Active NPI
Jyothi Raviprasad, M.D.
- Anesthesiology Physician
- Maitland, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- ME 94163
- Practice address
- 2450 Maitland Center Pkwy
Suite 100
Maitland, FL 32751-4140 - Phone
- (407) 875-0296
- NPI assigned
- Oct 23, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | ME 94163 | FL | Primary |
Addresses
Primary practice location
2450 Maitland Center Pkwy
Suite 100
Maitland, FL 32751-4140
Mailing address
213 Colony Springs LN
Maitland, FL 32751-6102
Phone (407) 644-0890
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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME 94163 | FL | MD | Anesthesiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Anesthesiology Professional Services, Inc. | Anesthesiology | Current | Accepting new patients |
| Lake Mary Surgery Center LLC | Current | Accepting new patients | |
| Orange City Anesthesia Services LLC | Anesthesiology | Current | Accepting new patients |
| Shaw Anesthesia Services, PA | Past | Accepting new patients | |
| Associated Healthcare Systems of Randolph County, Inc. | Past | Accepting new patients | |
| Kalamazoo Anesthesiology P C | Anesthesiology | Past | Accepting new patients |
Locations
460 Saint Charles Ct
Lake Mary, FL 32746
Phone (407) 585-0260
2450 Maitland Center Pkwy
Ste 100
Maitland, FL 32751
Phone (407) 875-0296
975 Town Center Dr
Ste 100
Orange City, FL 32763
Phone (386) 456-5247
2821 Proctor Rd
Sarasota, FL 34231
Phone (941) 870-1872
Organizations & group practices 6
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.
-
- Anesthesiology Physician
- Tampa, FL
- NPI 1902856891
-
- Anesthesiology Physician
- Orange City, FL
- NPI 1972882314
-
- Ambulatory Surgical Clinic/Center
- Lake Mary, FL
- NPI 1174530752
-
dba Randolph County E.R. Group
- Emergency Care Clinic/Center
- Pocahontas, AR
- NPI 1033283171
-
- Anesthesiology Physician
- Kalamazoo, MI
- NPI 1407821796
-
- Certified Registered Nurse Anesthetist
- Newport, AR
- NPI 1205895141
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161561600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1489363200000",
"number": "1275616278",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "213 COLONY SPRINGS LN",
"city": "MAITLAND",
"state": "FL",
"postal_code": "327516102",
"telephone_number": "407-644-0890"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2450 MAITLAND CENTER PKWY",
"address_2": "SUITE 100",
"city": "MAITLAND",
"state": "FL",
"postal_code": "327514140",
"telephone_number": "407-875-0296"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RAVIPRASAD",
"first_name": "JYOTHI",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-10-23",
"last_updated": "2017-03-13",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "FL",
"license": "ME 94163",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Maitland, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2017; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.