Active NPI
Ravikiran Korabathina, M.D.
- Interventional Cardiology Physician
- St Petersburg, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Interventional Cardiology Physician
- License
- ME109899
- Practice address
- 601 7TH St S Ste 205
St Petersburg, FL 33701-4708 - Phone
- (727) 893-6234
- Fax
- (727) 553-7798
- NPI assigned
- May 6, 2009
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Cardiovascular Disease Physician | 207RC0000X | 241587 | NY | |
| Interventional Cardiology Physician | 207RI0011X | ME109899 | FL | Primary |
Addresses
Primary practice location
601 7TH St S Ste 205
St Petersburg, FL 33701-4708
Mailing address
601 7TH St S Ste 205
St Petersburg, FL 33701-4708
Phone (727) 893-6234
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 003858600 | 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
Care Compare profile
Medicare Care Compare- Specialty
- Cardiovascular Disease (Cardiology)
- Education
- Albany Medical College of Union University, 2003
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
601 7TH St S
Suite 205
St Petersburg, FL 33701-4748
Phone (727) 893-6234
Hospital & facility affiliations
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Coronary angioplasty and stenting | 30 |
| Leg revascularization (restoring blood flow) | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 241587 | NY | MD | Cardiovascular Disease Physician |
| ME109899 | FL | MD | Interventional Cardiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ohi West Medical Group, LLC | Current | Accepting new patients | |
| Ohi West Medical Group, LLC | Cardiovascular Disease | Current | Accepting new patients |
| Orlando Health, Inc. | Current | Accepting new patients | |
| Cardiology Interpreters Inc | Current | Accepting new patients | |
| Bayfront Physician Specialty Service | Past | Accepting new patients |
Locations
2025 Indian Rocks Rd S
Largo, FL 33774
Phone (727) 581-9474
701 6th St S
St Petersburg, FL 33701
Phone (727) 450-1144
601 7th St S
Ste 205
St Petersburg, FL 33701
Phone (727) 893-6234
603 7th St S
Ste 500
St Petersburg, FL 33701
Phone (727) 822-0442
625 6th Ave S
Ste 430
St Petersburg, FL 33701
Phone (727) 553-7344
Networks
- Freedom Health HMO Network
- Optimum HealthCare HMO Network
Interoperability endpoints
- rkorabathina189193@orlandohealth.medalliesdirect.net
- https://api.platform.athenahealth.com/3123/brand/3/csg/41/fhir/r4
Organizations & group practices 5
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.
-
- Cardiovascular Disease Physician
- St Petersburg, FL
- NPI 1518572551
-
- Cardiology Technician
- Jacksonville, FL
- NPI 1477887149
-
- Radiology Clinic/Center
- St Petersburg, FL
- NPI 1285240192
-
- General Acute Care Hospital
- Orlando, FL
- NPI 1184709057
-
- Specialist
- St. Petersburg, FL
- NPI 1841477890
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- St Petersburg, FL
- NPI 1154399749
-
- General Acute Care Hospital
- St Petersburg, FL
- NPI 1427024942
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1241568000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1573430400000",
"number": "1184858003",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "601 7TH ST S STE 205",
"city": "ST PETERSBURG",
"state": "FL",
"postal_code": "337014708",
"telephone_number": "727-893-6234",
"fax_number": "727-553-7798"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "601 7TH ST S STE 205",
"city": "ST PETERSBURG",
"state": "FL",
"postal_code": "337014708",
"telephone_number": "727-893-6234",
"fax_number": "727-553-7798"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KORABATHINA",
"first_name": "RAVIKIRAN",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2009-05-06",
"last_updated": "2019-11-11",
"status": "A"
},
"taxonomies": [
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "NY",
"license": "241587",
"primary": false
},
{
"code": "207RI0011X",
"taxonomy_group": "",
"desc": "Internal Medicine, Interventional Cardiology",
"state": "FL",
"license": "ME109899",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "003858600",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in St Petersburg, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2019; 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.