Individual provider Active NPI

Ravi Kondapalli, M.D.

  • Gastroenterology Physician
  • Venice, FL
National Provider Identifier
1205907771
Registry record updated Jan 18, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
ME81475 Issued in FL
Practice address
825 Venetian Pkwy
Venice, FL 34285-7163
Phone
(941) 483-5730
Fax
(941) 483-5740
NPI assigned
Nov 13, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 18, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X ME81475 FL Primary

Addresses

Primary practice location

825 Venetian Pkwy
Venice, FL 34285-7163

Mailing address

825 Venetian Pkwy
Venice, FL 34285-7163
Phone (941) 483-5730

Other practice location 1

2811 Tamiami Trl Ste I
Port Charlotte, FL 33952-5135
Phone (941) 246-2700

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
I20070620000327 FL Practitioner - GastroenterologyPractitioner - Internal Medicine 0840257796 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
GastroenterologyAlso: Internal Medicine
Education
Other, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Florida Digestive Health Specialists, LLPGroup PAC ID 6507054582, 86 clinicians

Practice addresses (Care Compare)

825 Venetian Pkwy
Venice, FL 34285-7163
Phone (941) 483-5730

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy604
Upper gastrointestinal (GI) endoscopy for acid reflux480

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Florida Digestive Health Specialists, LLP Gastroenterology CurrentSince Jan 1, 2011 Accepting new patients
Gulf Coast Digestive Health Center PL Gastroenterology Past Accepting new patients

Locations

1886 59th St W
Bradenton, FL 34209
Phone (941) 361-1100

10920 Technology Ter
Lakewood Ranch, FL 34211
Phone (941) 216-4835

2811 Tamiami Trl
Ste I
Pt Charlotte, FL 33952
Phone (941) 246-2700

825 Venetian Pkwy
Venice, FL 34285
Phone (941) 483-5730

Networks

  • Freedom Health HMO Network
  • Optimum HealthCare HMO Network

Interoperability endpoints

  • Direct secure messaging: ravi.kondapalli@fdhs.eclinicaldirectplus.com

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 and National Provider Directory roles.

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": "1163376000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1610928000000",
    "number": "1205907771",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "825 VENETIAN PKWY",
            "city": "VENICE",
            "state": "FL",
            "postal_code": "342857163",
            "telephone_number": "941-483-5730",
            "fax_number": "941-483-5740"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "825 VENETIAN PKWY",
            "city": "VENICE",
            "state": "FL",
            "postal_code": "342857163",
            "telephone_number": "941-483-5730",
            "fax_number": "941-483-5740"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2811 Tamiami Trl Ste I",
            "address_purpose": "LOCATION",
            "city": "Port Charlotte",
            "state": "FL",
            "postal_code": "339525135",
            "country_code": "US",
            "telephone_number": "941-246-2700",
            "fax_number": "941-246-2701",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KONDAPALLI",
        "first_name": "RAVI",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-13",
        "last_updated": "2021-01-18",
        "certification_date": "2021-01-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "FL",
            "license": "ME81475",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Venice, FL

Sources for this page

Verify at the official NPI Registry.