Individual provider Active NPI

Prema L Ramsahai, DO

  • Family Medicine Physician
  • Riverview, FL
National Provider Identifier
1578727905
Registry record updated Jul 16, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
OS11257 Issued in FL
Practice address
10647 Big Bend Rd
Ste 212
Riverview, FL 33579-7176
Phone
(813) 844-4600
Fax
(813) 844-1960
NPI assigned
Jul 15, 2008
Last updated
Jul 16, 2013By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 16, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X OS11257 FL Primary

Addresses

Primary practice location

10647 Big Bend Rd
Ste 212
Riverview, FL 33579-7176

Mailing address

10647 Big Bend Rd
Ste 212
Riverview, FL 33579-7176
Phone (813) 844-4600

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, TX2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20110923000429 FL Practitioner - Family Practice 4880865807
I20210825002862 TX Practitioner - Family PracticePractitioner - Osteopathic Manipulative Medicine 4880865807 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Osteopathic Manipulative Medicine
Education
Nova Southeastern College of Osteo Medicine, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Seminole Tribe of FloridaGroup PAC ID 4082710835, 8 clinicians

Practice addresses (Care Compare)

1120 S 1St St
Immokalee, FL 34142-4303
Phone (954) 962-2009

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Seminole Tribe of Florida Health Dept. CurrentSince Aug 1, 2021 Accepting new patients
Seminole Tribe of Florida CurrentSince Aug 1, 2021 Accepting new patients
First Coast Primary Care Inc Family Medicine Past Accepting new patients

Locations

111 W Coral Way
Hollywood, FL 33021
Phone (954) 962-2009

1120 S 1st St
Immokalee, FL 34142
Phone (239) 867-3400

Organizations & group practices 3

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": "1216080000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1373932800000",
    "number": "1578727905",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10647 BIG BEND RD",
            "address_2": "STE 212",
            "city": "RIVERVIEW",
            "state": "FL",
            "postal_code": "335797176",
            "telephone_number": "813-844-4600",
            "fax_number": "813-844-1960"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10647 BIG BEND RD",
            "address_2": "STE 212",
            "city": "RIVERVIEW",
            "state": "FL",
            "postal_code": "335797176",
            "telephone_number": "813-844-4600",
            "fax_number": "813-844-1960"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAMSAHAI",
        "first_name": "PREMA",
        "middle_name": "L",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-07-15",
        "last_updated": "2013-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "OS11257",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Riverview, FL

Sources for this page

Verify at the official NPI Registry.