Active NPI
Jayanthi M Ravi, MD
- Allergy & Immunology Physician
- Windermere, FL
National Provider Identifier
1528053907
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Allergy & Immunology Physician
- License
- ME0048846
- Practice address
- 9111 Woodbreeze Blvd
Windermere, FL 34786-8824 - Phone
- (407) 876-1368
- NPI assigned
- Sep 13, 2005
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Allergy & Immunology Physician | 207K00000X | ME0048846 | FL | Primary |
Addresses
Primary practice location
9111 Woodbreeze Blvd
Windermere, FL 34786-8824
Mailing address
9111 Woodbreeze Blvd
Windermere, FL 34786-8824
Phone (407) 876-1368
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 07645 | Other | FL | BCBS |
| 372347000 | Medicaid | FL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME0048846 | FL | MD | Allergy & Immunology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Allergy, Asthma & Immunology Associates of Central Florida | Allergy & Immunology | Past | Accepting new patients |
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 and National Provider Directory roles.
-
- Allergy & Immunology Physician
- Winter Park, FL
- NPI 1003864695
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1126569600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1279152000000",
"number": "1528053907",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9111 WOODBREEZE BLVD",
"city": "WINDERMERE",
"state": "FL",
"postal_code": "347868824",
"telephone_number": "407-876-1368"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9111 WOODBREEZE BLVD",
"city": "WINDERMERE",
"state": "FL",
"postal_code": "347868824",
"telephone_number": "407-876-1368"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RAVI",
"first_name": "JAYANTHI",
"middle_name": "M",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-09-13",
"last_updated": "2010-07-15",
"status": "A"
},
"taxonomies": [
{
"code": "207K00000X",
"taxonomy_group": "",
"desc": "Allergy & Immunology",
"state": "FL",
"license": "ME0048846",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "07645",
"state": "FL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "372347000",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Windermere, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.