Active NPI
Pablo Ezequiel Ravenna, MD
- Neuro-ophthalmology Physician
- Boca Raton, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neuro-ophthalmology Physician
- License
- ME168582
- Practice address
- 670 Glades Rd Ste 300
Boca Raton, FL 33431-6464 - Phone
- (561) 955-4600
- Fax
- (833) 450-4920
- NPI assigned
- Apr 14, 2020
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neuro-ophthalmology Physician | 207WX0109X | ME168582 | FL | Primary |
| Neurology Physician | 2084N0400X | ME168582 | FL |
Addresses
Primary practice location
670 Glades Rd Ste 300
Boca Raton, FL 33431-6464
Mailing address
1001 NW 13TH St Ste 201
Boca Raton, FL 33486-2269
Phone (561) 955-6663
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
- Ophthalmology
- Education
- Other, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
670 Glades Rd
Suite 300
Boca Raton, FL 33431-6464
Phone (561) 395-2626
Hospital & facility affiliations
- Boca Raton Regional Hospital
- Univ of Miami Hospital and Clinics-Sylvester Compr
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME168582 | FL | MD | Neurology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University of Miami | Current | Accepting new patients | |
| University of Miami | Current | Accepting new patients | |
| University of Miami | Ophthalmology | Current | Accepting new patients |
| Bocacare Inc | Current | Accepting new patients | |
| Bocacare Inc | Current | Accepting new patients |
Locations
1001 NW 13th St
Ste 201
Boca Raton, FL 33486
Phone (561) 864-7853
670 Glades Rd
Ste 300
Boca Raton, FL 33431
Phone (561) 395-2626
4800 NE 20th Ter
Ste 201
Ft Lauderdale, FL 33308
Phone (305) 892-4000
900 NW 17th St
Miami, FL 33136
Phone (305) 243-6605
1611 NW 12th Ave
Miami, FL 33136
Phone (305) 585-6226
Networks
- Freedom Health HMO Network
Interoperability endpoints
- pravenna138959@direct.med.miami.edu
Organizations & group practices 5
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.
-
- Internal Medicine Physician
- Boca Raton, FL
- NPI 1104058940
-
- Hepatology Physician
- Miami, FL
- NPI 1013967827
-
- Internal Medicine Physician
- Boynton Beach, FL
- NPI 1225845787
-
- Internal Medicine Physician
- Miami Beach, FL
- NPI 1124768627
-
- Ophthalmology Physician
- Miami, FL
- NPI 1275583734
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Boca Raton, FL
- NPI 1902826779
-
- Special Hospital
- Miami, FL
- NPI 1679660617
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1586822400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1769040000000",
"number": "1255950788",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1001 NW 13TH ST STE 201",
"city": "BOCA RATON",
"state": "FL",
"postal_code": "334862269",
"telephone_number": "561-955-6663",
"fax_number": "561-955-2879"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "670 GLADES RD STE 300",
"city": "BOCA RATON",
"state": "FL",
"postal_code": "334316464",
"telephone_number": "561-955-4600",
"fax_number": "833-450-4920"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RAVENNA",
"first_name": "PABLO",
"middle_name": "EZEQUIEL",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-04-14",
"last_updated": "2026-01-22",
"certification_date": "2026-01-22",
"status": "A"
},
"taxonomies": [
{
"code": "207WX0109X",
"taxonomy_group": "",
"desc": "Ophthalmology, Neuro-ophthalmology",
"state": "FL",
"license": "ME168582",
"primary": true
},
{
"code": "2084N0400X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology",
"state": "FL",
"license": "ME168582",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Boca Raton, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2026; 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.