Individual provider Active NPI

Sivakumar Raman, M.D.

  • Infectious Disease Physician
  • Fort Myers, FL
National Provider Identifier
1245239011
Registry record updated Jul 16, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Infectious Disease PhysicianTaxonomy code 207RI0200X
License
ME100391 Issued in FL
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

Updated by the provider on Jul 16, 2016

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
14H3TOtherFLFLORIDA BLUE
004055400MedicaidFL
0229181MedicaidNJ

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
I20090422000606 FL Practitioner - Infectious DiseasePractitioner - Internal Medicine 1254309628 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Infectious DiseaseAlso: Internal Medicine
Education
Other, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Florida Id Care LLCGroup PAC ID 4587817416, 10 clinicians
SK Raman PAGroup PAC ID 9335316819, 9 clinicians

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 Hospital, Fort Myers, FL, CCN 100220
  • HCA Florida Lehigh Hospital Hospital, Lehigh Acres, FL, CCN 100107
  • Cape Coral Hospital Hospital, Cape Coral, FL, CCN 100244
  • Lee Memorial Hospital Hospital, Fort Myers, FL, CCN 100012

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

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. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
ME100391FLMDInternal Medicine Physician
D0061827MDMDInternal Medicine Physician

Practice roles (2 of 4)

OrganizationSpecialtyStatusNew patients
Florida Id Care LLC Infectious Disease CurrentSince Sep 18, 2012 Accepting new patients
SK Raman PA Infectious Disease CurrentSince Nov 1, 2011 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.

Hospital & facility affiliations 4

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": "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

Verify at the official NPI Registry.