PAVAN MAHENDRA RAVELLA MD – NPI #1710212147
Internal Medicine

An internist with additional training who specializes in diseases of the blood, spleen and lymph. This specialist treats conditions such as anemia, clotting disorders, sickle cell disease, hemophilia, leukemia and lymphoma.

Health Care Provider Taxonomy Code for Internal Medicine

PAVAN MAHENDRA RAVELLA is a physician located in MOORESVILLE, NC. NPPES has assigned the NPI number 1710212147 to PAVAN MAHENDRA RAVELLA on October 02, 2009. It is a Type-1 NPI, indicating this NPI number is associated with an individual. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 207RH0000X from the Health Care Provider Taxonomy code set, which is classified as Internal Medicine, specializing in Hematology

The NPI profile was last updated on Dec 30, 2025. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for PAVAN MAHENDRA RAVELLA below.

NPI Profile for
PAVAN MAHENDRA RAVELLA

NPI Number
1710212147
Enumeration Date

(more than 16 years ago)
Entity Type
Type-1  Individual (Male)
Legal Name
PAVAN MAHENDRA RAVELLA
Credentials
MD
Primary location
170 MEDICAL PARK RD STE 101
MOORESVILLE, NC 28117-8541
Phone: (980) 302-7070 Fax:
1 Other location(s):
420 N 26th St
Lafayette, IN 47904-2848
Phone: (765) 448-8000
Mailing address
PO BOX 60447
CHARLOTTE, NC 28260-0447
Phone: (980) 302-7070 Fax:
Sole Proprietor
No
Updated
Certification Date
Dec 30, 2025

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Identifiers

Identifiers for PAVAN MAHENDRA RAVELLA

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
otherANTHEM PROVIDER NUMBERIN000000964118
medicaidIN201320510
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207RH0000X
- Internal Medicine / Hematology (Primary)		 NC 2025-03697
390200000X
- Student in an Organized Health Care Education/Training Program
207RX0202X
- Internal Medicine / Medical Oncology		 IN 01075948A

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.

Endpoint

Health Information Exchange (HEI)

HEI is the mobilization of health care information electronically across organizations within a region, community or hospital system. Endpoints provide a simple and secure way for participants to send authenticated, encrypted health information directly to known, trusted recipients over the internet such as primary care physicians, specialists, hospitals, labs, etc.

Endpoint
[email protected]
Endpoint type
Direct Messaging Address
Endpoint Description
Content Type
Affiliation
N
Endpoint Location
420 N 26TH ST,
LAFAYETTE, IN 77025-1669

Additional Information

Offers Telehealth Services
Yes - Telehealth services allows you to talk to your health care provider using audio/video communications, such as Zoom, without actually going in to the doctor's office
Accepts Medicare
This provider accepts Medicare-approved amount as payment in full. The Medicare-approved amount is the total the provider can be paid. When a provider accepts the Medicare-approved amount as payment, you won't be billed for more than the Medicare deductible & coinsureance.
Medicare Ordering & Referring
Provider can:
  • Refer to Part B
  • Order Durable Medical Equipment
  • Refer to Home Health Agency
  • Order Power Mobility Devices
Affiliations
PAVAN MAHENDRA RAVELLA is affiliated with the following medical group(s):
  • HOSPITAL
    • INDIANA UNIVERSITY HEALTH
      1701 N SENATE BLVD
      INDIANAPOLIS, IN 46202
    • INDIANA UNIVERSITY HEALTH ARNETT HOSPITAL
      5165 MCCARTY LN
      LAFAYETTE, IN 47905
    • INDIANA UNIVERSITY HEALTH FRANKFORT INC
      1300 S JACKSON ST
      FRANKFORT, IN 46041
    • INDIANA UNIVERSITY HEALTH WHITE MEMORIAL HOSPITAL
      720 SOUTH SIXTH ST
      MONTICELLO, IN 47960

Why is my NPI data (personal information) being displayed publicly?
If you have an active NPI profile, your profile is required to be disclosed according to the FOIA and eFOIA. HIPAA also requires covered providers to share their NPI with other providers, health plans, clearinghouses and any entity that may need it for billing purposes.

How do I correct or change the NPI data displayed here?
At any time, providers can make changes to their NPI profile at NPPES. Login to NPPES to make changes online or call (800) 465-3203 for assistance. Changes made at NPPES will be reflected on this web site within a few days.

Can I hide my NPI profile from the public?
Unfortunately, No. The NPPES discloses health care provider data under the Freedom of Information Act to the public, which means anyone may request such information directly from the National Plan & Provider Enumeration System. See the complete CMS Data Dissemination Notice here.