Individual provider Active NPI

Bhavani Ketheeswaran, MD

  • Internal Medicine Physician
  • Ocala, FL
National Provider Identifier
1013944370
Registry record updated Feb 10, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
ME82362 Issued in FL
Practice address
2810 SE 3Rd CT
Ocala, FL 34471-0446
Phone
(352) 732-0122
NPI assigned
Jun 26, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 10, 2014

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X ME82362 FL Primary

Addresses

Primary practice location

2810 SE 3Rd CT
Ocala, FL 34471-0446

Mailing address

2810 SE 3Rd CT
Ocala, FL 34471-0446
Phone (352) 732-0122

Other identifiers 2

IdentifierTypeStateIssuer
13015OtherFLBCBS
262712400MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060309000590 FL Practitioner - Internal Medicine 1951318385 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cora Health Services IncGroup PAC ID 1759290992, shared by 21 NPIs, 1,125 clinicians

Practice addresses (Care Compare)

2810 SE 3Rd CT
Ocala, FL 34471-0458
Phone (352) 867-8844

3845 SE Lake Weir Ave
Cora Physical Therapy East Ocala
Ocala, FL 34480-9153
Phone (352) 693-3378

5036 SE 110TH St
Suite 103
Belleview, FL 34420-3759
Phone (352) 693-3378

Hospital & facility affiliations

  • Adventhealth Ocala Hospital, Ocala, FL, CCN 100062

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Ocala Florida Physician Group Internal Medicine CurrentSince Mar 1, 2008 Accepting new patients
Primary Care Providers Inc CurrentSince May 23, 2022 Accepting new patients
SKS Medical PLLC Current Accepting new patients
Express Care of Belleview, LLC Past Accepting new patients
Ocala Physician Associates PA Internal Medicine PastSince Oct 14, 2018 Accepting new patients

Locations

2810 SE 3rd Ct
Ocala, FL 34471
Phone (352) 732-0122

1202 SW 17th St
Ste 102
Ocala, FL 34471
Phone (352) 237-4417

9280 SW 81st Ct
Ocala, FL 34481
Phone (352) 509-5201

635 SE 17th St
Ocala, FL 34471
Phone (352) 629-7921

9848 SW 110th St
Ocala, FL 34481
Phone (352) 291-7253

16529 SE 86th Belle Meade Cir
The Villages, FL 32162
Phone (325) 825-8200

Networks

  • Freedom Health HMO Network
  • Optimum HealthCare HMO Network

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1151280000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1391990400000",
    "number": "1013944370",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2810 SE 3RD CT",
            "city": "OCALA",
            "state": "FL",
            "postal_code": "344710446",
            "telephone_number": "352-732-0122"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2810 SE 3RD CT",
            "city": "OCALA",
            "state": "FL",
            "postal_code": "344710446",
            "telephone_number": "352-732-0122"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KETHEESWARAN",
        "first_name": "BHAVANI",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-06-26",
        "last_updated": "2014-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME82362",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "13015",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "262712400",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ocala, FL

Sources for this page

Verify at the official NPI Registry.