Individual provider Active NPI

Raman Ashta, MD

  • Family Medicine Physician
  • Melbourne, FL
National Provider Identifier
1144496993
Registry record updated Sep 1, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
ME117177 Issued in FL
Practice address
1555 W Nasa Blvd Unit B1
Melbourne, FL 32901-2640
Phone
(321) 341-1700
Fax
(321) 622-6295
NPI assigned
May 1, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 1, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X ME117177 FL Primary

Addresses

Primary practice location

1555 W Nasa Blvd Unit B1
Melbourne, FL 32901-2640

Mailing address

PO Box 361095
Melbourne, FL 32936-1095
Phone (321) 253-2900

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
I20141023001852 FL Practitioner - Family Practice 5597818641 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Medical Associates of Brevard LLCGroup PAC ID 4486558012, 75 clinicians

Practice addresses (Care Compare)

1555 W Nasa Blvd
Unit B1
Melbourne, FL 32901-2640
Phone (321) 341-1700

Hospital & facility affiliations

  • Health First Home Care Home health agency, Melbourne, FL, CCN 107233
  • Holmes Regional Medical Center Hospital, Melbourne, FL, CCN 100019
  • Orlando Health Melbourne Hospital Hospital, Melbourne, FL, CCN 100291
  • Viera Hospital Hospital, Melbourne, FL, CCN 100315
  • Palm Bay Hospital Hospital, Palm Bay, FL, CCN 100316
  • Cleveland Clinic Indian River Hospital Hospital, Vero Beach, FL, CCN 100105

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME117177FLMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Steward Medical Group, Inc. Family Medicine CurrentSince Jan 1, 2018 Accepting new patients
Steward Medical Group, Inc CurrentSince Jan 1, 2018 Accepting new patients
Medical Associates of Brevard LLC CurrentSince Sep 1, 2021 Accepting new patients
Stewart and Stewart a Medical Corporation Family Medicine Past Accepting new patients

Locations

1555 W Nasa Blvd
Unit B1
Melbourne, FL 32901
Phone (321) 341-1700

1305 Hickory St
Melbourne, FL 32901
Phone (321) 255-1500

8000 Ron Beatty Blvd
Ste A-3
Sebastian, FL 32976
Phone (772) 664-1388

3745 11th Cir
Ste 103
Vero Beach, FL 32960
Phone (772) 567-4825

Interoperability endpoints

  • Direct secure messaging: ramanashta@mab.medentdirect.com

Organizations & group practices 4

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 7

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": "1209600000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1630454400000",
    "number": "1144496993",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 361095",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329361095",
            "telephone_number": "321-253-2900",
            "fax_number": "321-435-0100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1555 W NASA BLVD UNIT B1",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329012640",
            "telephone_number": "321-341-1700",
            "fax_number": "321-622-6295"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ASHTA",
        "first_name": "RAMAN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-05-01",
        "last_updated": "2021-09-01",
        "certification_date": "2021-09-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME117177",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Melbourne, FL

Sources for this page

Verify at the official NPI Registry.