPUDI (MD) to Interventional Cardiology Physician in the taxonomy section. Clinical services aligned with this taxonomy classification.
What geographic area is tied to DR. SANJEEV DHARI RAVIPUDI (MD)?
DR. SANJEEV DHARI RAVIPUDI (MD) is associated with Moberly, Missouri in the same public data insurers reference.
Why is information missing for DR. SANJEEV DHARI RAVIPUDI (MD)?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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