Individual provider Active NPI

Ravi Nagarajan, M.D.

  • Internal Medicine Physician
  • Daytona Beach, FL
National Provider Identifier
1124004973
Registry record updated Nov 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
ME72472 Issued in FL
Practice address
1900 N Atlantic Ave Unit 1602
Daytona Beach, FL 32118-8312
Phone
(407) 360-1742
Fax
(321) 339-1949
NPI assigned
Dec 22, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 12, 2024

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 ME72472 FL Primary

Addresses

Primary practice location

1900 N Atlantic Ave Unit 1602
Daytona Beach, FL 32118-8312

Mailing address

1900 N Atlantic Ave Unit 1602
Daytona Beach, FL 32118-8312
Phone (407) 360-1742

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
I20040407000977 FL Practitioner - Internal MedicinePractitioner - Hospice/Palliative Care 8224021910 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Hospice/Palliative Care
Education
Other, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Akshaya Balaji LLCGroup PAC ID 9638138860, 4 clinicians

Practice addresses (Care Compare)

6000 Tarawood Dr
Orlando, FL 32819-4422
Phone (407) 876-1700

Hospital & facility affiliations

  • Adventhealth Hospice Care East Florida Hospice, Ormond Beach, FL, CCN 101539
  • Adventhealth Palm Coast Parkway Hospital, Palm Coast, FL, CCN 100363
  • AdventHealth Palm Coast Hospital, Palm Coast, FL, CCN 100118
  • Adventhealth Daytona Beach Hospital, Daytona Beach, FL, CCN 100068

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME72472FLMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Akshaya Balaji LLC CurrentSince May 26, 2004 Accepting new patients
Inpatient Consultants of Florida, Inc Internal Medicine CurrentSince Jun 17, 2019 Accepting new patients
Vitas Solutions Inc CurrentSince Jul 22, 2013 Accepting new patients
Inpatient Consultants of Florida Inc Internal Medicine CurrentSince Jun 17, 2019 Accepting new patients
Orlando Hospitalists LLC Internal Medicine Past Accepting new patients
David Mazer,M.D.,P.a. Past Accepting new patients

Locations

21644 State Road 7
Boca Raton, FL 33428
Phone (561) 488-8210

5430 NW 33rd Ave
Ste 106
Ft Lauderdale, FL 33309
Phone (877) 884-8277

301 Memorial Medical Pkwy
Holly Hill, FL 32117
Phone (386) 231-3906

350 7th St N
Naples, FL 34102
Phone (239) 436-5000

1414 Kuhl Ave
Orlando, FL 32806
Phone (407) 464-9516

601 E Rollins St
Orlando, FL 32803
Phone (407) 303-1996

721 W Colonial Dr
Orlando, FL 32804
Phone (407) 245-8501

3030 W Bearss Ave
Tampa, FL 33618
Phone (813) 932-2222

100 Base Ave E
Venice, FL 34285
Phone (941) 412-4748

Organizations & group practices 6

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 5

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": "1135209600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731369600000",
    "number": "1124004973",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1900 N ATLANTIC AVE UNIT 1602",
            "city": "DAYTONA BEACH",
            "state": "FL",
            "postal_code": "321188312",
            "telephone_number": "407-360-1742",
            "fax_number": "321-339-1949"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1900 N ATLANTIC AVE UNIT 1602",
            "city": "DAYTONA BEACH",
            "state": "FL",
            "postal_code": "321188312",
            "telephone_number": "407-360-1742",
            "fax_number": "321-339-1949"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NAGARAJAN",
        "first_name": "RAVI",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-22",
        "last_updated": "2024-11-12",
        "certification_date": "2024-11-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME72472",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Daytona Beach, FL

Sources for this page

Verify at the official NPI Registry.