NPIMap

Organization Active NPI

SK Raman PA

  • Infectious Disease Physician
  • Fort Myers, FL
National Provider Identifier
1265719405
Registry record updated Nov 15, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Infectious Disease PhysicianTaxonomy code 207RI0200X
License
ME100391 Issued in FL
Legal business name
SK RAMAN PA
Practice address
3000 Oasis Grand Blvd
# 1607
Fort Myers, FL 33916-1524
Phone
(609) 350-4757
NPI assigned
Nov 15, 2011
Last updated
Nov 15, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 15, 2011

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

Authorized official

Name
Dr. Sivakumar RamanNPI 1245239011
Title
Owner
Phone
(609) 350-4757

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Infectious Disease PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RI0200X ME100391 FL Primary

Addresses

Primary practice location

3000 Oasis Grand Blvd
# 1607
Fort Myers, FL 33916-1524

Mailing address

3000 Oasis Grand Blvd
# 1607
Fort Myers, FL 33916-1524
Phone (609) 350-4757

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120124000840 FL Part B Supplier - Clinic/Group Practice 9335316819 Receives reassigned benefits from 15 practitioners
Practice locations: Fort Myers, FL

National Provider Directory

National Provider Directory

Locations

13670 Metropolis Ave
Fort Myers, FL 33912
Phone (239) 689-1352

Practitioners & affiliated clinicians

Practitioners 22

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 22

NPI Registry JSON

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

{
    "created_epoch": "1321315200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1321315200000",
    "number": "1265719405",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3000 OASIS GRAND BLVD",
            "address_2": "# 1607",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339161524",
            "telephone_number": "609-350-4757"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3000 OASIS GRAND BLVD",
            "address_2": "# 1607",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339161524",
            "telephone_number": "609-350-4757"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SK RAMAN PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-11-15",
        "last_updated": "2011-11-15",
        "status": "A",
        "authorized_official_last_name": "RAMAN",
        "authorized_official_first_name": "SIVAKUMAR",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "609-350-4757",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "207RI0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "FL",
            "license": "ME100391",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Nov 15, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.