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

Mr. Ravi Vishram Purushuttam, MD

Individual provider Family Medicine Physician · NPI 1043717838

Mr. Ravi Vishram Purushuttam, MD is a Family Practice in Fayetteville, North Carolina. Qualified in 2015, 11 years ago. Practices with Heritage Family Physicians, a 3-clinician group and accepts Medicare assignment. Licensed in New York.

Years since qualifying
11
Licensed in
NY
In the registry since
2018
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

6387 Ramsey St Unit 210
Fayetteville, NC 28311-9442
Phone: (910) 615-3920
Fax: (910) 321-6221
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 311963 (NY)

Record details

NPI number1043717838
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 9, 2018
Last updated in NPPESAugust 5, 2026
Certification dateAugust 5, 2026

Medicare enrollment

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

Medicare specialtyFAMILY PRACTICE
Medical schoolOTHER
Graduated 2015 (11 years in practice)
Group practice Heritage Family Physicians — 3 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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