Individual provider Active NPI

Ravindra R Patel, MD

  • Surgery Physician
  • Tampa, FL
National Provider Identifier
1427044064
Registry record updated Mar 22, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
ME51003 Issued in FL
Practice address
6919 N Dale Mabry Hwy
Suite 200
Tampa, FL 33614-3972
Phone
(813) 933-3324
Fax
(813) 932-4357
NPI assigned
Sep 20, 2005
Last updated
Mar 22, 2016By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 22, 2016

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Undersea and Hyperbaric Medicine (Emergency Medicine) Physician 207PE0005X ME51003 FL
Surgery Physician 208600000X ME51003 FL Primary
Vascular Surgery Physician 2086S0129X ME51003 FL

Addresses

Primary practice location

6919 N Dale Mabry Hwy
Suite 200
Tampa, FL 33614-3972

Mailing address

6919 N Dale Mabry Hwy
Suite 200
Tampa, FL 33614-3972
Phone (813) 933-3324

Other identifiers 3

IdentifierTypeStateIssuer
020014660OtherRAILROAD MEDICARE
046418000MedicaidFL
03993OtherFLBCBS

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
I20070428000108 FL Practitioner - General SurgeryPractitioner - Vascular SurgeryPractitioner - Preventive Medicine 7214033877 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
General SurgeryAlso: Preventive Medicine
Education
Other, 1980
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Florida Hospital Physician Group IncGroup PAC ID 2365679057, 953 clinicians

Practice addresses (Care Compare)

13901 Bruce B Downs Blvd
Tampa, FL 33613-3905
Phone (813) 615-7260

2600 Bruce B Downs Blvd
Wesley Chapel, FL 33544-9207
Phone (813) 929-5436

2700 Healing Way
Wesley Chapel, FL 33543-5453

6919 N Dale Mabry Hwy
Suite 200
Tampa, FL 33614-3972
Phone (813) 933-3324

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Spinal fusion24

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Hyperbaric & Woundcare Inc Undersea and Hyperbaric Medicine CurrentSince Apr 1, 2006 Accepting new patients
Hyperbaric & Woundcare Inc CurrentSince Apr 1, 2006 Accepting new patients
Hyperbaric & Woundcare Inc Past Accepting new patients
Tarpon Springs Hospital Foundation Inc Past Accepting new patients

Locations

205 S Moon Ave
Ste 106
Brandon, FL 33511
Phone (813) 615-7100

5140 Deer Park Dr
Ste 102
New Port Richey, FL 34653
Phone (727) 203-3080

3000 Medical Park Dr
Ste 430
Tampa, FL 33613
Phone (813) 615-7160

3100 E Fletcher Ave
Tampa, FL 33613
Phone (813) 615-7200

6919 N Dale Mabry Hwy
Ste 210
Tampa, FL 33614
Phone (813) 558-4900

6919 N Dale Mabry Hwy
Ste 250
Tampa, FL 33614
Phone (813) 930-8816

1501 S Pinellas Ave
Ste J
Tarpon Springs, FL 34689
Phone (727) 943-3640

2700 Healing Way
Ste 102
Wesley Chapel, FL 33543
Phone (813) 929-5327

Networks

  • Freedom Health HMO Network

Interoperability endpoints

  • Direct secure messaging: rpatel73613@adventhealth.direct-ci.com

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Adventhealth CarrollwoodTampa, FL, CCN 100069 Hospital Corporate Director Sep 15, 2016

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 5

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1127174400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1458604800000",
    "number": "1427044064",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6919 N DALE MABRY HWY",
            "address_2": "SUITE 200",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336143972",
            "telephone_number": "813-933-3324",
            "fax_number": "813-932-4357"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6919 N DALE MABRY HWY",
            "address_2": "SUITE 200",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336143972",
            "telephone_number": "813-933-3324",
            "fax_number": "813-932-4357"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATEL",
        "first_name": "RAVINDRA",
        "middle_name": "R",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-20",
        "last_updated": "2016-03-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207PE0005X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine, Undersea and Hyperbaric Medicine",
            "state": "FL",
            "license": "ME51003",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "FL",
            "license": "ME51003",
            "primary": true
        },
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "FL",
            "license": "ME51003",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "020014660",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "046418000",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "03993",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tampa, FL

Sources for this page

Verify at the official NPI Registry.