Mr Ravi Vishram Purushuttam, MD is a medicare enrolled "Family Medicine" physician in Cuba, New York. He graduated from medical school in 2015 and has 9 years of diverse experience with area of expertise as Family Practice. He is a member of the group practice Southern Tier Community Health Center Network Inc and his current practice location is
132 W Main St, Cuba, New York. You can reach out to his office (for appointments etc.) via phone at
(716) 375-7500.
Mr Ravi Vishram Purushuttam is licensed to practice in New York (license number 311963) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1043717838.
Physician's Profile
Full Name | Mr Ravi Vishram Purushuttam |
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Gender | Male |
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Speciality | Family Practice |
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Experience | 9 Years |
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Location | 132 W Main St, Cuba, New York |
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Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Mr Ravi Vishram Purushuttam graduated from medical school in 2015
NPI Data:
- NPI Number: 1043717838
- Provider Enumeration Date: 04/09/2018
- Last Update Date: 06/22/2023
Medicare PECOS Information:
- PECOS PAC ID: 0840537254
- Enrollment ID: I20210901003205
Medical Identifiers
Medical identifiers for Mr Ravi Vishram Purushuttam such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1043717838 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207Q00000X | Family Medicine | 311963 (New York) | Primary |
Medical Facilities Affiliation
Group Practice Association
Group Practice Name | Group PECOS PAC ID | No. of Members |
Southern Tier Community Health Center Network Inc | 3375513724 | 20 |
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. Mr Ravi Vishram Purushuttam allows following entities to bill medicare on his behalf.
Entity Name | Southern Tier Community Health Center Network Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1184654477 PECOS PAC ID: 3375513724 Enrollment ID: O20040731000008 |
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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. Mr Ravi Vishram Purushuttam 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 |
Mr Ravi Vishram Purushuttam, MD 135 N.union St., Olean, NY 14760 Ph: (716) 375-7500 | Mr Ravi Vishram Purushuttam, MD 132 W Main St, Cuba, NY 14727-1317 Ph: (716) 375-7500 |
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