Active NPI
Malleswari S Ravi, M.D.
- Infectious Disease Physician
- Jacksonville, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Infectious Disease Physician
- License
- ME104972
- Practice address
- 653-1 West 8TH Street
2ND Floor, LRC L14
Jacksonville, FL 32209 - Phone
- (904) 244-3702
- NPI assigned
- Jul 2, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | ME104972 | FL | |
| Hospitalist Physician | 208M00000X | ME104972 | FL | |
| Infectious Disease Physician | 207RI0200X | ME104972 | FL | Primary |
Addresses
Primary practice location
653-1 West 8TH Street
2ND Floor, LRC L14
Jacksonville, FL 32209
Mailing address
PO Box 44008
Suite 304
Jacksonville, FL 32231-4008
Phone (904) 244-2120
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0037280-00 | Medicaid | FL | |
| 373978308 | Medicaid | FL |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Infectious Disease
- Education
- Other, 2002
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- University of Florida Jacksonville Physicians, Inc.
Practice addresses (Care Compare)
655 W 8TH St
Jacksonville, FL 32209-6511
Hospital & facility affiliations
- Shands Jacksonville
Merit-based Incentive Payment System (MIPS)
- Final score
- 59.59 of 100
- Quality
- 59.93
- Promoting interoperability
- 0
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University of Florida Jacksonville Physicians, Inc. | Current | Accepting new patients | |
| University of Florida Jacksonville Physicians Inc | Internal Medicine | Current | Accepting new patients |
| University of Florida Jacksonville Physicians, Inc. | Internal Medicine | Current | Accepting new patients |
| University of Florida Jacksonville Physicians Inc | Current | Accepting new patients | |
| Baptist Primary Care Inc | Internal Medicine | Past | Accepting new patients |
| Baptist Primary Care Inc | Past | Accepting new patients |
Locations
555 W 11th St
Jacksonville, FL 32206
Phone (904) 244-4472
836 Prudential Dr
Ste 1207
Jacksonville, FL 32207
Phone (904) 396-8656
1443 San Marco Blvd
Jacksonville, FL 32207
Phone (904) 633-4110
655 W 8th St
Jacksonville, FL 32209
Phone (904) 244-1680
2001 Kingsley Ave
Orange Park, FL 32073
Phone (904) 215-7015
Interoperability endpoints
- mravi62854@direct.shands.ufl.edu
Organizations & group practices 6
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Diagnostic Radiology Physician
- Jacksonville, FL
- NPI 1326208695
-
- Internal Medicine Physician
- Jacksonville, FL
- NPI 1144276452
-
- Internal Medicine Physician
- Jacksonville, FL
- NPI 1659531929
-
- Physiological Laboratory
- Jacksonville, FL
- NPI 1831800952
-
- Family Medicine Physician
- Jacksonville, FL
- NPI 1013160704
-
- Family Medicine Physician
- Jacksonville, FL
- NPI 1508817529
Internal Medicine
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Urgent Care Clinic/Center
- Jacksonville, FL
- NPI 1144962408
Hospital
-
- General Acute Care Hospital
- Jacksonville, FL
- NPI 1821186313
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1183334400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1608422400000",
"number": "1417154451",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 44008",
"address_2": "SUITE 304",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322314008",
"telephone_number": "904-244-2120",
"fax_number": "904-244-3425"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "653-1 WEST 8TH STREET",
"address_2": "2ND FLOOR, LRC L14",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "32209",
"telephone_number": "904-244-3702"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RAVI",
"first_name": "MALLESWARI",
"middle_name": "S",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-07-02",
"last_updated": "2020-12-20",
"certification_date": "2020-12-13",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "FL",
"license": "ME104972",
"primary": false
},
{
"code": "208M00000X",
"taxonomy_group": "",
"desc": "Hospitalist",
"state": "FL",
"license": "ME104972",
"primary": false
},
{
"code": "207RI0200X",
"taxonomy_group": "",
"desc": "Internal Medicine, Infectious Disease",
"state": "FL",
"license": "ME104972",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0037280-00",
"state": "FL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "373978308",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Jacksonville, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.