Individual provider Active NPI

Ravikiran Korabathina, M.D.

  • Interventional Cardiology Physician
  • St Petersburg, FL
National Provider Identifier
1184858003
Registry record updated Nov 11, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Cardiology PhysicianTaxonomy code 207RI0011X
License
ME109899 Issued in FL
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

Updated by the provider on Nov 11, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
003858600MedicaidFL

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
I20110817000771 FL Practitioner - Cardiovascular Disease (Cardiology) 2769651298 Reassigns benefits to 2 organizations

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
Ohi West Medical Group LLCGroup PAC ID 2668882507, 200 clinicians

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

ProcedureNumber of procedures
Coronary angioplasty and stenting30
Leg revascularization (restoring blood flow)1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
241587NYMDCardiovascular Disease Physician
ME109899FLMDInterventional Cardiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ohi West Medical Group, LLC CurrentSince Oct 1, 2020 Accepting new patients
Ohi West Medical Group, LLC Cardiovascular Disease CurrentSince Oct 1, 2020 Accepting new patients
Orlando Health, Inc. Current Accepting new patients
Cardiology Interpreters Inc CurrentSince Oct 28, 2018 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

  • Direct secure messaging: rkorabathina189193@orlandohealth.medalliesdirect.net
  • FHIR API: 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.

Hospital & facility affiliations 2

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": "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

Verify at the official NPI Registry.