Individual provider Active NPI

Ravneet K Sandhu, M.D.

  • Internal Medicine Physician
  • Brandon, FL
National Provider Identifier
1518933456
Registry record updated Oct 13, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
ME73415 Issued in FL
Practice address
519 E Bloomingdale Ave
A
Brandon, FL 33511-8105
Phone
(813) 655-4100
NPI assigned
Feb 28, 2006
Last updated
Oct 13, 2016By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 13, 2016

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 73415 FL
Internal Medicine Physician 207R00000X ME73415 FL Primary

Addresses

Primary practice location

519 E Bloomingdale Ave
A
Brandon, FL 33511-8105

Mailing address

519A E Bloomingdale Ave Ste a
Brandon, FL 33511-8105
Phone (813) 655-4100

Other identifiers 3

IdentifierTypeStateIssuer
258906OtherFLAVMED
010063424OtherFLRR MCR ATTCHED TO GRP# CG5425
44706OtherFLBCBS ATTACHED TO GRP# 002M1

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
I20120316000320 FL Practitioner - Internal Medicine 0749183440 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Brandon-Riverview Medical Associates PAGroup PAC ID 1456518430, 4 clinicians

Practice addresses (Care Compare)

519 E Bloomingdale Ave
Suite a
Brandon, FL 33511-8180
Phone (813) 655-4100

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
73415FLMDInternal Medicine Physician
ME73415FLMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Brandon-Riverview Medical Associates PA Internal Medicine CurrentSince Dec 1, 2011 Accepting new patients
Access Brandon-Riverview LLC Internal Medicine CurrentSince Nov 1, 2025 Accepting new patients
Care Plus Walk in Clinics Internal Medicine PastSince May 10, 1999 Accepting new patients

Locations

519 E Bloomingdale Ave
Ste A
Brandon, FL 33511
Phone (813) 655-4100

13111 US Highway 301 S
Riverview, FL 33578
Phone (813) 671-0064

14690 Spring Hill Dr
Ste 101
Spring Hill, FL 34609

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1141084800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1476316800000",
    "number": "1518933456",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "519A E BLOOMINGDALE AVE STE A",
            "city": "BRANDON",
            "state": "FL",
            "postal_code": "335118105",
            "telephone_number": "813-655-4100",
            "fax_number": "813-655-1775"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "519 E BLOOMINGDALE AVE",
            "address_2": "A",
            "city": "BRANDON",
            "state": "FL",
            "postal_code": "335118105",
            "telephone_number": "813-655-4100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANDHU",
        "first_name": "RAVNEET",
        "middle_name": "K",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-02-28",
        "last_updated": "2016-10-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "73415",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME73415",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AVMED",
            "identifier": "258906",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MCR ATTCHED TO GRP# CG5425",
            "identifier": "010063424",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS ATTACHED TO GRP# 002M1",
            "identifier": "44706",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brandon, FL

Sources for this page

Verify at the official NPI Registry.