Ravi Reddy Kethireddy, MD

Primary specialty

Interventional Cardiology PhysicianTaxonomy code 207RI0011X

License

ME57029 Issued in FL

Practice address

5398 Park St N
St Petersburg, FL 33709-1041

Phone

(757) 544-1441

Fax

(727) 545-8263

NPI assigned

Aug 23, 2005

Last updated

Apr 12, 2017By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

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: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Interventional Cardiology

Education

Other, 1986

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Pinellas Ekg Interpreters IncGroup PAC ID 4385608066, 37 clinicians

Bay Area Heart Center PAGroup PAC ID 7416857180, 16 clinicians

Morton Plant Health Services IncGroup PAC ID 2163336777, 88 clinicians

St Anthonys Professional Buildings and Services IncGroup PAC ID 6507849239, 27 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Morton Plant Hospital Hospital, Clearwater, FL, CCN 100127
• St Anthonys Hospital Hospital, Saint Petersburg, FL, CCN 100067
• HCA Florida Northside Hospital Hospital, Saint Petersburg, FL, CCN 100238
• HCA Florida Largo Hospital Hospital, Largo, FL, CCN 100248
• St Josephs Hospital Hospital, Tampa, FL, CCN 100075

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Networks

• Optimum HealthCare HMO Network
• Freedom Health HMO Network

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/15915/brand/3/csg/1/fhir/r4
• Direct secure messaging: ravi.kethireddy.1@15915.direct.athenahealth.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Bay Area Heart Center PA

  • Cardiovascular Disease Physician
  • St Petersburg, FL
  • NPI 1972595205

  Interventional Cardiology

  Medicare reassignment Care Compare group NPD
• Morton Plant Mease Health Services Inc

  dba Boi Bardmoor

  • Diagnostic Radiology Physician
  • Largo, FL
  • NPI 1528049962
  Medicare reassignment Care Compare group NPD
• Pinellas Ekg Interpreters Inc

  • Cardiovascular Disease Physician
  • Clearwater, FL
  • NPI 1013952977
  Medicare reassignment Care Compare group NPD
• St. Anthony's Professional Buildings & Services, Inc

  dba BayCare Outpatient Imaging

  • Specialist
  • St Petersburg, FL
  • NPI 1639150063
  Medicare reassignment Care Compare group NPD
• Cardiology Interpreters Inc

  • Cardiology Technician
  • Jacksonville, FL
  • NPI 1477887149
  Medicare reassignment NPD
• Morton Plant Mease Health Services Inc

  dba Boi Countryside

  • Diagnostic Radiology Physician
  • Safety Harbor, FL
  • NPI 1316576705
  NPD
• St. Anthony's Professional Buildings & Services, Inc

  dba BayCare Outpatient Imaging

  • Diagnostic Radiology Physician
  • St Petersburg, FL
  • NPI 1487908323
  NPD
• Mukherjee & Mukayed MDS PA

  • Cardiovascular Disease Physician
  • St Petersburg, FL
  • NPI 1437185709
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Galencare, Inc.

  dba HCA Florida Northside Hospital

  • General Acute Care Hospital
  • St Petersburg, FL
  • NPI 1205880945
  Care Compare affiliation
• Largo Medical Center, Inc.

  dba HCA Florida Largo Hospital

  • General Acute Care Hospital
  • Largo, FL
  • NPI 1144274879
  Care Compare affiliation
• Morton Plant Hospital Association Inc

  dba Morton Plant Hospital

  • General Acute Care Hospital
  • Clearwater, FL
  • NPI 1376529743
  Care Compare affiliation
• St. Anthonys Hospital, Inc.

  dba St. Anthonys Hospital

  • General Acute Care Hospital
  • St Petersburg, FL
  • NPI 1427024942
  Care Compare affiliation
• St. Joseph's Hospital, Inc.

  dba St. Joseph's Women's Hospital

  • General Acute Care Hospital
  • Tampa, FL
  • NPI 1346519816
  Care Compare affiliation
• St. Joseph's Hospital, Inc.

  dba St. Joseph's Hospital

  • General Acute Care Hospital
  • Tampa, FL
  • NPI 1881632818
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1124755200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1491955200000",
    "number": "1144213422",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5398 PARK ST N",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337091041",
            "telephone_number": "757-544-1441",
            "fax_number": "727-545-8263"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5398 PARK ST N",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337091041",
            "telephone_number": "757-544-1441",
            "fax_number": "727-545-8263"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KETHIREDDY",
        "first_name": "RAVI",
        "middle_name": "REDDY",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-23",
        "last_updated": "2017-04-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "FL",
            "license": "ME57029",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "378242500",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF FLORIDA",
            "identifier": "27185",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Chelsea Kesty, MD
• Katarina Rose Kesty, M.D.
• Kenneth Richard Kesty
• Alexandria Victoria Ketchersid, LCSW
• Carmen Ketchum-Lugo
• Mara S Kevan, DACM, L.AC., DIPL.AC
• Key Counseling and Supervision
• Amanda L Keys, PTA
• Keystone Home Health, Inc.
• Younis Khair Al Deen, MD

• Interventional Cardiology Physician in St Petersburg, FL
• Providers in St Petersburg, FL by specialty
• Interventional Cardiology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2017; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.