Ravishankar L Rao M D PA

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

ME 0063596 Issued in FL

Legal business name

RAVISHANKAR L RAO M D PA

Practice address

15435 Cortez Blvd
Brooksville, FL 34613-6113

Phone

(352) 796-2909

Fax

(352) 796-8196

NPI assigned

Sep 24, 2007

Organization subpart

No

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

Authorized official

Name

Ravishankar L Rao, MDNPI 1164414249

Title

Owner/ Doctor

Phone

(352) 796-2909

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

Practitioners 14

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Ravishankar L Rao, MD

  • Internal Medicine Physician
  • Brooksville, FL
  • NPI 1164414249
  Medicare reassignment NPD Authorized official
• Marci Montague, NP-C

  • Family Nurse Practitioner
  • Spring Hill, FL
  • NPI 1942858840
  Medicare reassignment NPD
• Constance D Flores, PA

  • Physician Assistant
  • Homosassa, FL
  • NPI 1972087518
  Medicare reassignment
• Lori A Beucler, ARNP

  • Family Nurse Practitioner
  • NPR, FL
  • NPI 1316010697
  NPD (past)
• Suzanne E Campbell, ARNP-C

  • Nurse Practitioner
  • Spring Hill, FL
  • NPI 1043262975
  NPD (past)
• Tsutomu Goi, M.D.

  • Hospitalist Physician
  • Fort Myers, FL
  • NPI 1265433734

  Internal Medicine

  NPD (past)
• John Kyaw Han, M.D.

  • Infectious Disease Physician
  • Jacksonville, FL
  • NPI 1285685321
  NPD (past)
• Abdullah S. Kamara, MD, FACP

  • Internal Medicine Physician
  • Tampa, FL
  • NPI 1902841950
  NPD (past)
• Brent William Laartz, MD

  • Infectious Disease Physician
  • New Port Richey, FL
  • NPI 1861437881
  NPD (past)
• Julie Tutak Maly, ARNP

  • Family Nurse Practitioner
  • Orange Park, FL
  • NPI 1972536514
  NPD (past)
• Steven E. Maly, NP

  • Family Nurse Practitioner
  • Jacksonville, FL
  • NPI 1639216369
  NPD (past)
• Murali Puthisigamani, MD

  • Infectious Disease Physician
  • Dunedin, FL
  • NPI 1770530917
  NPD (past)

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

{
    "created_epoch": "1190592000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1330992000000",
    "number": "1184810053",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15435 CORTEZ BLVD",
            "city": "BROOKSVILLE",
            "state": "FL",
            "postal_code": "346136113",
            "telephone_number": "352-796-2909",
            "fax_number": "352-796-8196"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15435 CORTEZ BLVD",
            "city": "BROOKSVILLE",
            "state": "FL",
            "postal_code": "346136113",
            "telephone_number": "352-796-2909",
            "fax_number": "352-796-8196"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RAVISHANKAR L RAO M D PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-24",
        "last_updated": "2012-03-06",
        "status": "A",
        "authorized_official_last_name": "RAO",
        "authorized_official_first_name": "RAVISHANKAR",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER/ DOCTOR",
        "authorized_official_telephone_number": "352-796-2909",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME 0063596",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "257221400",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Angenette Purcell Rashad, M.D.
• Rida Rasool, DO
• Dhruv Ratra, DO
• Susheela Ravindra Nathan, MD
• Muttathil P Ravindranathan, M.D.
• Keval Ray, DO
• Kimbrelee Kaye Ray, PMHNP-BC
• Mohammad Hassan Razzaq, DO
• Anthony David Record, LDO
• Oliver M Reed, MD

• Internal Medicine Physician in Brooksville, FL
• Providers in Brooksville, FL by specialty
• Internal Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.