RAVINDHRA G ELLURU (MD, PHD) – Pediatric Otolaryngology Physician, NPI 1356361968

RAVINDHRA G ELLURU (MD, PHD) is a healthcare provider. based in Madison, Wisconsin. specializing in Pediatric Otolaryngology Physician. They hold the professional credentials MD, PHD. They hold a License No. 35.079575 (OH). The NPI Number for RAVINDHRA G ELLURU (MD, PHD) is 1356361968

Main info

Male
30 Years Of Experience
Accepts Medicare Assignment
Name
RAVINDHRA G ELLURU (MD, PHD)
NPI
1356361968
Phone
(608) 263-6420
Address
1675 Highland Ave
Enumeration Date
20 July 2006
Last Update Date
16 December 2024

Doctor Profile

Medical School Name
UNIVERSITY OF TEXAS SOUTHWESTERN MEDICAL SCHOOL AT DALLAS
Secondary Phone
9376414000
Graduation Year
1996 (30 years ago)
PAC ID
8123157575
Group Practice PAC ID
5496916124
Professional Enrollment ID
I20100525000023

Contacts

Secure Messaging
ravindhra.elluru.1@7598.direct.athenahealth.com
Secure Messaging
relluru4958754@direct.uwhealth.org
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience80
Completeness85
Years active:19State licenses:3Other namesUpdated within 12 months

Provider Addresses for RAVINDHRA G ELLURU (MD, PHD)

  • 1675 Highland Ave

    Madison, WI 537921815

    Phone: (608) 263-6420

    Type: Location

  • 8402 Harcourt Rd Ste 731

    Indianapolis, IN 462602056

    Phone: (317) 338-6815

    Type: Location

  • 8402 HARCOURT RD STE 400

    INDIANAPOLIS, IN 462602053

    Phone:

    Type: Mailing

  • Dayton Children’s Hospital, 1, Childrens Plaza, Dayton, Montgomery County, Ohio, 45404, United States

    DAYTON, OH 454041815

    Phone: (937) 641-3000

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 3 Open Payments records for all available years, with a total value of $207.

Total Amount is formed as General ($207) + Research ($0) + Ownership ($0) = $207.

Last reported payment date: 2024-11-20 • Largest payer in this snapshot: Regeneron Healthcare Solutions, Inc. ($99).

Total Amount

$207

General + Research + Ownership

Payments

3

Total payment records

General Amount

$207

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-20

Latest reported date

Top Companies

Largest payers in this snapshot

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: 2024-10-01

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 3 Medicare enrollment records; no due dates published yet.

Enrollment records

3

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
I20100525000023IOtolaryngologyOHTBD
I20240829002475IPediatric MedicineINTBD
I20241001002162IOtolaryngologyWITBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 53792)

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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: 5496916124View full group profile
NameSpecialtyState
Critical Care (Intensivists)OH
Emergency Medicine, Pediatric MedicineNY
G A S T R O E N T E R O L O G YOH
-OH
Pediatric Medicine, General SurgeryOH
A N E S T H E S I O L O G YTN
Pediatric MedicineOH
Critical Care (Intensivists), Pediatric MedicineOH
H E M A T O L O G Y/ O N C O L O G YOH
Pediatric MedicineOH

Reviews

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Frequently asked questions

Is there an official ID for RAVINDHRA G ELLURU (MD, PHD) in U.S. healthcare records?
The official identifier for RAVINDHRA G ELLURU (MD, PHD) is NPI 1356361968.
Active or inactive — what applies to RAVINDHRA G ELLURU (MD, PHD)?
You should see RAVINDHRA G ELLURU (MD, PHD) as active in CMS-hosted NPPES data.
How would a patient describe RAVINDHRA G ELLURU (MD, PHD)'s focus?
For RAVINDHRA G ELLURU (MD, PHD), the primary taxonomy reads as Pediatric Otolaryngology Physician. Clinical services aligned with this taxonomy classification.
Is RAVINDHRA G ELLURU (MD, PHD) located near Madison?
RAVINDHRA G ELLURU (MD, PHD) currently maps to Madison, Wisconsin in this extract.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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