Active NPI
Ravi G Raman, M.D.
- Pediatrics Physician
- Titusville, FL
National Provider Identifier
1023091139
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- ME73413
- Practice address
- 1653 Jess Parrish CT
Titusville, FL 32796-2145 - Phone
- (321) 267-5965
- Fax
- (321) 267-8487
- NPI assigned
- Nov 22, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | ME73413 | FL | Primary |
Addresses
Primary practice location
1653 Jess Parrish CT
Titusville, FL 32796-2145
Mailing address
1653 Jess Parrish CT
Titusville, FL 32796-2145
Phone (321) 267-5965
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 166722 | Other | FL | WELLCARE/HEALTHEASE/STAYW |
| 1518699 | Other | FL | CIGNA |
| 42222 | Other | FL | BLUE CROSS/BLUE SHIELD |
| 1005780 | Other | FL | AETNA |
| 144879 | Other | FL | WELL CARE/HEALTHEASE/STAY |
| 199730 | Other | FL | AMERIGROUP |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME73413 | FL | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Saltzman, Tanis, Pittell, Levin and Jacobson | Pediatrics | Past | Accepting new patients |
Interoperability endpoints
- https://fhir-myrecord.cerner.com/r4/1ba56762-29f3-48fc-ab7a-bea5f733932b/
Organizations & group practices 1
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.
-
dba Pediatric Associates
- Pediatrics Physician
- Hollywood, FL
- NPI 1639138480
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1132617600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1023091139",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1653 JESS PARRISH CT",
"city": "TITUSVILLE",
"state": "FL",
"postal_code": "327962145",
"telephone_number": "321-267-5965",
"fax_number": "321-267-8487"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1653 JESS PARRISH CT",
"city": "TITUSVILLE",
"state": "FL",
"postal_code": "327962145",
"telephone_number": "321-267-5965",
"fax_number": "321-267-8487"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RAMAN",
"first_name": "RAVI",
"middle_name": "G",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-11-22",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "FL",
"license": "ME73413",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "WELLCARE/HEALTHEASE/STAYW",
"identifier": "166722",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "1518699",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS/BLUE SHIELD",
"identifier": "42222",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "1005780",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "WELL CARE/HEALTHEASE/STAY",
"identifier": "144879",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AMERIGROUP",
"identifier": "199730",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Titusville, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.