Individual provider Active NPI

Ravi Sankar Dodda, D.O.

  • Emergency Medical Services (Emergency Medicine) Physician
  • Olympia Fields, IL
National Provider Identifier
1124284724
Registry record updated Apr 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medical Services (Emergency Medicine) PhysicianTaxonomy code 207PE0004X
License
OS16083 Issued in FL
Practice address
20201 Crawford Ave
Olympia Fields, IL 60461-1010
Phone
(708) 747-4000
NPI assigned
Aug 3, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 14, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medical Services (Emergency Medicine) Physician 207PE0004X OS16083 FL Primary
Emergency Medicine Physician 207P00000X 036119360 IL

Addresses

Primary practice location

20201 Crawford Ave
Olympia Fields, IL 60461-1010

Mailing address

3323 Laurel LN
Hazel Crest, IL 60429-1008
Phone (708) 870-3754

Other practice location 1

2500 Harbor Blvd
Port Charlotte, FL 33952-5000
Phone (941) 766-4125

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL, FL2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20081110000039 IL Practitioner - Emergency Medicine 0143389957 Reassigns benefits to 3 organizations
I20211029001962 FL Practitioner - Emergency Medicine 0143389957 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Chicago College of Osteopathy, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Florida Hospital Physician Group IncGroup PAC ID 2365679057, 953 clinicians
Emergency Medicine Services of FL LLCGroup PAC ID 8426413931, 686 clinicians
Ies Florida PLLCGroup PAC ID 8921485004, 45 clinicians

Practice addresses (Care Compare)

13901 Bruce B Downs Blvd
Tampa, FL 33613-3905
Phone (813) 615-7260

2500 Harbor Blvd
Port Charlotte, FL 33952-5000
Phone (941) 766-4903

322 SW Pine Island Rd
Fawcett Memorial
Cape Coral, FL 33991-2057
Phone (941) 249-6858

809 E Marion Ave
Punta Garda, FL 33950-3819
Phone (941) 639-3131

Hospital & facility affiliations

  • Adventhealth Port Charlotte Hospital, Port Charlotte, FL, CCN 100077
  • HCA Florida Fawcett Hospital Hospital, Port Charlotte, FL, CCN 100236
  • HCA Florida Englewood Hospital Hospital, Englewood, FL, CCN 100267

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
OS16083FLMDEmergency Medical Services (Emergency Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Port Charlotte HBP Services LLC Emergency Medicine CurrentSince Oct 19, 2021 Accepting new patients
Emergency Medicine Services of FL, LLC Emergency Medicine CurrentSince Apr 1, 2023 Accepting new patients
Aurora Emergency Physicians, LLC Emergency Medicine CurrentSince Oct 1, 2017 Accepting new patients
Aurora Emergency Physicians, LLC Emergency Medicine CurrentSince Oct 1, 2017 Accepting new patients
Florida Hospital Physician Group Inc CurrentSince Mar 1, 2025 Accepting new patients
Valley Emergency Care Management, Inc. Emergency Medicine CurrentSince Jun 15, 2020 Accepting new patients
St. Joseph Emergency Medical Physicians PA Emergency Medicine CurrentSince Sep 26, 2021 Accepting new patients
Emergency Medical Associates of Palos, LTD. Emergency Medicine CurrentSince Oct 7, 2017 Accepting new patients
Ies Florida PLLC Emergency Medicine CurrentSince Nov 1, 2022 Accepting new patients
Em Strategies,LTD. Emergency Medicine PastSince Jul 25, 2019 Accepting new patients
Empact Emergency Physicians LLC Past Accepting new patients

Locations

2521 Del Prado Blvd N
Cape Coral, FL 33909
Phone (239) 242-1357

322 SW Pine Island Rd
Cape Coral, FL 33991
Phone (941) 249-6858

14000 Fivay Rd
Hudson, FL 34667
Phone (727) 819-2929

20900 Biscayne Blvd
Miami, FL 33180
Phone (305) 682-7290

105 Tamiami Trl
Fl Tamiami
Port Charlotte, FL 33953

21298 Olean Blvd
Pt Charlotte, FL 33952
Phone (941) 624-7032

2500 Harbor Blvd
Pt Charlotte, FL 33952
Phone (941) 766-4122

809 E Marion Ave
Punta Gorda, FL 33950
Phone (941) 625-1951

13901 Bruce B Downs Blvd
Tampa, FL 33613
Phone (813) 615-7260

540 The Rialto
Venice, FL 34285
Phone (866) 481-2553

2700 Healing Way
Ste 310
Wesley Chapel, FL 33543
Phone (813) 779-1209

2000 Ogden Ave
Aurora, IL 60504
Phone (630) 466-8200

300 Randall Rd
Geneva, IL 60134
Phone (630) 208-4009

12251 S 80th Ave
Palos Heights, IL 60463
Phone (708) 361-4500

2000 Health Park Dr
Brentwood, TN 37027
Phone (615) 372-5426

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/14272/brand/70/csg/1/fhir/r4

Organizations & group practices 11

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 3

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": "1217721600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744588800000",
    "number": "1124284724",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3323 LAUREL LN",
            "city": "HAZEL CREST",
            "state": "IL",
            "postal_code": "604291008",
            "telephone_number": "708-870-3754"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20201 CRAWFORD AVE",
            "city": "OLYMPIA FIELDS",
            "state": "IL",
            "postal_code": "604611010",
            "telephone_number": "708-747-4000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2500 Harbor Blvd",
            "address_purpose": "LOCATION",
            "city": "Port Charlotte",
            "state": "FL",
            "postal_code": "339525000",
            "country_code": "US",
            "telephone_number": "941-766-4125",
            "fax_number": "941-766-4101",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DODDA",
        "first_name": "RAVI",
        "middle_name": "SANKAR",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-08-03",
        "last_updated": "2025-04-14",
        "certification_date": "2025-04-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207PE0004X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine, Emergency Medical Services",
            "state": "FL",
            "license": "OS16083",
            "primary": true
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "IL",
            "license": "036119360",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Olympia Fields, IL

Sources for this page

Verify at the official NPI Registry.