Active NPI
Raghav Bassi, M.D.
- Gastroenterology Physician
- Orlando, FL
National Provider Identifier
1154904001
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gastroenterology Physician
- License
- ME171409
- Practice address
- 2501 N Orange Ave Ste 235
Orlando, FL 32804-4659 - Phone
- (347) 668-0612
- NPI assigned
- Apr 29, 2021
- Reactivated
- Mar 1, 2023
- Last updated
- Feb 10, 2025
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | FL | ||
| Gastroenterology Physician | 207RG0100X | ME171409 | FL | Primary |
| Geriatric Medicine (Internal Medicine) Physician | 207RG0300X | 43681 | OK |
Addresses
Primary practice location
2501 N Orange Ave Ste 235
Orlando, FL 32804-4659
Mailing address
2501 N Orange Ave Ste 235
Orlando, FL 32804-4659
Phone (347) 668-0612
Other practice location 1
1000 NE 13th St Ste 1G
Oklahoma City, OK 73104-5040
Phone (405) 271-3050
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 |
|---|---|---|---|---|
| I20250310002740 | FL | Order and Referring Only - Gastroenterology | 0143741868 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME171409 | FL | MD | Gastroenterology Physician |
| 43681 | OK | MD | Geriatric Medicine (Internal Medicine) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Gainesville Physicians LLC | Past | Accepting new patients |
Interoperability endpoints
- raghav.bassi@hca5.eclinicaldirectplus.com
- rbassi3413090@adventhealth.direct-ci.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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Family Medicine Physician
- Gainesville, FL
- NPI 1992946461
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1619654400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1739145600000",
"number": "1154904001",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2501 N ORANGE AVE STE 235",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328044659",
"telephone_number": "347-668-0612"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2501 N ORANGE AVE STE 235",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328044659",
"telephone_number": "347-668-0612"
}
],
"practiceLocations": [
{
"address_1": "1000 NE 13th St Ste 1G",
"address_purpose": "LOCATION",
"city": "Oklahoma City",
"state": "OK",
"postal_code": "731045040",
"country_code": "US",
"telephone_number": "405-271-3050",
"fax_number": "405-271-8502",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BASSI",
"first_name": "RAGHAV",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2021-04-29",
"last_updated": "2025-02-10",
"certification_date": "2025-02-10",
"deactivation_date": "2022-04-11",
"reactivation_date": "2023-03-01",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "FL",
"license": null,
"primary": false
},
{
"code": "207RG0100X",
"taxonomy_group": "",
"desc": "Internal Medicine, Gastroenterology",
"state": "FL",
"license": "ME171409",
"primary": true
},
{
"code": "207RG0300X",
"taxonomy_group": "",
"desc": "Internal Medicine, Geriatric Medicine",
"state": "OK",
"license": "43681",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Orlando, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2025; 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.