NPIMap

Individual provider Active NPI

Rama Rao Kompella, M.D.

  • Family Medicine Physician
  • Crystal River, FL
National Provider Identifier
1689871840
Registry record updated Dec 9, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
ME98162 Issued in FL
Practice address
6201 N Suncoast Blvd
Crystal River, FL 34428-6712
Phone
(352) 795-6560
Fax
(352) 795-8472
NPI assigned
Jun 29, 2007
Last updated
Dec 9, 2014By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 9, 2014

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 ME98162 FL Primary

Addresses

Primary practice location

6201 N Suncoast Blvd
Crystal River, FL 34428-6712

Mailing address

3404 N Lecanto Hwy
Suite C
Beverly Hills, FL 34465-3569
Phone (352) 746-1558

Other identifiers 1

IdentifierTypeStateIssuer
1689871840OtherFLNPI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20091005000311 FL Practitioner - Family Practice 3173611894 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Nature Coast Geriatric Services LLCGroup PAC ID 0244541282, 13 clinicians

Practice addresses (Care Compare)

3404 N Lecanto Hwy
Suite C
Beverly Hills, FL 34465-3569
Phone (352) 746-1558

6201 N Suncoast Blvd
Crystal River, FL 34428-6712
Phone (352) 795-8490

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
002879NYMDCommunity Health Worker

Practice roles

OrganizationSpecialtyStatusNew patients
West Florida Medical Associates P a Family Medicine CurrentSince Jul 5, 2009 Accepting new patients
Nature Coast Geriatric Services LLC Family Medicine CurrentSince Mar 31, 2021 Accepting new patients
West Florida Medical Associates, PA Family Medicine CurrentSince Jul 5, 2009 Accepting new patients

Locations

3400 N Lecanto Hwy
#A
Beverly Hills, FL 34465
Phone (352) 746-2227

3404 N Lecanto Hwy
Ste A
Beverly Hills, FL 34465
Phone (352) 513-4867

3404 N Lecanto Hwy
Ste C
Beverly Hills, FL 34465
Phone (352) 746-1558

6201 N Suncoast Blvd
Crystal River, FL 34428
Phone (352) 527-0671

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.

Hospital & facility affiliations 6

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": "1183075200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1418083200000",
    "number": "1689871840",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3404 N LECANTO HWY",
            "address_2": "SUITE C",
            "city": "BEVERLY HILLS",
            "state": "FL",
            "postal_code": "344653569",
            "telephone_number": "352-746-1558",
            "fax_number": "352-746-3838"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6201 N SUNCOAST BLVD",
            "city": "CRYSTAL RIVER",
            "state": "FL",
            "postal_code": "344286712",
            "telephone_number": "352-795-6560",
            "fax_number": "352-795-8472"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOMPELLA",
        "first_name": "RAMA",
        "middle_name": "RAO",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-06-29",
        "last_updated": "2014-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME98162",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1689871840",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Crystal River, FL

Sources for this page

Verify at the official NPI Registry.