Organization Active NPI

Keshav Ramireddy P L

  • Cardiovascular Disease Physician
  • Palm Harbor, FL
National Provider Identifier
1356780779
Registry record updated Jun 19, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
ME0075518 Issued in FL
Legal business name
KESHAV RAMIREDDY P L
Practice address
3762 Executive Dr
Palm Harbor, FL 34685-1019
Phone
(727) 463-0607
Fax
(727) 781-3312
NPI assigned
Jun 19, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 19, 2013

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

Authorized official

Name
Keshav Ramireddy, M.D.
Title
President
Phone
(727) 463-0607

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RC0000X ME0075518 FL Primary

Addresses

Primary practice location

3762 Executive Dr
Palm Harbor, FL 34685-1019

Mailing address

3762 Executive Dr
Palm Harbor, FL 34685-1019
Phone (727) 463-0607

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20130726000545 FL Part B Supplier - Clinic/Group Practice 2860633229 Receives reassigned benefits from 1 practitioner
Practice locations: Hudson, FL

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1371600000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1371600000000",
    "number": "1356780779",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3762 EXECUTIVE DR",
            "city": "PALM HARBOR",
            "state": "FL",
            "postal_code": "346851019",
            "telephone_number": "727-463-0607",
            "fax_number": "727-781-3312"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3762 EXECUTIVE DR",
            "city": "PALM HARBOR",
            "state": "FL",
            "postal_code": "346851019",
            "telephone_number": "727-463-0607",
            "fax_number": "727-781-3312"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KESHAV RAMIREDDY P L",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-06-19",
        "last_updated": "2013-06-19",
        "status": "A",
        "authorized_official_last_name": "RAMIREDDY",
        "authorized_official_first_name": "KESHAV",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "727-463-0607",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "FL",
            "license": "ME0075518",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palm Harbor, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2013; 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.