NPIMap

Organization Active NPI

Florida Medical Specialists, LLC

Doing business as Ridge Medical Associates

  • Internal Medicine Physician
  • Lake Wales, FL
National Provider Identifier
1285399857
Registry record updated Nov 8, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
FLORIDA MEDICAL SPECIALISTS, LLC
Doing business as
Ridge Medical Associates
Practice address
405 S 11TH St
Lake Wales, FL 33853-4202
Phone
(863) 679-8000
Fax
(863) 679-2694
NPI assigned
Nov 8, 2021
Last updated
Nov 8, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 8, 2021

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

Authorized official

Name
Inita Bedi
Title
Senior VP of Clinical Operations
Phone
(941) 202-5338

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X NU Primary
General Practice Physician 208D00000X NU

Addresses

Primary practice location

405 S 11TH St
Lake Wales, FL 33853-4202

Mailing address

PO Box 25487
Sarasota, FL 34277-2487
Phone (941) 259-0926

Other practice location 1

2209 North Blvd W
Davenport, FL 33837-8903
Phone (863) 679-8000

Other names 1

  • Ridge Medical Associates Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070726000554 FL Part B Supplier - Clinic/Group Practice 5799786687 Receives reassigned benefits from 183 practitioners
30 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: North Port, FL; Port Richey, FL; Riverview, FL; Sarasota, FL; Seminole, FL; Summerfield, FL; Tampa, FL; Venice, FL…

Other NPIs on the same Medicare enrollment 20

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

View all 20

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1636329600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1636329600000",
    "number": "1285399857",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 25487",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342772487",
            "telephone_number": "941-259-0926",
            "fax_number": "855-253-4836"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "405 S 11TH ST",
            "city": "LAKE WALES",
            "state": "FL",
            "postal_code": "338534202",
            "telephone_number": "863-679-8000",
            "fax_number": "863-679-2694"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2209 North Blvd W",
            "address_purpose": "LOCATION",
            "city": "Davenport",
            "state": "FL",
            "postal_code": "338378903",
            "country_code": "US",
            "telephone_number": "863-679-8000",
            "fax_number": "863-679-2694",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "FLORIDA MEDICAL SPECIALISTS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-11-08",
        "last_updated": "2021-11-08",
        "certification_date": "2021-11-08",
        "status": "A",
        "authorized_official_last_name": "BEDI",
        "authorized_official_first_name": "INITA",
        "authorized_official_title_or_position": "SENIOR VP OF CLINICAL OPERATIONS",
        "authorized_official_telephone_number": "941-202-5338"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ridge Medical Associates",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lake Wales, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2021; 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.