Individual provider Active NPI

Ranjan P Ghose, MD

  • Nephrology Physician
  • Sarasota, FL
National Provider Identifier
1073537650
Registry record updated May 16, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
82366 Issued in FL
Practice address
1921 Waldemere St
Suite 413
Sarasota, FL 34239-2943
Phone
(941) 917-6585
Fax
(941) 917-6514
NPI assigned
Jul 27, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 16, 2008

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 82366 FL
Nephrology Physician 207RN0300X 82366 FL Primary

Addresses

Primary practice location

1921 Waldemere St
Suite 413
Sarasota, FL 34239-2943

Mailing address

1921 Waldemere St
Suite 413
Sarasota, FL 34239-2943
Phone (941) 917-6585

Other identifiers 2

IdentifierTypeStateIssuer
262124000MedicaidFL
1793OtherFLBLUE CROSS OF FLORIDA

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
I20060130000226 FL Practitioner - Nephrology 5496769481 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nephrology
Education
Ohio State University College of Medicine, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Florida Kidney Physicians LLCGroup PAC ID 4385925650, 167 clinicians

Practice addresses (Care Compare)

1921 Waldemere St
Suite 413 FKP Waldemere
Sarasota, FL 34239-2941
Phone (941) 917-6585

Hospital & facility affiliations

  • Usrc Sarasota Dialysis facility, Sarasota, FL, CCN 102596
  • USRC Palmer Ranch Dialysis Dialysis facility, Sarasota, FL, CCN 682679
  • DaVita Manasota Dialysis Dialysis facility, Sarasota, FL, CCN 682574
  • DaVita Venice Dialysis Center Dialysis facility, Venice, FL, CCN 102675
  • DaVita Bradenton Dialysis Dialysis facility, Bradenton, FL, CCN 102646
  • Sarasota Memorial Hospital Hospital, Sarasota, FL, CCN 100087
  • HCA Florida Sarasota Doctors Hospital Hospital, Sarasota, FL, CCN 100166
  • Lakewood Ranch Medical Center Hospital, Bradenton, FL, CCN 100299
  • Sarasota Memorial Hospital - Venice Hospital, North Venice, FL, CCN 100359

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as individual
Quality
100
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
82366FLMDNephrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Florida Kidney Physicians, LLC Nephrology CurrentSince Jul 1, 2022 Accepting new patients
Florida Kidney Physicians , LLC Nephrology CurrentSince Jul 1, 2022 Accepting new patients
Usrc Southeast Sarasota LLC PastSince Mar 23, 2018 Accepting new patients

Locations

1150 N 35th Ave
Ste 620
Hollywood, FL 33021
Phone (954) 612-8173

6960 Professional Pkwy
Lakewood Ranch, FL 34240
Phone (941) 362-2864

6960 Professional Pkwy
#4
Lakewood Ranch, FL 34240

19056 NE 29th Ave
Miami, FL 33180
Phone (305) 354-4558

1921 Waldemere St
Ste 413
Sarasota, FL 34239
Phone (941) 917-6585

12662 Telecom Dr
Temple Terrace, FL 33637
Phone (813) 910-8708

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Interoperability endpoints

  • Direct secure messaging: ranjan.ghose.1@15644.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/15644/brand/1/csg/1/fhir/r4

Organizations & group practices 3

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 9

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": "1153958400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1210896000000",
    "number": "1073537650",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1921 WALDEMERE ST",
            "address_2": "SUITE 413",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342392943",
            "telephone_number": "941-917-6585",
            "fax_number": "941-917-6514"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1921 WALDEMERE ST",
            "address_2": "SUITE 413",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342392943",
            "telephone_number": "941-917-6585",
            "fax_number": "941-917-6514"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GHOSE",
        "first_name": "RANJAN",
        "middle_name": "P",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-27",
        "last_updated": "2008-05-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "82366",
            "primary": false
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "FL",
            "license": "82366",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "262124000",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS OF FLORIDA",
            "identifier": "1793",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sarasota, FL

Sources for this page

Verify at the official NPI Registry.