Individual provider Active NPI

Raguveer Murthy, M.D.

  • Interventional Cardiology Physician
  • Jacksonville, FL
National Provider Identifier
1316152911
Registry record updated May 6, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Cardiology PhysicianTaxonomy code 207RI0011X
License
ME107642 Issued in FL
Practice address
15496 Max Leggett Pkwy
Jacksonville, FL 32218-2564
Phone
(904) 895-5400
Fax
(904) 895-5401
NPI assigned
May 14, 2007
Last updated
May 6, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 6, 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 ME107642 FL
Interventional Cardiology Physician 207RI0011X ME107642 FL Primary

Addresses

Primary practice location

15496 Max Leggett Pkwy
Jacksonville, FL 32218-2564

Mailing address

15496 Max Leggett Pkwy
Jacksonville, FL 32218-2564
Phone (904) 895-5400

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110125000539 FL Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 2365621281 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)
Education
University of South Florida College of Medicine, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Murthy Holdings Inc.Group PAC ID 3779972542, 9 clinicians
St Vincent's Ambulatory Care IncGroup PAC ID 2860411188, 303 clinicians

Practice addresses (Care Compare)

11513 N Main St
Well and You
Jacksonville, FL 32218-4002
Phone (904) 895-5400

1824 King St
Suite 300
Jacksonville, FL 32204-4736
Phone (904) 388-1820

Procedures performed for Medicare patients

ProcedureNumber of procedures
Varicose vein removal224
Removal of tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME107642FLMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Murthy Holdings Inc. Interventional Cardiology CurrentSince Nov 1, 2021 Accepting new patients
Well & You ASC, LLC CurrentSince Aug 1, 2024 Accepting new patients
Cardiology Interpreters Inc CurrentSince Jul 1, 2014 Accepting new patients

Locations

11513 N Main St
Jacksonville, FL 32218
Phone (904) 751-6200

15492 Max Leggett Pkwy
Ste 5
Jacksonville, FL 32218
Phone (904) 893-4464

15496 Max Leggett Pkwy
Jacksonville, FL 32218
Phone 9048955400 ext. 55400

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

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/DJHCDD
  • FHIR API: https://fhir4.healow.com/fhir/r4/DJHCDD/Endpoint/DJHCDD

Organizations & group practices 4

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": "1179100800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1651795200000",
    "number": "1316152911",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15496 MAX LEGGETT PKWY",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322182564",
            "telephone_number": "904-895-5400",
            "fax_number": "904-895-5401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15496 MAX LEGGETT PKWY",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322182564",
            "telephone_number": "904-895-5400",
            "fax_number": "904-895-5401"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MURTHY",
        "first_name": "RAGUVEER",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-14",
        "last_updated": "2022-05-06",
        "certification_date": "2022-05-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "FL",
            "license": "ME107642",
            "primary": false
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "FL",
            "license": "ME107642",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jacksonville, FL

Sources for this page

Verify at the official NPI Registry.