Individual provider Active NPI

Ramkishan Rao Gummadapu, MD

  • Hospitalist Physician
  • Orlando, FL
National Provider Identifier
1205845633
Registry record updated Jun 8, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospitalist PhysicianTaxonomy code 208M00000X
License
ME0096494 Issued in FL
Practice address
601 E Rollins Ave
Orlando, FL 32803
Phone
(407) 464-9516
Fax
(407) 464-9519
NPI assigned
Aug 5, 2006
Last updated
Jun 8, 2017By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 8, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Hospitalist Physician 208M00000X ME0096494 FL Primary
Family Medicine Physician 207Q00000X ME96494 FL

Addresses

Primary practice location

601 E Rollins Ave
Orlando, FL 32803

Mailing address

515 Wekiva Commons Circle
Apopka, FL 32712
Phone (407) 464-9516

Other identifiers 2

IdentifierTypeStateIssuer
56386OtherFLBCBS
276135100MedicaidFL

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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20061114000452 FL Practitioner - HospitalistPractitioner - Family Practice 8820096415 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Hospitalist
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Central Florida Hospitalist Partners PAGroup PAC ID 5799689931, 90 clinicians

Practice addresses (Care Compare)

601 E Rollins St
Orlando, FL 32803-1248
Phone (407) 464-9516

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME96494FLMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Central Florida Hospitalist Partners PA Hospitalist CurrentSince Mar 1, 2007 Accepting new patients

Locations

515 Wekiva Commons Cir
Apopka, FL 32712
Phone (407) 464-9516

1414 Kuhl Ave
Orlando, FL 32806
Phone (407) 464-9516

601 E Rollins St
Orlando, FL 32803
Phone (407) 303-1996

7727 Lk Under Hl
Orlando, FL 32822
Phone (407) 303-6413

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 3

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": "1154736000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1496880000000",
    "number": "1205845633",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "515 WEKIVA COMMONS CIRCLE",
            "city": "APOPKA",
            "state": "FL",
            "postal_code": "32712",
            "telephone_number": "407-464-9516",
            "fax_number": "407-464-9519"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 E ROLLINS AVE",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "32803",
            "telephone_number": "407-464-9516",
            "fax_number": "407-464-9519"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUMMADAPU",
        "first_name": "RAMKISHAN",
        "middle_name": "RAO",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-05",
        "last_updated": "2017-06-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "FL",
            "license": "ME0096494",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME96494",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "56386",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "276135100",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Orlando, FL

Sources for this page

Verify at the official NPI Registry.