Individual provider Active NPI

Ravi Sharad Lakdawala, MD

  • Nephrology Physician
  • Temple Terrace, FL
National Provider Identifier
1497054100
Registry record updated May 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
ME177591 Issued in FL
Practice address
12662 Telecom Dr
Temple Terrace, FL 33637-0935
Phone
(813) 910-0030
Fax
(813) 971-6473
NPI assigned
Mar 21, 2011
Last updated
May 20, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 20, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X ME177591 FL
Nephrology Physician 207RN0300X ME177591 FL Primary

Addresses

Primary practice location

12662 Telecom Dr
Temple Terrace, FL 33637-0935

Mailing address

12662 Telecom Dr
Temple Terrace, FL 33637-0935
Phone (813) 910-0030

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20160708000891 CA Practitioner - NephrologyPractitioner - Internal Medicine 5890927131 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
NephrologyAlso: Internal Medicine
Education
Boston University School of Medicine, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Tower Nephrology Medical GroupGroup PAC ID 2860402872, 7 clinicians

Practice addresses (Care Compare)

8641 Wilshire Blvd
Suite 300
Beverly Hills, CA 90211-2921
Phone (310) 652-9162

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME177591FLMDNephrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Tower Nephrology Medical Group Nephrology CurrentSince Jun 1, 2016 Accepting new patients

Locations

8641 Wilshire Blvd
Ste 300
Beverly Hills, CA 90211
Phone (310) 652-9162

8635 W 3rd St
Ste 485W
Los Angeles, CA 90048
Phone (310) 652-9162

8635 W 3rd St
Ste 485
West Hollywood, CA 90048
Phone (310) 652-9162

Interoperability endpoints

  • Direct secure messaging: rlakdawala208749@direct.cshs.org

Organizations & group practices 1

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 5

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": "1300665600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1779235200000",
    "number": "1497054100",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12662 TELECOM DR",
            "city": "TEMPLE TERRACE",
            "state": "FL",
            "postal_code": "336370935",
            "telephone_number": "813-910-0030",
            "fax_number": "813-971-6473"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12662 TELECOM DR",
            "city": "TEMPLE TERRACE",
            "state": "FL",
            "postal_code": "336370935",
            "telephone_number": "813-910-0030",
            "fax_number": "813-971-6473"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAKDAWALA",
        "first_name": "RAVI",
        "middle_name": "SHARAD",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-03-21",
        "last_updated": "2026-05-20",
        "certification_date": "2026-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME177591",
            "primary": false
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "FL",
            "license": "ME177591",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Temple Terrace, FL

Sources for this page

Verify at the official NPI Registry.