Active NPI
Sivakumar Raman, M.D.
- Infectious Disease Physician
- Fort Myers, FL
National Provider Identifier
1245239011
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Infectious Disease Physician
- License
- ME100391
- Practice address
- 14192 Metropolis Ave
Fort Myers, FL 33912-4331 - Phone
- (239) 244-9560
- Fax
- (239) 244-9481
- NPI assigned
- Jul 14, 2005
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | D0061827 | MD | |
| Internal Medicine Physician | 207R00000X | ME100391 | FL | |
| Internal Medicine Physician | 207R00000X | 25MA08650500 | NJ | |
| Infectious Disease Physician | 207RI0200X | ME100391 | FL | Primary |
Addresses
Primary practice location
14192 Metropolis Ave
Fort Myers, FL 33912-4331
Mailing address
PO Box 3098
Ocala, FL 34478-3098
Phone (239) 244-9560
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 14H3T | Other | FL | FLORIDA BLUE |
| 004055400 | Medicaid | FL | |
| 0229181 | Medicaid | NJ |
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
- Infectious Disease
- Education
- Other, 1995
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
14192 Metropolis Ave
Fort Myers, FL 33912-4331
Phone (239) 245-8223
Hospital & facility affiliations
- Gulf Coast Medical Center Lee Health
- HCA Florida Lehigh Hospital
- Cape Coral Hospital
- Lee Memorial Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 75 of 100
Merit-based Incentive Payment System (MIPS)
- Final score
- 75 of 100
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME100391 | FL | MD | Internal Medicine Physician |
| D0061827 | MD | MD | Internal Medicine Physician |
Practice roles (2 of 4)
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Florida Id Care LLC | Infectious Disease | Current | Accepting new patients |
| SK Raman PA | Infectious Disease | Current | Accepting new patients |
Locations
14192 Metropolis Ave
Fort Myers, FL 33912
Phone (239) 244-9560
Networks
- Freedom Health HMO Network
- Optimum HealthCare HMO Network
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.
-
- Infectious Disease Physician
- Fort Myers, FL
- NPI 1245596964
-
- Infectious Disease Physician
- Fort Myers, FL
- NPI 1265719405
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Lehigh Acres, FL
- NPI 1982426615
-
- General Acute Care Hospital
- Fort Myers, FL
- NPI 1366281750
-
- General Acute Care Hospital
- Fort Myers, FL
- NPI 1427806025
-
- General Acute Care Hospital
- Cape Coral, FL
- NPI 1780429076
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1121299200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1468627200000",
"number": "1245239011",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 3098",
"city": "OCALA",
"state": "FL",
"postal_code": "344783098",
"telephone_number": "239-244-9560",
"fax_number": "239-244-9481"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14192 METROPOLIS AVE",
"city": "FORT MYERS",
"state": "FL",
"postal_code": "339124331",
"telephone_number": "239-244-9560",
"fax_number": "239-244-9481"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RAMAN",
"first_name": "SIVAKUMAR",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-07-14",
"last_updated": "2016-07-16",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "MD",
"license": "D0061827",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "FL",
"license": "ME100391",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "NJ",
"license": "25MA08650500",
"primary": false
},
{
"code": "207RI0200X",
"taxonomy_group": "",
"desc": "Internal Medicine, Infectious Disease",
"state": "FL",
"license": "ME100391",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FLORIDA BLUE",
"identifier": "14H3T",
"state": "FL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "004055400",
"state": "FL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0229181",
"state": "NJ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Fort Myers, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2016; 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.