Individual provider Active NPI

Ram Bandagi, M.D.

  • Adult Medicine Physician
  • Altamonte Springs, FL
National Provider Identifier
1487828158
Registry record updated Apr 18, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Medicine PhysicianTaxonomy code 207QA0505X
License
35.097482 Issued in OH
Practice address
601 E Altamonte Dr
Altamonte Springs, FL 32701-4802
Phone
(407) 303-2200
NPI assigned
Apr 14, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 18, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Medicine Physician 207QA0505X 35.097482 OH Primary

Addresses

Primary practice location

601 E Altamonte Dr
Altamonte Springs, FL 32701-4802

Mailing address

601 E Altamonte Dr
Altamonte Springs, FL 32701-4802

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
I20160620000013 FL Practitioner - HospitalistPractitioner - Family Practice 4587837620 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
HospitalistAlso: Family Practice
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Florida Hospital Healthcare Partners, IncGroup PAC ID 7012266836, 621 clinicians

Practice addresses (Care Compare)

1055 Saxon Blvd
Orange City, FL 32763-8468
Phone (386) 917-5000

Hospital & facility affiliations

  • Adventhealth Fish Memorial Hospital, Orange City, FL, CCN 100072

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35.097482OHMDAdult Medicine Physician

Practice roles (7 of 9)

OrganizationSpecialtyStatusNew patients
Cogent Healthcare of Jacksonville, LLC CurrentSince Nov 10, 2016 Accepting new patients
Cogent Healthcare of Jacksonville, LLC CurrentSince Nov 10, 2016 Accepting new patients
Memorial Hospital Flagler Inc CurrentSince Oct 1, 2018 Accepting new patients
Inpatient Consultants of Florida, Inc CurrentSince Apr 29, 2016 Accepting new patients
Florida Hospital Healthcare Partners, Inc CurrentSince Oct 1, 2018 Accepting new patients
Inpatient Consultants of Florida Inc CurrentSince Apr 29, 2016 Accepting new patients
Southwest Volusia Healthcare Corporation Past Accepting new patients

Locations

601 E Altamonte Dr
Altamonte Springs, FL 32701
Phone (407) 303-2200

701 W Plymouth Ave
Deland, FL 32720
Phone (386) 943-3160

301 Memorial Medical Pkwy
Holly Hill, FL 32117
Phone (386) 231-3906

655 W 8th St
Jacksonville, FL 32209
Phone (904) 244-1680

1055 Saxon Blvd
Orange City, FL 32763
Phone (386) 917-5000

61 Memorial Medical Pkwy
Ste 1-800A
Palm Coast, FL 32164
Phone (386) 586-1810

60 Memorial Medical Pkwy
Palm Coast, FL 32164
Phone (385) 586-2000

3030 W Bearss Ave
Tampa, FL 33618
Phone (813) 932-2222

5410 Maryland Way
Ste 300
Brentwood, TN 37027
Phone (615) 377-1674

Networks

  • Freedom Health HMO Network
  • Optimum HealthCare HMO Network

Interoperability endpoints

  • Direct secure messaging: rbandagi58969@adventhealth.direct-ci.com

Organizations & group practices 7

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.

Hospital & facility affiliations 2

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": "1208131200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1460937600000",
    "number": "1487828158",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 E ALTAMONTE DR",
            "city": "ALTAMONTE SPRINGS",
            "state": "FL",
            "postal_code": "327014802"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 E ALTAMONTE DR",
            "city": "ALTAMONTE SPRINGS",
            "state": "FL",
            "postal_code": "327014802",
            "telephone_number": "407-303-2200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BANDAGI",
        "first_name": "RAM",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-04-14",
        "last_updated": "2016-04-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207QA0505X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Adult Medicine",
            "state": "OH",
            "license": "35.097482",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Altamonte Springs, FL

Sources for this page

Verify at the official NPI Registry.