Individual provider Active NPI

Indra B Ramdayal, C-ARNP

  • Nurse Practitioner
  • The Villages, FL
National Provider Identifier
1356460638
Registry record updated Jan 28, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
3197242 Issued in FL
Practice address
1503 Buenos Aires Blvd Ste 150
The Villages, FL 32159-6823
Phone
(352) 750-5882
Fax
(352) 750-9947
NPI assigned
Mar 28, 2007
Last updated
Jan 28, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 28, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 3197242 FL Primary

Addresses

Primary practice location

1503 Buenos Aires Blvd Ste 150
The Villages, FL 32159-6823

Mailing address

11350 McCormick Rd
Executive Plaza 1, Ste. 501
Hunt Valley, MD 21031-4605
Phone (703) 914-8000

Other identifiers 1

IdentifierTypeStateIssuer
KK540OtherFLMEDICARE

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address IRamdayal@nationalspine.emadirect.md

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100915001208 FL Practitioner - Nurse Practitioner 3577688480 Reassigns benefits to 7 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

13945 N US Hwy 441
Lady Lake, FL 32159-8924
Phone (352) 277-3500

150 SW Chamber CT
Suite 105
Port St Lucie, FL 34986-3413
Phone (772) 807-9000

1693 Lee Rd
Suite B
Winter Park, FL 32789-2260
Phone (407) 622-5766

1910 SW 18TH CT
Suite 200
Ocala, FL 34471-7857
Phone (352) 629-7011

5948 Turkey Lake Rd
Orlando, FL 32819-4202
Phone (407) 228-8080

918 Rolling Acres Rd
Suite 102
Lady Lake, FL 32159-5027
Phone (352) 751-6582

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
3197242FLMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Florida Pain and Rehabilitation Associates Inc Current Accepting new patients
National Surgical Centers of America LLC CurrentSince Nov 1, 2019 Accepting new patients
Rmed LLC CurrentSince Apr 17, 2019 Accepting new patients
Rmed LLC CurrentSince Apr 17, 2019 Accepting new patients
Florida Pain and Rehabilitation Associates Inc CurrentSince Jun 1, 2019 Accepting new patients
Physician Providers Group PA CurrentSince Sep 24, 2018 Accepting new patients
National Surgical Centers of America LLC CurrentSince Nov 1, 2019 Accepting new patients
Florida Pain and Rehabilitation Associates Inc CurrentSince Jun 1, 2019 Accepting new patients
National Surgical Centers of America LLC CurrentSince Nov 1, 2019 Accepting new patients
Florida Pain and Rehabilitation Institute Inc Past Accepting new patients
Physician Providers Group PA PastSince Jul 9, 2023 Accepting new patients
Robert Ulseth LLC PastSince Sep 24, 2018 Accepting new patients

Locations

5365 Atlantic Ave
Ste 501
Delray Beach, FL 33484
Phone (561) 279-3500

305 S Line Ave
Inverness, FL 34452
Phone (352) 344-4791

151 Lagrande Blvd
Lady Lake, FL 32159
Phone (352) 277-3500

4807 US Highway 19
Ste 102
New Prt Rchy, FL 34652
Phone (727) 846-7618

1910 SW 18th Ct
#200
Ocala, FL 34471
Phone (352) 629-7011

150 SW Chamber Ct
Ste 105
Port St Lucie, FL 34986
Phone (772) 807-9000

8600 Hidden River Pkwy
Ste 75
Tampa, FL 33637
Phone (813) 517-0137

13945 N US Highway 441
The Villages, FL 32159
Phone (352) 277-3500

1503 Buenos Aires Blvd
Ste 150
The Villages, FL 32159
Phone (352) 750-5882

1693 Lee Rd
Ste A
Winter Park, FL 32789
Phone (407) 287-4300

1693 Lee Rd
Ste B
Winter Park, FL 32789
Phone (407) 622-5766

11350 McCormick Rd
Ste 501
Hunt Valley, MD 21031
Phone (410) 329-1071

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Interoperability endpoints

  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

Organizations & group practices 13

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.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1175040000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643328000000",
    "number": "1356460638",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11350 MCCORMICK RD",
            "address_2": "EXECUTIVE PLAZA 1, STE. 501",
            "city": "HUNT VALLEY",
            "state": "MD",
            "postal_code": "210314605",
            "telephone_number": "703-914-8000",
            "fax_number": "352-344-3822"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1503 BUENOS AIRES BLVD STE 150",
            "city": "THE VILLAGES",
            "state": "FL",
            "postal_code": "321596823",
            "telephone_number": "352-750-5882",
            "fax_number": "352-750-9947"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAMDAYAL",
        "first_name": "INDRA",
        "middle_name": "B",
        "credential": "C-ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-28",
        "last_updated": "2022-01-28",
        "certification_date": "2022-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "3197242",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "KK540",
            "state": "FL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "IRamdayal@nationalspine.emadirect.md",
            "affiliation": "N",
            "address_1": "1503 Buenos Aires Blvd Ste 150",
            "city": "The Villages",
            "state": "FL",
            "country_code": "US",
            "postal_code": "321596823",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in The Villages, FL

Sources for this page

Verify at the official NPI Registry.