Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Jayasree Ravilla

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1710650528

Jayasree Ravilla is an Internal Medicine in Keene, New Hampshire. Qualified in 2018, 8 years ago. Practices with Dartmouth-Hitchcock Clinic, a 1,430-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in New Hampshire.

Years since qualifying
8
Licensed in
NH
In the registry since
2021
Specialties on file
2
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Practice location Address checks out

580 Court St
Keene, NH 03431-1718
Phone: (603) 354-5400
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 300 2nd Ave, Long Branch, NJ 07740-6303 — (973) 626-3290

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence 35111 (NH)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1710650528
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJuly 28, 2021
Last updated in NPPESAugust 7, 2025
Certification dateAugust 7, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyINTERNAL MEDICINE
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice Dartmouth-Hitchcock Clinic — 1430 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Keene