Individual provider Active NPI

Ethiraj Ramchander, MD

  • Ophthalmology Physician
  • Leesburg, FL
National Provider Identifier
1255425112
Registry record updated Feb 28, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
ME0075978 Issued in FL
Practice address
1131 E North Blvd
Leesburg, FL 34748-5375
Phone
(352) 365-2333
Fax
(352) 365-2024
NPI assigned
Oct 3, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 28, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X ME0075978 FL Primary

Addresses

Primary practice location

1131 E North Blvd
Leesburg, FL 34748-5375

Mailing address

PO Box 1739
Tavares, FL 32778-1739
Phone (352) 365-2333

Other identifiers 1

IdentifierTypeStateIssuer
43773OtherFLBLUE CROSS BLUE SHIELD

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
I20040701000322 FL Practitioner - Ophthalmology 8325025042 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Other, 1979
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1131 E N Blvd
Leesburg, FL 34748-5375
Phone (352) 365-2333

Merit-based Incentive Payment System (MIPS)

Final score
99.36 of 100Reported as individual
Quality
95
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery89

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME0075978FLMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ram Eye Care Center MD PA Ophthalmology CurrentSince Dec 10, 2001 Accepting new patients

Locations

1131 E North Blvd
Leesburg, FL 34748
Phone (352) 365-2020

1503 Buenos Aires Blvd
Ste 170
The Villages, FL 32159
Phone (352) 751-6099

1503 Buenos Aires Blvd
The Villages, FL 32159
Phone (352) 350-6244

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1159833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1204156800000",
    "number": "1255425112",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1739",
            "city": "TAVARES",
            "state": "FL",
            "postal_code": "327781739",
            "telephone_number": "352-365-2333",
            "fax_number": "352-365-2024"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1131 E NORTH BLVD",
            "city": "LEESBURG",
            "state": "FL",
            "postal_code": "347485375",
            "telephone_number": "352-365-2333",
            "fax_number": "352-365-2024"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAMCHANDER",
        "first_name": "ETHIRAJ",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-03",
        "last_updated": "2008-02-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "FL",
            "license": "ME0075978",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "43773",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Leesburg, FL

Sources for this page

Verify at the official NPI Registry.