Individual provider Active NPI

Anita Ravi, M.D

  • Cardiovascular Disease Physician
  • South Pasadena, FL
National Provider Identifier
1285820555
Registry record updated Nov 28, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
ME156023 Issued in FL
Practice address
1615 Pasadena Ave S Ste 300
South Pasadena, FL 33707-4567
Phone
(727) 490-3030
NPI assigned
Sep 20, 2007
Last updated
Nov 28, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 28, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X ME156023 FL Primary
Cardiovascular Disease Physician 207RC0000X 249412 NY

Addresses

Primary practice location

1615 Pasadena Ave S Ste 300
South Pasadena, FL 33707-4567

Mailing address

6006 49TH St N
St Petersburg, FL 33709-2148
Phone (727) 490-2100

Other practice location 1

102 James St
Suite 302
Edison, NJ 08820-3970
Phone (718) 501-3907

Other practice location 2

7404 5th Ave
Brooklyn, NY 11209-2704
Phone (718) 439-5111

Other names 1

  • Dr. Anita Subash Chandra Rose Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, NY2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20230112002527 FL Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal MedicinePractitioner - Interventional Cardiology 6608942438 Reassigns benefits to 2 organizations
I20250327000895 NY Practitioner - Interventional CardiologyPractitioner - Nuclear MedicinePractitioner - Cardiovascular Disease (Cardiology) 6608942438 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Interventional CardiologyAlso: Cardiovascular Disease (Cardiology), Nuclear Medicine
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Bay Ridge Medical Group, PLLCGroup PAC ID 0244677789, 10 clinicians

Practice addresses (Care Compare)

7404 5TH Ave
Brooklyn, NY 11209-2704
Phone (929) 415-8856

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as individual
Promoting interoperability
96
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Leg revascularization (restoring blood flow)1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME156023FLMDCardiovascular Disease Physician
249412NYMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Brooklyn Comprehensive Care Center Inc. CurrentSince May 1, 2025 Accepting new patients
Bay Ridge Medical Group, PLLC CurrentSince Apr 1, 2025 Accepting new patients
Cardiology Interpreters Inc CurrentSince Jan 1, 2023 Accepting new patients
Central Florida Cardiovascular Consultants Cardiovascular Disease CurrentSince Aug 12, 2024 Accepting new patients
Maimonides Medical Center Maimonides Primary Care FPP Past Accepting new patients
Community Hospital Group, Inc Past Accepting new patients
Cardiology Consultants Past Accepting new patients

Locations

1319 S International Pkwy
Ste 1171
Lake Mary, FL 32746
Phone (386) 668-2221

2025 Indian Rocks Rd S
Largo, FL 33774
Phone (727) 581-9474

759 Harley Strickland Blvd
Orange City, FL 32763
Phone (386) 456-0300

915 Harley Strickland Blvd
Orange City, FL 32763
Phone (386) 456-0300

1381B Linden Blvd
Brooklyn, NY 11212
Phone (718) 498-3103

7404 5th Ave
Brooklyn, NY 11209
Phone (929) 415-8856

Interoperability endpoints

  • Direct secure messaging: anita.ravi.cnj@direct.vac.nextgenshare.com
  • FHIR API: https://fhir4.healow.com/fhir/r4/HADDAA

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1190246400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1669593600000",
    "number": "1285820555",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6006 49TH ST N",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337092148",
            "telephone_number": "727-490-2100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1615 PASADENA AVE S STE 300",
            "city": "SOUTH PASADENA",
            "state": "FL",
            "postal_code": "337074567",
            "telephone_number": "727-490-3030"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "102 James St",
            "address_2": "Suite 302",
            "address_purpose": "LOCATION",
            "city": "Edison",
            "state": "NJ",
            "postal_code": "088203970",
            "country_code": "US",
            "telephone_number": "718-501-3907",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7404 5th Ave",
            "address_purpose": "LOCATION",
            "city": "Brooklyn",
            "state": "NY",
            "postal_code": "112092704",
            "country_code": "US",
            "telephone_number": "718-439-5111",
            "fax_number": "718-709-4170",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RAVI",
        "first_name": "ANITA",
        "name_prefix": "Dr.",
        "credential": "M.D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-09-20",
        "last_updated": "2022-11-28",
        "certification_date": "2022-11-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "FL",
            "license": "ME156023",
            "primary": true
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "NY",
            "license": "249412",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANITA",
            "last_name": "SUBASH CHANDRA ROSE",
            "prefix": "DR.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in South Pasadena, FL

Sources for this page

Verify at the official NPI Registry.