Active NPI
Bharathi Ramaiah, MD
- Gastroenterology Physician
- Tavares, FL
National Provider Identifier
1164411484
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gastroenterology Physician
- License
- ME91650
- Practice address
- 1703 Mayo Dr
Tavares, FL 32778-4307 - Phone
- (352) 383-5200
- Fax
- (352) 383-3534
- NPI assigned
- Oct 19, 2005
- 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 |
|---|---|---|---|---|
| Gastroenterology Physician | 207RG0100X | ME91650 | FL | Primary |
Addresses
Primary practice location
1703 Mayo Dr
Tavares, FL 32778-4307
Mailing address
PO Box 1345
Mount Dora, FL 32756-1345
Phone (352) 383-5200
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 273963100 | 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 |
|---|---|---|---|---|
| I20051201000145 | FL | Practitioner - Gastroenterology | 1355306200 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Gastroenterology
- Education
- Other, 1991
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Lake Gastroenterology Associates LLC
Practice addresses (Care Compare)
1858 Mayo Dr
Tavares, FL 32778-4320
Phone (352) 383-5200
Hospital & facility affiliations
- Adventhealth Waterman
- Uf Health Leesburg Hospital
- Adventhealth Orlando
- Orlando Health South Lake Hospital
- Adventhealth Daytona Beach
Merit-based Incentive Payment System (MIPS)
- Final score
- 75 of 100
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Colonoscopy | 203 |
| Upper gastrointestinal (GI) endoscopy for acid reflux | 321 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles (1 of 3)
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lake Gastroenterology Associates LLC | Gastroenterology | Current | Accepting new patients |
Locations
620 S Lake St
Ste 5
Leesburg, FL 34748
Phone (352) 383-5200
1703 Mayo Dr
Tavares, FL 32778
Phone (352) 383-5200
1858 Mayo Dr
Tavares, FL 32778
Phone (352) 383-5200
910 Old Camp Rd
Ste 152
The Villages, FL 32162
Phone (352) 383-5200
Networks
- Optimum HealthCare HMO Network
- Freedom Health HMO Network
Interoperability endpoints
- bramaiah563393@direct.shands.ufl.edu
- bharathi.ramaiah@lakegastro.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.
-
- Gastroenterology Physician
- Tavares, FL
- NPI 1972801827
FL, Gastroenterology
Hospital & facility affiliations 9
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Orlando, FL
- NPI 1306938071
Hospital
-
- Clinical Medical Laboratory
- Orlando, FL
- NPI 1801569728
Hospital
-
- General Acute Care Hospital
- Leesburg, FL
- NPI 1245226190
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1129680000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1304553600000",
"number": "1164411484",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1345",
"city": "MOUNT DORA",
"state": "FL",
"postal_code": "327561345",
"telephone_number": "352-383-5200",
"fax_number": "352-383-3534"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1703 MAYO DR",
"city": "TAVARES",
"state": "FL",
"postal_code": "327784307",
"telephone_number": "352-383-5200",
"fax_number": "352-383-3534"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RAMAIAH",
"first_name": "BHARATHI",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-10-19",
"last_updated": "2011-05-05",
"status": "A"
},
"taxonomies": [
{
"code": "207RG0100X",
"taxonomy_group": "",
"desc": "Internal Medicine, Gastroenterology",
"state": "FL",
"license": "ME91650",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "273963100",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Tavares, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 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.
- 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.