Organization Active NPI

Ravi Sharma MD PA

  • Specialist
  • Homosassa, FL
National Provider Identifier
1457587438
Registry record updated Oct 1, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
ME78774 Issued in FL
Legal business name
RAVI SHARMA MD PA
Practice address
7767 S Suncoast Blvd
Homosassa, FL 34446-5004
Phone
(352) 621-0777
Fax
(352) 382-2491
NPI assigned
Jun 4, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 1, 2018

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

Authorized official

Name
Dr. Ravi Sharma, M.D.NPI 1205817814
Title
Owner
Phone
(352) 621-0777

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X ME78774 FL Primary

Addresses

Primary practice location

7767 S Suncoast Blvd
Homosassa, FL 34446-5004

Mailing address

7767 S Suncoast Blvd
Homosassa, FL 34446-5004
Phone (352) 621-0777

Other identifiers 5

IdentifierTypeStateIssuer
BV150OtherFLMEDICARE PTAN
1457587438OtherFLMEDICARE NPI#
47119OtherFLBCBS
186659OtherFLWELLCARE
P00734987OtherFLMEDICARE RAILROAD

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090623000759 FL Part B Supplier - Clinic/Group Practice 4183775604 Receives reassigned benefits from 1 practitioner
Practice locations: Homosassa, FL; Summerfield, FL

National Provider Directory

National Provider Directory

Locations

7767 S Suncoast Blvd
Homosassa, FL 34446
Phone (352) 621-0777

7739 S Suncoast Blvd
Homosassa, FL 34446
Phone (352) 503-2002

17820 SE 109th Ave
Ste 109
Summerfield, FL 34491
Phone (352) 205-4645

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": "1244073600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1538352000000",
    "number": "1457587438",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7767 S SUNCOAST BLVD",
            "city": "HOMOSASSA",
            "state": "FL",
            "postal_code": "344465004",
            "telephone_number": "352-621-0777",
            "fax_number": "352-382-2491"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7767 S SUNCOAST BLVD",
            "city": "HOMOSASSA",
            "state": "FL",
            "postal_code": "344465004",
            "telephone_number": "352-621-0777",
            "fax_number": "352-382-2491"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RAVI SHARMA MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-06-04",
        "last_updated": "2018-10-01",
        "status": "A",
        "authorized_official_last_name": "SHARMA",
        "authorized_official_first_name": "RAVI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "352-621-0777",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "FL",
            "license": "ME78774",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "BV150",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE NPI#",
            "identifier": "1457587438",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "47119",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WELLCARE",
            "identifier": "186659",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "P00734987",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Homosassa, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2018; 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.