Joseph Ravid, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

ME 106244 Issued in FL

Practice address

21942 Edgewater Dr
Port Charlotte, FL 33952-9723

Phone

(941) 505-2100

Fax

(941) 505-6100

NPI assigned

Jun 26, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 3

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

Specialty

Family Practice

Education

Other, 2004

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Gulfview Medical Institute PLLCGroup PAC ID 9335327139, 5 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Assisted Home Health Inc Home health agency, Punta Gorda, FL, CCN 683178
• Preferred Care Home Health Services Home health agency, Fort Myers, FL, CCN 109423

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine, Physician Assistant

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: joseph.ravid.1@32762.direct.athenahealth.com

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.

• Gulfview Medical Institute PLLC

  • Family Medicine Physician
  • Port Charlotte, FL
  • NPI 1851680789
  Medicare reassignment Care Compare group NPD Authorized official
• Innovative Laboratoryservices, PLLC

  • Clinical Medical Laboratory
  • Ocala, FL
  • NPI 1548706476
  NPD Authorized official

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Assisted Home Health Inc.

  • Home Health Agency
  • Punta Gorda, FL
  • NPI 1497177604
  Care Compare affiliation
• Providia Home Care LLC.

  • Home Health Agency
  • Fort Myers, FL
  • NPI 1245409010
  Care Compare affiliation

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

{
    "created_epoch": "1182816000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1593475200000",
    "number": "1548466519",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21942 EDGEWATER DR",
            "city": "PORT CHARLOTTE",
            "state": "FL",
            "postal_code": "339529723",
            "telephone_number": "941-505-2100",
            "fax_number": "941-505-6100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21942 EDGEWATER DR",
            "city": "PORT CHARLOTTE",
            "state": "FL",
            "postal_code": "339529723",
            "telephone_number": "941-505-2100",
            "fax_number": "941-505-6100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAVID",
        "first_name": "JOSEPH",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-06-26",
        "last_updated": "2020-06-30",
        "certification_date": "2020-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME 106244",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE INDIVIDUAL",
            "identifier": "E3121Y",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS",
            "identifier": "14C4Q",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "P01037543",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Chad Ranninger, PTA
• Robert Rassbach
• Paul David Ratcliff Jr., DO
• Arianna Nicole Ratliff
• Gianfranco Ratto, DNP CRNA
• Real Therapy Solutions, Inc
• Jenna Lauren Rebeck, APRN
• Susan Reed
• Tyler Thomas Reed, PA
• Yanay Rego Cabrera

• Family Medicine Physician in Port Charlotte, FL
• Providers in Port Charlotte, FL by specialty
• Family Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.