Active NPI
Ramagavri R Rawal, MD
- Pediatrics Physician
- Melbourne, FL
National Provider Identifier
1134216856
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- ME46790
- Practice address
- 2275 S Babcock St
Brevard County Health Department
Melbourne, FL 32901-5305 - Phone
- (321) 454-7148
- Fax
- (321) 690-3276
- NPI assigned
- Oct 6, 2006
- Sex
- Female
- 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 | ME46790 | FL | Primary |
Addresses
Primary practice location
2275 S Babcock St
Brevard County Health Department
Melbourne, FL 32901-5305
Mailing address
2575 N Courtenay Pkwy
Brevard County Health Department
Merritt Island, FL 32953
Phone (321) 454-7148
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 035828200 | Medicaid | FL |
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160622001193 | FL | Order and Referring Only - Pediatric Medicine | 1557315025 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME46790 | FL | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Florida Department of Health | Past | Accepting new patients |
Networks
- Freedom Health HMO Network
Interoperability endpoints
- ramagavri.rawal@fpgp.eclinicaldirectplus.com
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.
-
- Public Health or Welfare Agency
- Viera, FL
- NPI 1386751907
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160092800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1310515200000",
"number": "1134216856",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2575 N COURTENAY PKWY",
"address_2": "BREVARD COUNTY HEALTH DEPARTMENT",
"city": "MERRITT ISLAND",
"state": "FL",
"postal_code": "32953",
"telephone_number": "321-454-7148",
"fax_number": "321-639-5762"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2275 S BABCOCK ST",
"address_2": "BREVARD COUNTY HEALTH DEPARTMENT",
"city": "MELBOURNE",
"state": "FL",
"postal_code": "329015305",
"telephone_number": "321-454-7148",
"fax_number": "321-690-3276"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RAWAL",
"first_name": "RAMAGAVRI",
"middle_name": "R",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-10-06",
"last_updated": "2011-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "FL",
"license": "ME46790",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "035828200",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Melbourne, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.