RAVINDER R POLASANI MD NPI 1376517359

NPI Information

  • NPI: 1376517359
  • Provider Name: RAVINDER R POLASANI, MD
  • Classification: Allergy & Immunology - 207KA0200X
  • Specialization: Allergy
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 833 LAURENCE AVE
    JACKSON, MI
    ZIP 49202
  • Phone: (517) 782-1700

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NPI Details

Ravinder R Polasani, MD is an allergy allergy immunology in Jackson, MI with 42 years of experience. The provider is a physician who specializes in the diagnosis, treatment, and management of allergies. Source: National Uniform Claim Committee Ravinder R Polasani, MD NPI is 1376517359. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

833 LAURENCE AVE
JACKSON, MI
ZIP 49202-981
Phone: (517) 782-1700
Fax: (517) 787-9512

The NPI 1376517359 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Test for allergy using allergenic extract (HCPCS:95004)
  • Professional service for single injection of allergen (HCPCS:95115)
  • Professional service for preparation and provision of 1 or more antigens (HCPCS:95165)
  • Test for allergy using allergenic extract injected into skin (HCPCS:95024)
  • Professional service for multiple injections of allergen (HCPCS:95117)
  • Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
  • Test for allergy using combination of methods with drug or biological (HCPCS:95018)
  • New patient office or other outpatient visit, 30-44 minutes (HCPCS:99203)
  • Test to measure expiratory airflow and volume (HCPCS:94010)

The enumeration date for this NPI number is 2/15/2006 and was last updated on 1/29/2015.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207KA0200XAllergy & ImmunologyAllergyRP073528MICHIGANYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1G40082MEDICARE UPINMICHIGAN
2104078155MEDICAIDMICHIGAN
3P14130003MEDICARE ID-TYPE UNSPECIFIEDMICHIGAN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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