Individual provider Active NPI

Ravi Sharma, M.D.

  • Specialist
  • Homosassa, FL
National Provider Identifier
1205817814
Registry record updated Jun 11, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
ME78774 Issued in FL
Practice address
7767 S Suncoast Blvd
Homosassa, FL 34446-5004
Phone
(352) 621-0777
Fax
(352) 382-2491
NPI assigned
Nov 10, 2005
Last updated
Jun 11, 2012By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 11, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X ME78774 FL Primary

Addresses

Primary practice location

7767 S Suncoast Blvd
Homosassa, FL 34446-5004

Mailing address

7767 S Suncoast Blvd
Homosassa, FL 34446-5004
Phone (352) 621-0777

Other identifiers 5

IdentifierTypeStateIssuer
186659OtherFLWELLCARE
P00734987OtherFLMEDICARE RAILROAD PTAN
BV150OtherFLMEDICARE PTAN
1457587438OtherFLMEDICARE NPI
47119OtherFLBCBS

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
I20090623000753 FL Practitioner - Vascular Surgery 6608960968 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Vascular Surgery
Education
Eastern Virginia Medical School, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

7767 S Suncoast Blvd
Homosassa, FL 34446-5004
Phone (362) 621-0777

Procedures performed for Medicare patients

ProcedureNumber of procedures
Varicose vein removal1072

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Ravi Sharma MD PA Specialist CurrentSince Apr 21, 2009 Accepting new patients
Hyper Healing PastSince Apr 21, 2009 Accepting new patients

Locations

7767 S Suncoast Blvd
Homosassa, FL 34446
Phone (352) 621-0777

17820 SE 109th Ave
Ste 109
Summerfield, FL 34491
Phone (352) 205-4645

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1131580800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1339372800000",
    "number": "1205817814",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7767 S SUNCOAST BLVD",
            "city": "HOMOSASSA",
            "state": "FL",
            "postal_code": "344465004",
            "telephone_number": "352-621-0777",
            "fax_number": "352-382-2491"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7767 S SUNCOAST BLVD",
            "city": "HOMOSASSA",
            "state": "FL",
            "postal_code": "344465004",
            "telephone_number": "352-621-0777",
            "fax_number": "352-382-2491"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHARMA",
        "first_name": "RAVI",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-10",
        "last_updated": "2012-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "FL",
            "license": "ME78774",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WELLCARE",
            "identifier": "186659",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD PTAN",
            "identifier": "P00734987",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "BV150",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE NPI",
            "identifier": "1457587438",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "47119",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Homosassa, FL

Sources for this page

Verify at the official NPI Registry.